Medical Discount Group Participation Agreement

As a member of Chiropractor Club, LLC, you are a participant in a Discount Medical Plan Organization and agree to the following terms and conditions:

  1. This plan is NOT insurance. This plan provides discounts on medical services at participating healthcare providers. The plan does not make payments directly to medical service providers. The plan member is obligated to pay for all healthcare services and will receive a discount for certain services from participating providers who are under contract with the licensed discount plan organization.
  2. Participants receive a minimum reduction of 20% on services including exams, adjustments, and therapies rendered by participating providers. Participating providers may elect to offer discounts on additional services or supplies at their discretion. You will be billed at the time of service by your participating provider who will apply appropriate reductions or discounts to your bill.
  3. This Medical Discount Group Participation Agreement and your Member ID Card represent the entire agreement between you and Chiropractor Club LLC and supersede all other representations or statements. Chiropractor Club LLC has no liability for providing nor guaranteeing service or quality of service rendered. In no event will Chiropractor Club LLC be liable to you for any incidental, indirect, special or consequential damages arising from your use or inability to use this Medical Discount Plan.
  4. The cost of your participation is $50 for a one-year enrollment period or $120 for a three-year enrollment period. Both plans may include a participant’s spouse and children up to age 26. Provider discounts are only applicable when payment is made and services are rendered.
  5. Member discounts or reductions are NOT applicable in conjunction with any third-party payment entity or a federal or state health insurance program. When you join this plan, you agree that your insurance company will not be billed for chiropractic services at this time or any time during your enrollment period.
  6. This Plan is Not available in every state. Before purchasing please go to ChiropractorClub.com or call 1(800) 653-8115 to check your state eligibility.
  7. The effective date of your enrollment is the date when this form is signed and will be displayed on your Member ID Card. Your membership shall expire one or three- years after the effective date, depending on your selected enrollment period.
  8. One-year memberships will recur yearly from the application date.  By choosing the one-year term you agree to be billed $50 yearly for your ongoing membership. Your participation in this Discount Medical Plan will continue through the term of your plan, and shall cease upon your failure to make a renewal payment at the end or your term. Chiropractor Club LLC may terminate your plan if you fail to make a membership payment when due.
  9. You may cancel your membership in this Discount Medical Plan within the first 30 days following your effective or renewal date and receive a full refund of any fees paid to Chiropractor Club LLC.
  10. A list of participating providers is available before purchase at ChiropractorClub.com or upon request by calling 1(800) 653-8115, or by e-mailing your request to [email protected]. The list includes the name, city, state, and contact information of the participating providers in your area.
  11. Personal checks are accepted and should be made payable to Chiropractor Club LLC. Should a check, for any reason be returned from the bank, a returned check fee of $15 will be assessed to the issuer’s account and a hold will be placed on that account. A hold will also be placed on the account in the case of a declined credit card transaction. Upon receipt of the returned check or notice of the declined credit card, the issuer will be notified that they have 10 days to make restitution, including any and all additional fees associated.
  12. Should you have any complaint regarding your discount medical plan, or should you wish to cancel your membership, please call 1(800) 653-8115 or e-mail Chiropractor Club LLC with a summary of your grievance. You may also write to P.O. box 1468, Edgewater, MD 21037.  Your complaint will be addressed, and you will receive a response within 15 days from when it is received. If you are not satisfied with the resolution you may contact your state Department of Insurance for further help. Contact information can be given upon request.
  13. Our privacy policy has been compiled to better serve those who are concerned with how their Personally Identifiable Information is being used online. Please read our privacy policy carefully to get a clear understanding of how we collect, use, protect or otherwise handle your Personally Identifiable Information in accordance with our website at chiropractorclub.com/privacy-policy/
Contact Chiropractor Club, LLC

1 (800) 653-8115
[email protected]
ChiropractorClub.com
1(800)653-8115
P.O. Box 1468, Edgewater, MD 21037

Participation Agreement January 31, 2019