Co-op Membership

Apollo Health Care Cooperative Association.
1269 C, 16th Street NE Hickory, NC 28601
Telephone:  828-256-1471

Affordable Healthcare for those without Insurance.  Offering primary care services to help the uninsured stay healthy.

Apollo Health Care Cooperative is a nonprofit organization offering affordable health care services to those without health insurance, under insured (high-deductibles) or those with Health Savings Accounts.

Membership Program for Premium Program with Medical Services Provided:  
Sign Up Fee $30.00 one-time fee (per family).
Adult (age 18-64) – $45 per month
Child under 18 – $30 per month

New Enrollments: New Members pay a one time Set-Up fee of $30 plus 3 months membership per person (Associate Membership Set-up Fee of $15 plus 3 months Associate Membership Fee.  Subsequent monthly fees will be set up as monthly drafts from your checking/savings account or debit/credit card account. Those drafts will occur on the 20th of each month (all fees are due and payable 10 days before the beginning of the membership month. (Ex: Jan 2011 membership, due Dec 20th.) This is an annual contract.

Premium Plan Includes Medical Services: Primary Care including preventative care, annual physical, and management of chronic medical conditions (such as diabetes, high blood pressure, high cholesterol, thyroid). Chronic pain treatment is NOT available. For children, well check visits are included, but not school physicals. A $50 utilization fee applies for urgent care or or acute illnesses day visits. Members receive 50% discount for medically indicated labs/x-rays. Walk-ins for medication refills will NOT be allowed. You must have a scheduled appointment.

Member Benefits for Associate and Premium Membership Programs:
Discount Prescription Drug Card                                                         Discount Eyeglass Program
Discount Health Club Membership The Spa Athletic Club                    Discount Vision Exam Program
Discount Dental Program (coming soon)

Protect your family with healthcare directly from the Physician at a reasonable rate

New Enrollments Accepted: Mon – Fri 8:30am – 5:30pm

For More Information Call 828-256-1471 or visit www.apollohealthcarecoop.org

To Schedule your medical visits at Bowen Primary & Urgent Care call- 828-325-0950
Mon. – Fri. 8 AM – 7 PM; Sat 9 AM – 7 PM; Sun 9 AM – 5 PM

AHCC Enrollment Terms and Conditions
Enrollment  By signing your enrollment for you agree to these terms and conditions for payment.

 Anytime Monday – Friday between 8am-5pm
 Anyone signing up for the Co-op cannot be seen by a Physician on the day of enrollment.
 Members cannot be seen by a physician/provider until the Membership effective date.
 If someone enrolls as a member of the Co-op between the 1st and 20th of the month, Membership begins the 1st of the next month.
 For those enrolling after the 20th of the month, enrollment does not begin the next month, but the following month. (For Example: Enrolls on 7/26, the membership is effective 9/1).
 Any charges not covered under the Co-op Plan, will be payable at the time of the visit.

Payment Terms
 Cash or check can be accepted for the initial enrollment payment
 Monthly fees can only be paid by draft from checking or savings account or a recurring charge to a credit card or debit card each month.
o Monthly membership fees will be drafted from your checking or savings account or charged to your credit/debit card on the 20th of month, for the next month’s fees.
o Any payments or drafts that are refused by the bank or credit card will be considered delinquent. And any bank charges for an overdraft will be the responsibility of the member.
 To remain a current and active member, all fees must be paid on the 20th of each month prior to service. For any payments not received by the 1st of the month there will be a $5 late fee.
 During any time when the member co-op fee is 30 days past due, the member must pay for all medical visits until the co-op member fees are paid and current.
 To reactivate your membership, you must pay a $10 reinstatement fee and any past due membership fees, as well as any late fees.
 Co-op Membership is an annual agreement and members are responsible for all fees for 1 year.
 If a member wants to “opt out” of the Coop before the end of the 12 month contract, a request must be submitted in writing 30 days in advance of when you wish to opt-out of the program providing reasons for the request. Your request will be reviewed by the Oversight Committee and you will be notified of their decision.

Oversight Committee: There will be a review committee made up of co-op members, co-op administrative staff and medical providers to review any complaints from either the co-op member or the medical provider. This Committee will resolve any disputes including over-utilization by the member for medical services, member requests to opt out of the program after receiving medical services before the annual contract end date, request for change in medical providers, and any other issues that may arise.
All disputes or complaints must be in writing to the Apollo Health Care Cooperative Board of Directors. All disputes will be handled in a timely manner and recommendations are binding for both parties.
Upon signing of this Agreement, the member agrees to the terms and conditions. (Signatures on file from the declarations and signature page which is attached hereto this document)   Signatures are on the Enrollment Form.

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