XTRAC PATIENT SAVINGS REBATE TERMS AND CONDITIONS
ELIGIBILITY:
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This mail-in savings offer is only valid for patients actively enrolled in a commercial insurance plan, eligible uninsured cash-pay patients, and excludes patients actively enrolled and submitting claims through any state or federal government-funded healthcare program such as Medicare, Medicaid, TRICARE, Department of Defense, or Veterans Administration. Offer is void where prohibited, taxed, or otherwise restricted by law.
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This mail-in savings offer is valid exclusively for eligible patients receiving XTRAC treatments in the U.S.A. at an authorized XTRAC treatment provider. See
www.XTRACCLEAR.com for more information.
TERMS AND CONDITIONS:
Use of this rebate is subject to all the rebate program requirements, mentioned at xtrachelps.com and those mentioned below.
- This mail-in rebate offer is valid for eligible patients starting a new XTRAC treatment regimen (“course”) prescribed by their dermatology healthcare provider.
- To qualify for rebate payments, patients must provide proof of XTRAC treatments conducted within a 90-day treatment period, starting with the calendar date of treatment 1.
- XTRAC therapy relies on regular treatments conducted over a period of weeks or months which will be determined and scheduled by your dermatology healthcare provider. To ensure treatment compliance, rebate submission requests require a minimum of 8 completed treatments, within 42 days and up to a maximum of 10 total treatments per patient, per course of therapy, over a 90-day treatment period.
- Rebate payments are based on actual patient “out-of-pocket” expenses incurred at the time of treatment, up to a maximum of $50 per treatment, whichever is less.
- Rebate submissions may be valid for up to 10 treatment sessions per course of therapy conducted over a consecutive 90-day period.
- To be eligible for additional rebates in a new treatment “course,” there must be a minimum of 90-days between the last qualifying treatment expense in “course 1” and the first qualifying treatment date in “course 2.”
- Not valid if reproduced or submitted to another payer.
- The final rebate request form associated with a “course” of therapy must be submitted within 180 days of the final qualifying XTRAC treatment date.
- It is illegal for any person to sell, purchase, trade, or offer to sell, purchase, or trade, or counterfeit this rebate.
- STRATA Skin Sciences, Inc. reserve the right to rescind, revoke, or amend this offer at any time and without notice.
- All mail-in redemption requests are subject to direct confirmation from the treating physician.
- By agreeing to these terms you also agree to the terms of the www.XTRACCLEAR.com Internet Privacy Policy.
- You must acknowledge that you have read and agreed to these terms and conditions in order to proceed with filing or processing your claim for a rebate.