Physician's Promise Terms and Conditions Participants must be 18 years or older and register for the Physician's Promise program by visiting http://amerithin.com/amerith/login.php. Participants must enroll in the Physician's Promise program within 3 days of their first doctor's consultation.Participants must enroll and register in the AmeriThin Physician's Promise program from April 1, 2011, 12:01 AM to December 31, 2011, 11:59 PM. Participants must agree to the terms and conditions received with this program to be determined eligible for a refund. Participants must complete a full two weeks (3 visits) of therapy and participate in the FOOD & FITNESS JOURNAL® Plan as follows: log into topics and activities a minimum of five times a week during weeks 1-14 of the AmeriThin program, and log Small Weekly Changes a minimum of once a week during weeks 2-14 of the FOOD & FITNESS JOURNAL program. Log-ins to FOOD & FITNESS JOURNAL can be via phone and/or Web. Limit one log-in per day toward program requirements. Participants are eligible to receive a refund based on their amount paid towards program costs EXCLUDING DOCTOR'S VISITS. Participants who discontinue the AmeriThin program before the 14 weeks are not eligible for a refund. Maximum refund amount will not exceed $450 for the period. Any coupons used in payment for prescriptions will be deducted from refund amount. If a participant misses a weekly AmeriThin doctor's visit or recurring visit at any point, the refund offer is deemed null and void. Only participants who successfully registered for the Physician's Promise program during the 3 days after their initial doctor's consultation will be eligible for a refund. Participants can download the Refund Request Form from www.amerithin.com/promise or request it via 1-800-339-8446 and a form will be sent via mail. To request a refund participants must mail: the all Program receipts, which must include the patient’s name, prescription name, pill quantity, prescribing doctor, date, and amount and a completed Physician's Promise Refund Request Form that is signed by the prescribing physician to validate that the patient has not lost 5 pounds to: AmeriThin Physician's Promise Program, PO Box 8082, Spanish Fort, AL. All Physician's Promise Refund Requests must be postmarked by December 31, 2011. Any costs associated with doctor’s visits to obtain signature will not be refunded. If determined eligible, participants can expect to receive refund checks 6-8 weeks after mailing refund request and necessary documentation. Refunds are not valid for participants that are eligible to be reimbursed, in whole or in part, by Medicaid, Medicare, or other federal or state healthcare programs (including any state prescription drug assistance programs and the Government Health Insurance Plan available in Puerto Rico [formerly known as “La Reforma de Salud”]). Refunds are not valid for prescriptions that are eligible to be reimbursed by private insurance plans or other health or pharmacy benefit programs that reimburse you for the entire cost of your prescription drugs. Offer is void in MA and where prohibited by law, taxed, or restricted. This coupon is not health insurance. Program good only in the U.S. and Puerto Rico. AmeriThin Inc reserves the right to rescind, revoke, or amend this program without notice. Program ends December 31, 2011. |
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