Register/Registrese        Login/Acceder

How to use AMIGOS

HOW TO USE AMIGOS? (FAQ)

AMIGOS MEDICAL PLAN is a Discount Medical Plan licensed by the State of Florida. The term of this agreement is on a month to month basis.

  1. As a member you are a participant in a Discount Medical Program (Plan). Below are the terms and conditions of your membership, and How to use Amigos Medical Plan.
  1. This Membership Agreement is effective as of the date you receive your identification card and shall continueas stated on your enrollment form, “monthly”, “semi-annually” or “yearly”, until the company is notified of your cancellation.
  1. The Charge for participation in the plan is on your enrollment form.
  1. Each member selects a doctor, which may be change when they feel convenient.
  1. Appointments for Office Visit (PCP & Specialist), Free Preventive Checkups or other Services may only be performed through the Company AMIGOS, except for follow visit, that you make appointment directly in practical medical.
  1. Appointments for Specialties do not need referral.
  1. Members are responsible for presenting an AMIGOS Id Card at the time services are to be rendered.
  1. If you request or need to use medical services prior to receiving Membership ID cards, Members may present a copy of the their enrolment application, following the process detailed above.
  1. The high volume of calls that we daily receive from our members do not allow us to assist you immediately. You can use the various options that AMIGOS offers which make available for expedite the solution of your requests.
  1. Phone:

Members call AMIGOS at (305) 400 – 4843 or leave a message with the requested information according to your request.

  1. Email or Fax:

Your request may be sent to Amigos Medical Plan too by;

  1. e_mail: amigoshelp@gmail.com
  1. fax: (305) 517 - 3470

Amigos Medical Plan in less than 24 hours will contact you with the solution for your request.

  1. There are three ways to locate a participating retail provider:
  1. Calling toll free number on the back of the membership card, or calling at (305) 400 – 4843,
  1. Referencing the membership booklet for a list of the five closest providers to the member’s zip code or
  2. Visiting locateproviders.com or www.amigosmedicalplan.com.
  1. Free Preventive Checkups begin 30 days after the Member’s affiliation effective date. The Member can obtain certain services without being subject to a copayment.
  1. Appointments for Preventive Checkups may only be made performed through the Company AMIGOS and in the Medical Centers or Private Office previous contracted.
  1. This is NOT an insurance policy.
  1. The Plan provides discounts at certainhealthcare providersfor medical services. The Plan does not make payments directly to the providers of medical services.
  1. The Plan member is obligated to pay for all healthcare services but will receive a discount from healthcare providers who have contracted withthe discount plan organization.
  1. You will be able to apply plan discounts to all participating providers of each participating network.
  1. You will be billed at the time of service by the participating provider who will apply the applicable discounts to that bill. In no instance canthe companymake payments directly to the provider on your behalf.
  1. You have the right to cancel participation in the program at any time. If you do so within 30 days after the effective date of enrollment in the plan, you will receive a full refund of all fees and or dues paid to participate in this plan less the non-refundable enrollment fee. After the first thirty (30) days, you may cancel participation at any time and if you have pre-paid any membership fees, the prepayment will be refunded on a pro-rata basis for months you have not used. Notification must be received at least five (5) business days in advance of the next billing cycle for you not to be charged for that billing cycle.
  1. The company may terminate your participation in the plan if you fail to make your membership payment when due.
  1. This plan includes you and up to five (5) members. You may add dependents or additional members by callingAMIGOSat (305) 400 – 4843.
  1. If there is any discrepancy between the English and the translation of non-English language of this Handbook, the English version shall prevail.
  1. If you have a complaint regarding the plan you may call(305) 400 – 4843. You may also write to Amigos Medical Plan. 6923 NW 77 Ave. Miami, Fl. 33166, or Fax at (305) 517 – 3470. The complaint will be addressed and you will receive a response within 15 days.
  1. The Member Agreement and its Benefit Descriptions represent the entire agreement between you and AMIGOS and supersede all other prior representations, statements, or written agreements between you andAMIGOS.
  1. Members are responsible for making payment to the providers at the time services received.
  1. Payments should be made before due date. Due date is same date of activation as member of Amigos Medical Plan.
  1. It is the responsibility of the Member to make your monthly payment by the due day to keep your benefits in force.
  1. Payment forms may be used:
  1. Month to Month (Coupons)
  2. Bank Draft or
  3. Electronic withdrawal.
  1. Every application must be accompanied by check, money order, and credit or debit card for the full payment. The registration fee applies to all payments methods.
  1. Members who fail to pay after grace period (15 days) will be cancelled and the individual may request to be reinstated
  1. Grace Period: The Member has a 15 day grace period in which to make payment. During the grace period, the agreement stays in force.
  1. In case of insufficient funds, stopped payment or other payment cancellations affecting the receipt of payment due, the Member shall indemnify the Company in the amount of $25.00 in order to continue receiving services and stop the cancellation of the affected agreement.
  1. Any addition, modification or cancellation of Membership or application must be in writing signed by the principal applicant. Member Change Form must be completed and sent to AMIGOS.
  1. Members may cancel their Membership at any time without restriction. If cancellation occurs within the first 30 calendar days from the date shown on the application, we will refund the amount paid for the initial period charge, excluding Registration Fee.
  1. The cancellation of the plan or adding of Member or Members shall be in writing, duly signed by the principal applicant, (Member Change Form) which will be sent by fax. Member Change Form may also be downloaded via the internet by Members. The effectiveness of the application shall be made immediately after the company receiving the application document, duly signed by the principal applicant.
  1. In case of adding Members, they will have to comply with the period establish to begin receiving services as well as to the terms set by the company for any other services subject to time.
  1. AMIGOS does not provide Member information to an entity out of their provider network, unless authorized by the Member for a specific need.
  1. When contacting the company, the Member must be identified as a Member of AMIGOS. Membership information will be provided only to the members, except minors whom are to be provided by parents, guardians or persons in charge.
  1. In all cases before providing any service or information to Members will be asked information about their Member number, phone number, address, date of birth, Members of the plan or other aspects that allow the Customer Service or other Department to identify member requesting the information.
  1. In no case will we provide information regarding different people to whom the request. Except parents on minor children.
  1. The relationship between AMIGOS and its Members are governed by documents issued by AMIGOS upon acceptance of the Member and receipt of payment.
  1. All member information are strictly guarded and filed, with access to it only by persons designated in a timely manner for such purposes within the company.
  1. All the company's information documents can be downloaded via the Internet directly by the Members. To access these documents go to amigosmedicalplan.com and setup your member portal.
  1. Monthly Price Plan selected does not vary during the time that Members remain active and maintain the same plan.
  1. Every application has a cost of $ 30.00 Registration, which is paid once, regardless of number of Members on the Plan.
  1. Copayments and discounts for Services may be changed without prior notice.
  1. DMPO doesn't have exclusions and limitations.
  1. Members may contact the company by email and we will respond to such communication either by the same via or telephone, as appropriate in less than 24 hours.
  1. Members must report directly to the company any changes to their eligibility.
  1. Members agree that AMIGOS send information on general insurance on line, by mail or by phone.
  1. The signed of enrollment application agree that members know how to use Amigos Medical Plan and accepted the Terms & Conditions of Enrollment.

s2Member®