Member Terms & Conditions
Member, which includes any legal
dependant, understands that Maternity Advantage is NOT insurance and
Maternity Advantage is NOT discount
health care program. No
payments to medical providers or members will be made by Maternity Advantage or its subsidiaries.
If a member makes an overpayment to a medical provider,
Maternity Advantage will assist member to the best of its ability
to collect any such amount from the appropriate party.
Maternity Advantage nor its affiliates is not an insurer, guarantor or underwriter of the responsibility
or liability of Member for Member's or Member's dependent's medical care or
any other goods or services provided to Member or Member's dependents.
Participating Medical Providers are independent contractors and, Maternity
Advantage and its affiliates are not
responsible for health care provided or the omission of the provision of
health care by any provider. Maternity Advantage does not practice
medicine or in any manner interfere with or participate in the
provider-patient relationship. All health care decisions are between the
patient and a provider. The selection of a provider is the obligation and
decision of the patient and is not based upon the credentialing or any
recommendation by Maternity Advantage and its affiliates.
If a bill has been
adjusted before received by Maternity Advantage, it will be the patient’s full
responsibility to make payment on the adjusted balance. Maternity Advantage may provide
additional assistance through negotiations.
Maternity Advantage reserves the right to
terminate any member for failure to pay a medical provider under the terms
provided.
Members may cancel their Maternity Advantage program at any time upon 30 day written notice after the contract end date.
If you wish to cancel your membership, please call customer service at
800-903-4230 to request a cancellation form or you can email
billing@ahco.biz to request the
cancellation form. All requests to cancel must be made in writing and
received by our office 10 day prior to your next billing date to avoid
further charges.
Maternity related membership terms and conditions.
Forward any AHCO or Maternity Advantage requests to:
(512) 744-1866 for fax or mail to:
AHCO Retention Dept
PO Box 163717
Austin, TX 78716
Not all programs available in all states. Void where prohibited by law.
*Plans no longer available
ARBITRATION
Any controversy dispute or claim arising out of or in connection with this
Agreement shall be resolved, upon the request of either party hereto
("Request"), by final and binding arbitration ("Arbitration") conducted in
Travis County, Texas, in accordance with the provisions hereof. Except as
otherwise provided herein, the Arbitration shall be commenced and conducted
in accordance with the Rules of Practice and Procedures of the Judicial
Arbitration and Mediation Services, Inc. ("JAMS") as in effect at the time
("JAMS Rules"). The exact time and location of the Arbitration proceeding
will be determined by the arbitrator. The parties shall jointly select one
arbitrator from the Travis County JAMS panel of arbitrators. If the parties
are unable to agree upon an arbitrator within sixty (60) days of the Request
for Arbitration, the arbitrator shall be selected in accordance with the
JAMS Rules. All testimony in the Arbitration proceeding shall be given under
oath.
Commencement of any Arbitration pursuant hereto shall be subject to the same
statutes of limitations as would apply if the matter were to be filed in a
court of law or equity.
The arbitrator shall have the power to grant all legal and equitable
remedies provided by Texas or federal law, provided however, that the
arbitrator (a) shall not have the power to award punitive or exemplary
damages and (b) shall be bound by applicable statutory and case law in
rendering a decision. The decision of the arbitrator shall be in writing and
shall include written findings of fact and conclusions of law. The decision
of the arbitrator shall be final and unreviewable for any error of any kind,
except (i) if the Arbitration was not conducted in accordance with the
provisions hereof or the JAMS Rules (except to the extent the JAMS Rules are
not provided for herein), or (ii) for those reasons set forth in Texas Code
of Civil Procedures, provided, however, that the arbitrator's decision shall
not be subject to review because of any claimed error in interpreting,
following or applying applicable law in deciding the matter subject to the
Arbitration.
Judgment upon any award rendered by the arbitrator may be entered in any
court having jurisdiction thereof and the award may be judicially enforced.
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