Disclosure: This plan is NOT insurance. This is not a Medicare prescription plan. The plan discounts at certain health care providers of medical services.  The plan does not make payments directly to providers of medical services. The plan member is obligated to pay for all health care sevices but will receive a discount from those health care providers who have contracted with the discount plan organization. The range of discounts for services offered will vary depending on the type of provider and service. Program not available in Vermont. Discounts on hospital services are not available in Maryland. This is not a Medicare perscription drug plan in the state of Maryland.This plan is administered by Coverdell & Company, Inc., a discount medical plan organization at 8420 W. Brynn Mawr, Suite 700, Chicago, IL. 60631, 1-800-308-0374. You have the right to cancel this plan within 30 days of the effective date for a full refund of fees paid.

© Copyright 2007 Medical Savings Source

Form # OCB00WS