Refund and Cancellation Policy
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EFFECTIVE DATE: Unless otherwise provided herein, the Membership Agreement shall commence on the date specified in the electronic mail (email) or SMS notification received, once membership has been successfully registered and shall be effective for a term of one (1) year. Membership may be renewed on a yearly basis subject to mutually agreed upon terms and conditions.
- TERMINATION OF MEMBERSHIP AGREEMENT
Within fifteen (15) days from receipt of this Agreement, the Member may cause the cancellation or revocation of the Membership Agreement by returning the Maxicare Card or e-voucher and the Agreement to Maxicare. Maxicare shall thereafter cancel or revoke the membership and the Membership Fee paid shall be returned in full. Failure to cancel or revoke this Agreement within the period set shall be understood as an acceptance of all the terms and conditions provided hereunder. Any availment within the 15-day period shall also mean acceptance of this Agreement.
Maxicare shall have the right to immediately terminate the Membership Agreement in the event that:
a) Any material representation or warranty made by Member is false or untrue when made; or if Member commits any act with the intent to defraud Maxicare; and
b) If Member is in material breach of the Agreement and has failed to cure such breach within thirty (30) days after its receipt of written notice from Maxicare.
All Medical Services and coverage under this Agreement shall terminate on the termination date, without prejudice to any claim for covered Medical Services rendered to a Member prior to the termination date.
3. REFUND
There will be no refund of Membership Fee after fifteen (15) days from receipt of the Membership Agreement.
All the provisions pertaining to refund, payment and reimbursement in the Membership Agreement shall not apply if Member, commits any act prejudicial to Maxicare, with or without intent to defraud, including, but not limited to:
a) Creating an account or entity for the sole purpose of qualifying for enrollment or availing the health medical coverage;
b) Using the card of a Member to avail of the Medical services;
c) Availing unauthorized/un-prescribed services or services not related to the diagnosis;
d) Consenting to billing for services not rendered;
e) Duplicating claims; and
f) Other analogous circumstances
b) Using the card of a Member to avail of the Medical services;
c) Availing unauthorized/un-prescribed services or services not related to the diagnosis;
d) Consenting to billing for services not rendered;
e) Duplicating claims; and
f) Other analogous circumstances