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MonteVistaCareForm

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MonteVistaCare Coverage Terms & Conditions

Subscriber
= Client
Provider = Monte Vista Small Animal Hospital (MVSAH)

Your MonteVistaCare Plan covers all the services listed on the itemized rack card issued to the client. It does not include any services not listed on the itemized rack card. It does not include any services provided by anyone other than the Provider or any fees for services recommended as a result of an illness or accidental injury, even if Provider refers the patient. MonteVistaCare Wellness is not insurance. Fees for not included services will be determined by provider with the fee schedule in effect at the time and must be paid in full at the time services are rendered.
ADDITIONAL TERMS AND CONDITIONS

TRANSFERABILITY
This agreement is not transferrable or assignable and applies only to the patient identified above while owned by the subscriber above. Subscriber may obtain preventative care for the patient only at the Provider’s hospital named herein.

CANCELLATION TERMS
Either Provider of Subscriber may cancel this agreement at any time. If Subscriber performs all his/her obligations and Provider cancels this agreement, all the fees Subscriber has paid for the current term year will be refunded in full, less Provider’s standard charges for any services rendered prior to the cancellation. If Subscriber cancels at any time before services are rendered, the entire amount paid for the current year will be refunded, minus any membership fee charged. Refunds will not be made for any prior years plan. If Subscriber cancels after any services have been rendered, Provider shall be entitled to retain the entire amount of the membership fee and all monthly remaining installments which have been paid and the Subscriber will be liable to pay Provider the remaining installments for the term year in effect or the Subscriber shall pay the full amount of the standard price of standard price of services already rendered, whichever is less. Such installments can be paid either monthly via Pay Pal invoice as they come due or as one payment in full. If an enrolled patient dies or is disposed of for any reason after services have been rendered, Provider shall be entitled to retain the entire amount of the membership fee and all monthly installments which have been paid and the Subscriber will be liable to pay the Provider the remaining installments for the term in effect or the full amount of standard price of services already rendered, whichever is less. The installments can be paid either monthly as they come due or as one payment in full. If full payment is made within 30 days of the patient’s death or disposition, 5% discount will be given.

EFFECTIVE PERIOD
This agreement shall be effective for the period stated above and will be automatically renewed for a subsequent period of 12 months each, unless and until Subscriber or Provider terminates this agreement as of the end of any term year by written notice to the other party given no less than 30 days prior to the automatic renewal date. Upon renewal, no membership fee will be charged.

ANNIVERSARY DATE FEE ADJUSTMENTS
The Provider reserves the right to adjust monthly fees at any anniversary date or cease at any time to provide the plans.

ITEMS NOT COVERED BY THIS AGREEMENT
A. Any services that are not outlined in the MonteVistaCare Plan rack card.
B. Services rendered by specialist to whom patient is referred by the Provider.
C. Services at any institution or hospital other than the Provider, or services rendered by other veterinarians not employed by the provider.

NOT COVERED DISCOUNTS
Some plans include discounts on non-included items. Those discounts listed with some plans apply to medications, food, and other over the counter items.

UNLIMITED FREE OFFICE VISITS (PEACE OF MIND EXAMS)
Subscriber understands that unlimited office calls applies to regular business hours only. These are for quick check visits and would not include urgent response visits or emergencies.

INSTALLMENT PAYMENTS
Membership fee and the first months charge will be made as a combined payment at the time of membership, via either www.montevistavet.com website or in the Provider’s hospital. All other installment payments will be made using Pay Pal (accepts most major credit/debit cards) via an email to
the Subscriber. Subscriber is responsible for notifying Provider of any change in the account for billing purposes. In the event that the Subscriber fails to pay any installment within 30 days of its due date, Provider may immediately terminate this agreement and declare all fees and remaining monthly installments for the then current term year to be immediately due and payable. After 30 days without a payment in full, the account will then be eligible to be sent to collections upon Providers discretion. If Provider permits Subscriber to restart the program after termination under this section, a new application and membership fee will be required unless special arrangements are made and agreed to in advance.

FEES DUE TO PROVIDER IN ADDITION TO WELLNESS PLAN
In the event that cancellation of the agreement for any reason results in monies due to either Subscriber or Provider, such money shall be paid in full within 30 days of cancellation. If either party fails to make any payment when due under this agreement, that party shall pay the other party’s collection cost, whether or not legal action is recommended. In the event of any legal proceedings (including appeals) the prevailing party shall be entitled to recover its costs, disbursements and reasonable attorney’s fees as determined by the court.

This contract includes all terms of the MonteVistaCare Wellness Plan unless additions or changes are made in writing.
 

Please fill out the digital form before paying for a subscription. Once you have submitted your form then choose the matching subscription plan to make your first payment.

By providing the information above, I am acknowledging that a monthly statement will arrive in my email box once a month. I will pay the amount due once monthly via the email and PayPal. I am also responsible for alerting sara@montevistavet.com if my email has changed at any time in the duration of coverage.

Please fill out the digital form before paying for a subsciption. Once you have submitted your form then choose the matching subscription plan to make your first payment.



Basic Canine Care Plan - $39/month (additional $95 membership fee charged for first month)


Advanced Canine Care Plan - $59/month (additional $95 membership fee charged for first month)



Basic Feline Care Plan - $39/month (additional $95 membership fee charged for first month)



Advanced Feline Care Plan - $59/month (additional $95 membership fee charged for first month)



Please contact our Hospital Director, Sara Leimgruber at sara@montevistavet.com if you have any questions about enrollment or details of the plan.

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