SAVINGS PLAN

SAVINGS PLAN MEMBER GUIDE

AHCSP_1114

Discount Medical benefits are not available in AK, VT and WA. If you move to one of those states, your discount benefits will terminate and you will be given a pro-rated refund.

Disclosures

This Plan is NOT insurance, a health insurance policy, a Medicare Prescription Drug Plan or a qualified health plan under the Affordable Care Act. The Plan provides discounts for certain medical services, pharmaceutical supplies, prescription drugs or medical equipment and supplies offered by providers who have agreed to participate in the Plan. The range of discounts for medical, pharmacy or ancillary services offered under The Plan will vary depending on the type of provider and products or services received. The Plan does not make and is prohibited from making members' payments to providers for products or services received under The Plan. The Plan member is required and obligated to pay for all discounted prescription drugs, medical and pharmaceutical supplies, services and equipment received under The Plan, but will receive a discount on certain identified medical, pharmaceutical supplies, prescription drugs, medical equipment and supplies from providers in The Plan. The Discount Medical Plan Organization is Alliance HealthCard of Florida, Inc., P.O. Box 630858, Irving, TX 75063. You may call 1-800-494-9294 for more information or visit for a list of providers. The Plan will make available before purchase and upon request, a list of program providers and the providers' city, state and specialty, located in the member's service area. Alliance HealthCard of Florida, Inc. does not guarantee the quality of the services or products offered by individual providers. The fees for The Plan are specified in the membership agreement. You have the right to cancel your membership at anytime. If you cancel your membership within 30 days of the effective date, you will receive a full refund of all periodic charges. The processing fee is non-refundable except in AR, MD and TN. To cancel you must, verbally or in writing, notify at 8100 SW 10th Street Suite 2000, Plantation FL, 33324 or call 1-800-494-9294. We will stop collecting membership fees in a reasonable amount of time, but no later than 30 days after cancellation. Any complaints should be directed to Alliance HealthCard of Florida, Inc. at the address or phone number above. Upon receipt of the complaint, member will receive confirmation of receipt within 5 business days. After investigation of the complaint, Alliance HealthCard of Florida, Inc. will provide member with the results and a proposed resolution no later than 30 days after receipt of the complaint. Note to DE, IL, LA, NE, NH, OH, SD, TX, and WV consumers: If you remain dissatisfied after completing the complaint system, you may contact your state department of insurance. Note to MA consumers: The plan is not insurance coverage and does not meet the minimum creditable coverage requirements under M.G.L. c. 111M and 956 CMR 5.00.

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Welcome

CONGRATULATIONS!

By choosing the Alliance HealthCard Savings Plan, you have taken a big step toward taking control of your family's budget, and how your healthcare dollars are spent. The Plan you purchased has either individual or family coverage. Please refer to the Membership Agreement included in this packet to confi rm your Plan. If you have any questions about your Plan selection, please call Member Services at 1-800-494-9294. Individual coverage means the discount medical products and wellness services are available ONLY to you. Family coverage means the discount medical products and wellness services extend to immediate family members, dependents and permanent or household residents. Immediate family members, dependents and permanent or household residents are defined as a spouse or domestic partner, children up to the age of 26, parents in the household over age 60 and any other IRS Dependents.

Easy To Use!

The program is both affordable and easy to use. This guide will help you remember and understand how to use the program in order to make the best decisions about your healthcare dollars. To start using the program:

1. Make an appointment with your provider. You can call Member Services for help locating a participating provider, or you can visit for a list of participating providers to choose from.

2. Pay the provider your discounted rate!

Call Us!

If you have any questions, please call 1-800-494-9294 Monday through Friday from 8AM to 8PM, Eastern time, and a Member Services representative will be happy to assist you.

We hope that you are as excited about your program as we are to serve you!

Member Services Toll-Free Number: 1-800-494-9294

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Table of Contents

Disclosures ................................................................................................................... 1 Welcome....................................................................................................................... 2

Discount Medical & Wellness Services

Dental Discount ............................................................................................................ 4 Pharmacy Network ....................................................................................................... 5 Vision Discount............................................................................................................. 7 Hearing Discount .......................................................................................................... 9 Chiropractic & Alternative Medicine............................................................................ 10 Fitness Discount ..........................................................................................................11 Physical Therapy Savings .......................................................................................... 12 24-Hour Nurse Hotline................................................................................................ 13 Diabetic Supply Discount............................................................................................ 14

Privacy Notice............................................................................................................. 15 Terms & Conditions .................................................................................................... 16 Phone Directory.......................................................................................................... 21

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Dental Discount

Members and their dependents receive reduced costs on their dental needs. To receive the discount, visit one of the participating dentists that are a part of this network and present your membership card.

Highlights

? Members select a participating dentist in their area and call to make an appointment.

? Members can save 15% to 50%* on dental care through our Dental network of over 110,000 participating provider listings, including both general dentists and specialists.

? Members choose any dentist they want within the network of participating dentists across America. You can also change dentists within the network at any time for any reason.

? Members have immediate access within the network. ? There is no limit to the number of visits a member and their immediate family can

have as long as the membership fees are paid current.

How To Use The Program

? Members can find a participating dentist by going online anytime at , or by calling the Member Services line at 1-800-494-9294 Monday through Friday from 8:00 am to 8:00 pm Eastern time.

? Make sure you identify yourself as a member of the dental network found on the back of your membership ID card when calling to make an appointment.

? Members must present their membership card at the provider's office to receive the discount at the time of service.

? Payment is due to the dentist at the time of service. ? Members are obligated to pay for all health care services but will receive a

discount from these health care providers who have contracted with the discount plan organization.

*Actual costs and savings vary by geographic area.

Not available in AK, MT, ND, SD and WY.

This program is not insurance. Members must pay for services at the time they are rendered by the dentist. This program will provide

savings over the normal cost of services.

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