Contract
– Agreement For Non-Resident Individuals.
Emergency Management, Medical Emergency, Ambulance Complementary Services,
Medical & Foreign Health Insurance Advisory Services.
Liability
Policy.
“First Response”
Agrees with “The Client”, named in the declarations made a
part hereof, in consideration of the payment of the premium and of the
statements contained in the declarations and subject to the limits of
liability, exclusions, conditions, and other terms of this policy.
1.-Description
of “First Response”
“First Response”
is a legal enterprise with operations in Mazatlan, Sinaloa, operated by
“Tourist Medical Assist. Co“ providing Emergency Management,
Medical Emergency, Ambulance Complementary Services, Medical & Foreign
Health Insurance Advisory Services, and agrees to provide those services
to “The Client” under this policy services agreement.
2.-Description
of “ The Client ”.
“The Client”
will be the person(s), adult (and minor) who declares the above information
is real and true and will be registered into this policy under the following
name (s) and agrees & accept the terms and conditions of this policy
and affirm that is with the sole purpose to protect to him / her self
or to their family against eventual emergencies and health concerns.
3.-Coverage:
Only in the Mazatlan
Metro Area
4.-Duration
of the Contract - Agreement & Expiration Date:
From your arrival thru your departure in the Mazatlan-Metro-Area. The
maximum length of coverage shall not exceed thirty (30) days.
5.-Staff:
All our services are provided
by qualified professionals in every different field.
6.-Time
to Respond: The
time to respond can vary, and it will depend on how serious every emergency
is, However, The Staff is committed to improve our services every day
to satisfy our demanding visitors´ s needs.
7.-Description
of the Offered Services:
First Response Will Provide
· Local Bilingual Emergency “
CALL CENTER ” Around-the-clock Phone-Assistance, Direct
Connection with our Emergency Services Staff, Emergency Units Dispatchers,
International Health Insurances (Only 800 #s from Mazatlan), Police or
Fire Station, Citizens Protection System, International Embassies (Only
800#s from Mazatlan), or local Consulates if required during an emergency
· MINOR MEDICAL
EMERGENCIES, In
Three Events Per Patient, at Hotel, Home or Apartment All Pre-Hospital
Urgent Care Services by Paramedics / Emergency Physician that could be
Managed Prior to Doctor's Office, Emergency Room, or Hospital without
any risk for the Patient / Client or for the Physician / Surrender of
Services Enterprise. Basic disposable supplies are included; Pharmaceutical
products, Medical supplies and Orthopedic devices are not covered.
· MAJOR MEDICAL
EMERGENCIES,
In Two Events Per Patient, at any place into Mazatlan Metro Area, including
All Pre-Hospital Urgent Care Services by Paramedics, All Medical Assistance
/ Services On-Board, Complementary Ambulance Transportation to the hospital
and all medical services until you are delivered to the ER or Hospital.
*Basic Disposables, Medication, Medical supplies or Orthopedic Devises
are Included.
· TELEPHONE MEDICAL
ADVISE. Unlimited
calls for reasonable health related questions.
· Pick-Up Service or Ambulatory Patients Transportation (Included)
if after our medical advisor recommends you need a Doctor´ s Office
Consultation or any Hospital service (Not Included)
· ADMINISTRATRION ASSISTANCE
(Bilingual) for Foreign
Insurances procedure purposes during Emergency Room or Hospital Admittance
at any time, or once in our facilities during your trip, by appointment
and during office hours only.
8.-Iportant:If
you go out of Mazatlan-Metro-Area (Coverage Area) we will ONLY provide
you with phone Assistance during Major Emergency Cases or Evaluate your
Medical Condition, sending an Ambulance (Not Included) to attend you into
our Recommended Hospitals Network, however in the event of admission into
an out-of network hospital, we can evaluate your case, advising you about
the quality of services, diagnostic, medical treatment and prognosis for
that occurrence.
9.-The
End of an Emergency Service: is
at the moment when you have been attended by our Staff in your hotel,
home or apartment after a primary medical diagnossis. Or when you have
been delivered to a Hospital or to a professional Emergency Staff Member
at the Emergency Room or Hospital.
10.-”The
Client” / Patient Liability: (parents
if minor) are the only responsible to pay for: All the Not included services
like: Pharmaceutical products, Disposables, Medical supplies and Orthopedic
devices (not covered during a minor emergency); Or the next Medical &
Hospital Services, Pharmaceutical products, Disposables, Medical supplies,
Orthopedic devices and all the charges that could be charged by the attendant
Hospital when you are been delivered at the Emergency Room or Hospital.
11.-Recommended
Network Of Provider of Services / Hospitals: “First
Response” recommends his own network of Physicians, Specialists,
Hospitals, Air Ambulances, Emergency Services Transportation & Ambulance
Services based on his professional experience working together.
12.-Health-Medical
Foreign Insurance - Local Acceptance: Our
Network of Affiliated Services & Hospitals accepts and do take International
Medical Insurance with the limitations, restrictions or exclusions of
each policy, and each Hospital has it's own policy, and your policy may
has it, but First Response can not modify that situation.
13.-Limitations
& Exclusions: This
Policy does not apply out of the Mazatlan Metro Area that will be delimitated
from the airport to mazatlan city and to the city-limits that will be:
. At the South / East, City Limit,
until The Airport only your arrival and departure date.
· At the South, City Limit,
Café Marino Factory.
·
At the South
· At the North, City Limit,
The Emerald Bay Resort / El Delfín Aptos.
· At the East, City Limit,
Cervecería Corona.
· At the West, City Limit,
The Pacific Sea beach, / Exclusion / Restriction is ONLY
the Area-Coverage, However, at other different areas or at other tourists´
s places that you may go during your vacation, you ONLY will be assisted
by our "Call Center" and all the Emergency Services can be arranged
by our Staff (those services are not included).
Out of the metro-area we can send one of our Ambulances ONLY
during Major Emergencies, (if we consider better you wait for us than
other similar service attend you) or arrange a closer or similar service.
The time to respond can vary and will not be First Response responsibility
under any circumstance.
14.-
Assignment, Endorsement, Extension: This
Policy non-transferable. However, it may be renewed one more time after
a new policy premium is paid.
15.-Changes:
Notice to any agent or knowledge
possessed: By any agent or by any other person shall not effect a waiver
or a change in any part of this policy or stop the company from asserting
any right under the terms of this policy, or shall the terms of this policy
be waived or changed.
16.-Liability:
Our company policy covers the delivery
of Pre-Paid Emergency Medical Services, We are not an insurance company.
We can not assume any financial liability to pay or reimburse for Medical
or Emergency Services not included in our contract, or services rendered
outside of our network for any reason and under any circumstance.
17.-
Disclaimer: First
Response shall not be responsible under any circumstance for any service
out of the Mazatlan-Metro-Area, or by similar services if provided by
a different entity, makes no difference if it was arranged by our "Call
Center" if you been out of Mazatlan-Metro-Area Or if you didn't have
enough time or the proper information available to contact us during an
emergency. We suggest you carry a copy of this policy on you, all the
time with understandable information to Call Us in case of any emergency.
|