OUT-PATIENT MEDICAL CARE AGREEMENT

This Service Contract is made and entered into by and between the

FirstMed-FMC Kft. [Hattyú u. 14, Budapest H-1015, Hungary], hereinafter referred to as “FirstMed“, and

The purchaser of this plan hereinafter referred to as “Plan Holder”.

Terms

FirstMed agrees to provide healthcare to the Plan Holder under the terms of the Prenatal Plan Membership.

  1. FirstMed declares that it is permitted to provide medical services required by the Hungarian National Public Health and Medical Officers Service. Additionally, as a medical service provider, all physicians are covered by liability insurance.
  2. Plan Holder requests FirstMed to provide private, outpatient health services according to the list of individuals and the Prenatal Plan option listed below.  Plan coverage is described in Appendix 1 which forms an integral part of this contract:
  3. FirstMed is responsible for providing medical services based on the terms stated in the framework of this contract and will conduct business in the best interest of its patients.
  4. Patients listed under section 2 will be responsible for the payments listed in Appendix 1 at the time of service and for any medical expenses incurred that are not covered by the terms of the Prenatal Plan that the member holds. FirstMed reserves the right to refuse non-urgent treatment or suspend patient privileges to any patient with an outstanding balance after written notification.
  5. Medical services are exempt from VAT as regulated by the Act of 1992, LXXIV, § 30th.
  6. Plan Holder and FirstMed agree that all medical information and business contract agreements are strictly confidential.
  7. In case of miscarriage, FirstMed will refund the unused portion of the Prenatal Plan.
  8. This Agreement shall become effective on the date at which every party has signed this Agreement.
  9. This contract is valid from the date of purchase to 364 days later inclusive.
    The patient is entitled for refund from the plan if the cancellation is taking place at least 6 months before the expiry date.
  10. This contract may not be modified, supplemented or amended, in any manner, except by written agreement signed by both parties. Additionally, any complaints that may occur should be followed-up and registered in writing.
  11. This contract shall be governed by and construed in accordance with Hungarian law.

Date: The date of purchase

Place: Budapest

Agreed and accepted for and on behalf of Plan Holder