Below are two policies for Cake ED Meds, 1.) The Self Payment of Services Policy and, 2.) The Consent for Recurring Credit or Debit Card Payments Policy. Please review both carefully and only click the requested box(es) if you acknowledge and agree to the policies.
1. Self Payment of Services Policy
Hello Cake, Inc. and affiliated medical and technology groups respectively (“M&D Integrations, Inc’ and ‘Tuolc, Inc.”) are committed to providing the best quality healthcare services. We do not participate in any insurance plans, including Medicare or Medicaid, and we do not accept any health insurance whatsoever. Our services are 100% self-pay by our patients. By consenting to this form, you acknowledge that: (1) you do not have any health insurance through a PPO, HMO, Medicaid or Medicare or any other insurance plan; or (2) you have health insurance but you do not want to use any insurance benefit for these services, acknowledging that Hello Cake, Inc, M&D Integrations and/or Tuloc, Inc. does not accept any health insurance.
Your insurance policy is a contract between you and your insurance company. It is your responsibility to know your benefits, and how they will apply to your benefit payments, and we take no responsibility to understand or be bound by the terms and conditions of such insurance. By signing this form, you are electing to purchase services that may or may not be covered by your insurance if you obtained those services from a different provider. You have selected services for purchase from us on a self-pay basis. In other words, you have directed us to treat your purchase of these services as if you are an uninsured patient and you agree to be 100% responsible for full payment of the listed price of the services. There is no guarantee your insurance company will make any payment on the cost of the services you have purchased.
Hello Cake, Inc. and its affiliated groups have provided you with the charges, in advance, for the services you have requested. By signing below, you agree to pay these charges in full as a self-pay patient, electing not to use an insurance policy benefit. You have been given a choice of different services, along with their costs. You have selected the services and are willing to accept full financial responsibility for payment.
By clicking, ‘I acknowledge and agree to the Agreement for Self-Payment of Services Policy’ you are acknowledging and agreeing that you have read this Agreement for Self-Payment of Services Policy.
2. Consent for Recurring Credit or Debit Card Payments Policy
I have read and agree to the payment and subscription terms set forth in our Terms of Ue. You will be charged the rate displayed during the intake as part of your subscription to the Hello Cake, Inc.’s services. Such rates are subject to change. Your subscription to our services is continuous and will be automatically renewed at the end of the applicable subscription period, unless you cancel your subscription before the end of the then-current subscription period. You may cancel your subscription any time.