XTRAC PATIENT SAVINGS REBATE TERMS AND CONDITIONS
ELIGIBILITY:
- 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.
- 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 5 completed treatments, up to a maximum of 20 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 20 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.
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