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 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.