Last
Revised:
April 2013
MedicAlert®
Member Terms Statement
Membership
with the MedicAlert® Foundation - New Zealand Incorporated ("MedicAlert") is conditional on an
individual’s acceptance of the following terms and conditions (the "Member
Terms Statement").
I
acknowledge and agree that:
·
MedicAlert is an
agency under the Health Information Privacy Code 1994 because it provides
services in respect of health information. MedicAlert will collect, store, use,
disclose, and otherwise manage my personal information and health information that
I provide to MedicAlert or that MedicAlert collects (together “my Personal Health Information”) in
accordance with the Privacy Act 1993, the Health Information Privacy Code 1994
(as amended from time to time) and the Health and Disability Commissioner (Code
of Health and Disability Services Consumers' Rights) Regulations 1996;
·
MedicAlert will create and maintain an electronic record (“my File”) containing my Personal Health
Information;
·
MedicAlert will provide me with: i) a genuine MedicAlert service
supported Medical Identification (“Medical
ID”), ii) access to the 24-hour MedicAlert Emergency Hotline service; iii)
a MedicAlert Emergency Medical Card, iv) secure web-based access to my File,
via ManageMyHealth, v) a MedicAlert Global Access service for Emergency Service and Health Care Provider
use to validate your current personal and health information on file with
MedicAlert, and vi) any additional services MedicAlert agrees to provide to me (see
below) (collectively the “Services”);
·
MedicAlert may contact the health care providers whose names
I provide to MedicAlert for the purpose of collecting my Personal Health
Information to assist MedicAlert in providing the Services to me;
·
MedicAlert will collect, use and disclose my Personal Health
Information for the purposes of providing and administering the Services,
including without limitation, disclosing my Personal Health Information to a Good
Samaritan, Emergency Service Provider, or "health care provider" (as
defined under section 3 of the Health and Disability Commissioner Act 1994) and
other health professionals (collectively “Responders”) who contact MedicAlert,
and may disclose my Personal Health Information to third party service
providers retained by MedicAlert to assist it in administering or providing the
Services (including ManageMyHealth), where necessary, for the provision of the
Services;
·
MedicAlert or Responders may contact the emergency contacts
I have provided for or with information about me in case of an emergency and
MedicAlert will accept information about my health from emergency contacts and
guardians listed in my File, provided the contacts and guardians know my member
number; full name, date of birth, and address, but will not disclose my
Personal Health Information to these contacts unless MedicAlert believes they
are one of my legal guardians or I have instructed otherwise; I will advise
MedicAlert promptly of any error in, or whether any update is required of, my
Personal Health Information, MedicAlert product or wallet card;
·
I am entitled to access to, and request the correction of,
my Personal Health Information by calling MedicAlert at 0800 840 111, by
logging into my ManageMyHealth account, or by writing to Membership Services,
Medic Alert Foundation NZ, CBD Towers, Upper Hutt, New Zealand;
·
My guardian (if I have one), my attorney under an ‘Enduring
Power of Attorney – Welfare’ (if I have one and the power of attorney applies),
or any other person that I approve for this purpose, may access my Personal
Health Information via ManageMyHealth;
·
MedicAlert requires any clinical information I provide it to
be authenticated by a registered medical professional;
·
MedicAlert will otherwise use and disclose my Personal
Health Information in accordance with the MedicAlert
Privacy Statement , as updated from time to time;
·
Use of my ManageMyHealth Account will be in accordance with
the terms stated on the ManageMyHealth Website;
·
MedicAlert and its officers, directors, employees and
representatives will not be liable for any claims, actions, damages, losses or
consequences of any kind, whether arising from breach of contract, tort
(including negligence) or otherwise, under or in connection with this Member
Statement, the Services, my Personal Health Information or my File;
·
MedicAlert may use generalised personal information or
health information, which is not in a form that identifies me or any other
individual, for research projects or studies of interest to the health care
community;
·
Upon my order and receipt of payment by MedicAlert,
MedicAlert may provide me with additional services, subject to the specific
terms and conditions (if any) applying to those additional services;
·
My Membership of MedicAlert will continue until MedicAlert
receives my resignation in writing or I die, whichever occurs first;
·
I am liable for and will pay any and all fees associated
with my Membership and the Services on or before the due date for payment of
those fees and I agree that if I do not make timely payment of any fees
associated with my Membership or the Services or have not over a reasonable
period updated my Personal Health Information as held by MedicAlert, MedicAlert
may cancel my Membership and/or stop providing me with some or all Services
temporarily;
·
All fee payments made to Medicalert are non-refundable and payment
of fees will be deemed to be acceptance of MedicAlert’s up to date Terms and
Conditions;
·
Fees charged to me will be deemed to be overdue if they
remain unpaid as at 5pm on the due date for payment;
·
MedicAlert may engage a debt collection agency to collect
unpaid fees charged to me, upon those fees becoming more than one (1) month
overdue and I will be liable for any cost associated with recovery of unpaid
fees (including court costs). I agree
that a minimum debt collection agency fee may also apply;
·
If I decide to resign my Membership, I will comply with
MedicAlert’s formal member resignation and service termination policy,
including (but not limited to), within 5 days of the date of my resignation:
paying any fees overdue, ceasing to wear a Medical ID, returning Medical IDs to
MedicAlert for destruction and disposal and forfeiting any entitlement for Services
that remain unused. I agree that I must submit
my resignation in writing to MedicAlert;
·
Upon MedicAlert accepting my resignation MedicAlert shall, to
mitigate personal health risks, maintain a minimum cooling off period of 28
days from the date of receipt of my resignation, before removing my Personal Health
Information from my File or destroying and disposing of my returned Medical
ID’s. MedicAlert may extend the cooling
off period at MedicAlert®’s discretion, if MedicAlert® considers I intend to withdraw
my resignation, but am delayed in doing so;
·
Should I decide within the cooling off period to change my
mind and continue my Membership, any forfeited Service entitlements will be
restored and my Medical ID(s) will be returned subject to all outstanding and
applicable fees being received by MedicAlert;
·
I will be responsible for any fees charged by a health care
provider for disclosing my Personal Health Information to MedicAlert; and
·
Unless I have indicated otherwise, I agree to receive by
e-mail or any other method of communication chosen by MedicAlert, information
such as the MedicAlert newsletter and information on charitable works, programs
and services that may be of interest to me.
In this Member Terms Statement:
·
"Emergency Service Provider"
means all
emergency service organisations including(but not limited to) New Zealand Fire Service, ambulance services, Land
Search and Rescue, New Zealand Police, Coastguard and Civil Defence.
·
"Good
Samaritan"
means someone who helps another in need.