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MediConCen Limited Units 1501-02, 15/F, Port 33, 33 Tseuk Luk Street, San Po Kong, Kowloon, Hong Kong
info@mediconcen.com www.mediconcen.com
The first medical ecosystem by Blockchain |
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MediConCen Limited Units 1501-02, 15/F, Port 33, 33 Tseuk Luk Street, San Po Kong, Kowloon, Hong Kong
info@mediconcen.com www.mediconcen.com
The first medical ecosystem by Blockchain |
Services Agreement
Date
of Agreement : 29 September 2022
THIS Services Agreement (“this Agreement”) is made by and between:-
MediConCen Limited (“MediConCen”), a Hong Kong Insur-tech company, with its principal place of business at Units 1501-02, 15/F, Port 33, 33 Tseuk Luk Street, San Po Kong, Kowloon, Hong Kong.
AND
The undersigned Provider (“Provider”), a healthcare provider certified and/or licenced to provide integrative medicine healthcare services.
For the purpose of this Agreement, each of the parties to this Agreement is referred to herein collectively as the “Parties” and individually as a “Party”.
RECITALS
1. MediConCen
has established a network of health care providers (the “Network”) to provide
technological support and health care services to MediConCen Clients.
2. MediConCen reserves the right, at its sole discretion, to include or to exclude any Provider or any Healthcare Professional from the Network.
1. DEFINITIONS AND INTERPRETATIONS
1.1. In this Agreement, unless otherwise specified, the following words shall have the following meanings:-
1.1.1 “Agreed Fee” means the maximum fee payable by MediConCen to the Provider for service rendered as set out in the as agreed between the Parties.
1.1.2 “Covered Medical Services” means those health care services listed in Schedule 1 for which a MediConCen Client is entitled to receive coverage under the terms and conditions of the certain medical plans as agreed between the Parties.
1.1.3 “Copayment” means a payment calculated as a fixed dollar amount which is paid by a MediConCen Client under corresponding insurance plans for Covered Medical Services as communicated to the Providers in MediConCen’s Application.
1.1.4 “Extra Medicine Fee” means the billed amount for extra medication and long-term medication outside the scope of Covered Medical Services in Schedule 1, in accordance to the medical plans agreed between the Parties.
1.1.5 “Out-of-pocket Extra Medicine Fee” means the payment of an amount for extra medication and long-term medication paid by a MediConCen Client under corresponding insurance plan to the Provider in MediConCen Application, calculated and communicated by MediConCen Application.
1.1.6 “MediConCen Client” or “Client” means any clients of MediConCen who is entitled to receive Covered Medical Services from any Providers pursuant to and in accordance with certain prepaid medical plans and/or other clients which MediConCen has an agreement with, verified by using MediConCen Application.
1.1.7 “MediConCen Application” or “Application” means the mobile android, mobile IOS, and/or the web applications provided by MediConCen to the Provider or MediConCen Client for administering the arrangement under this Agreement. MediConCen reserves the right to revise such applications and direct Provider to use such revised or other specified application for such purpose.
1.1.8 “Healthcare Professional of Provider” means any healthcare professional under the network or regulation of its respective undersigned Provider participating in this arrangement that agrees to provide the Covered Medical Services to MediConCen Clients, provided that the standard of MediConCen shall be met and the Provider shall ensure the following (if applicable):
a. Ensure that each of the Healthcare Professional of Provider who provides general consultation (i.e. GP consultation) as stated in Schedule 1 to this Agreement is a registered medical practitioner of the Medical Council of Hong Kong, and has a valid and subsisting practising certificate issued by the Registrar of Medical Practitioners pursuant to the Medical Registration Ordinance (Cap.161 of the Laws of Hong Kong).
b. Ensure that only the Healthcare Professional of Provider whose names are included in the Specialist Register of the Medical Council of Hong Kong will provide specialist consultation (i.e. SP consultation) as stated in Schedule 1 to this Agreement, subject also but not limited to the fulfilment of requirement in Clause 2.1.15(b).
c. Ensure that each of the Healthcare Professional of Provider who provides Chinese medicine practitioner consultation, acupuncture treatment and bone-setting treatment as stated in Schedule 1 to this Agreement is a registered Chinese Medicine Practitioner of the Chinese Medicine Council of Hong Kong and has a valid and subsisting practising certificate issued by the Registrar of Chinese Medicine Practitioners pursuant to the Chinese Medicine Ordinance (Cap. 549 of the Laws of Hong Kong).
d. Ensure that only the Healthcare Professional of Provider who are registered physiotherapist of the Physiotherapists Board of Hong Kong, and have valid and subsisting practising certificates issued by the Registrar of Physiotherapists pursuant to the Supplementary Medical Professions Ordinance (Cap. 359 of the Laws of Hong Kong) will provide physiotherapy treatment as stated in Schedule 1 to this Agreement to the Members, subject also but not limited to the fulfilment of requirement in Clause 2.1.15(b).
e. Ensure that each of the Healthcare Professional of Provider who provides chiropractic treatment services as stated in Schedule 1 to this Agreement is a registered chiropractor of the Chiropractors Council of Hong Kong and has a valid and subsisting practising certificate pursuant to the Chiropractors Registration Ordinance (Cap. 428 of the Laws of Hong Kong).
f. Ensure that each of the Healthcare Professional of Provider who provides dental services as stated in Schedule 1 to this Agreement is a registered dentist of the Dental Council of Hong Kong and has a valid and subsisting practising certificate pursuant to the Dentists Registration Ordinance (Cap. 156 of the Laws of Hong Kong).
g. Ensure that each of the Health Care Professional of provider who provides sports therapy as stated in Schedule 1 to this Agreement is a healthcare professional who has the knowledge, skills and ability to utilise sports and exercise principles to optimise performance, preparation and injury prevention programmes, provide the immediate care of injuries and basic life support in a recreational, training and competitive environment, assess, treat and, where appropriate, refer on for specialist advice and intervention, provide appropriate sport and remedial massage in a sport and exercise context, plan and implement appropriate rehabilitation programmes as set out by the Society of Sports Therapists, including but not limited to satisfying the minimum benchmark requirement for Member status of The Society of Sports Therapists.
h. Ensure that each of the Healthcare Professional of Provider who provides tuina massage or cupping therapy as stated in Schedule 1 to this Agreement holds a valid and subsisting certification in the relevant area or as seen fit by MediConCen.
i. Ensure that each of the Healthcare Professional of Provider who provides nutrition therapy as stated in Schedule 1 to this Agreement holds a degree (baccalaureate, master or higher) in Food and Nutritional Sciences and is a registered member (except student member) of the Hong Kong Nutrition Association or equivalent of foreign jurisdiction, or as seen fit by MediConCen.
j. Ensure that each of the Healthcare Professional of Provider who provides dietetic therapy as stated in Schedule 1 to this Agreement holds a degree (baccalaureate, master or higher) in Nutrition and Dietetics and is a registered member (except student member) of the Hong Kong Dietitians Association Ltd. or equivalent of foreign jurisdictions.
k. Ensure that each of the Healthcare Professional of Provider who provides psychological services as stated in Schedule 1 to this Agreement holds a degree (baccalaureate, master or higher) in Psychology and is a registered member (except student member) of the Hong Kong Psychological Society or equivalent of foreign jurisdictions, or as seen fit by MediConCen.
l. Ensure that each of the Healthcare Professional of Provider who provides counselling services as stated in Schedule 1 to this Agreement holds a degree (baccalaureate, master or higher) in Counselling and is a registered member (except student member) of The Hong Kong Professional Counselling Association or Hong Kong Marriage and Family Therapy Association, or equivalent of foreign jurisdictions, or as seen fit by MediConCen.
m. Ensure that each of the Healthcare Professional of Provider who provides primary eye care examination and comprehensive eye examination as stated in Schedule 1 to this Agreement is a registered Part I optometrist of the Optometrists Board of Hong Kong, and has a valid and subsisting practising certificate pursuant to the Supplementary Medical Professions Ordinance (Cap. 359 of the Laws of Hong Kong).
1.2 Clause headings are for ease of reference only and are not intended to be part of or to affect the meaning, interpretation or construction of any of the terms and conditions of this Agreement.
1.3 A reference to any gender includes any other gender and the plural shall include the singular and bodies corporate shall include unincorporated bodies and (in each case) vice versa.
1.4 A reference to any statute, enactment, ordinance, order, regulation or other similar instrument includes a reference to the statute, enactment, ordinance, order, regulation or instrument as from time to time amended, extended, re-enacted or consolidated and all statutory instruments, orders, regulations or instruments made pursuant to it.
1.5 Unless the context otherwise requires, those provisions contained in this Agreement which relate to any subject matter of which there are more than one shall apply severally to each.
1.6 Clauses, Sections and Pages referenced by name shall refer to the Clause, Section and Page having the title referred to.
1.7 The meaning of general words is not limited by specific examples introduced by “including”, “for example” or “such as” or their derivatives.
2. SERVICES OF PROVIDER
2.1. During the term of this Agreement, without limiting any obligation aforementioned or subsequently expressed, the Provider shall:-
2.1.1 Through the Healthcare Professionals of Provider, provide MediConCen Client with Covered Medical Service, subject to MediConCen approval, as requested in the application to join the MediConCen network, and any subsequent request to expand or limit the scope of service provided made by way of prior notice by written or electronic means. It is a condition precedent that approval indicated by the Application, unless otherwise directed by MediConCen, has to be shown or obtained before service can be carried out. The Provider shall continue, and not to decline or prefer other customer over MediConCen Client in the provision of Covered Medical Service, in exchange for an Agreed Fee from MediConCen, and any requested expansion or limitation in scope of service shall not take effect unless MediConCen approves the change.
2.1.2 Provide MediConCen with a complete list of Healthcare Professionals of Provider, including names, gender, professional qualifications, office address, office hours, telephone number, and area of practice or specialty.
2.1.3 Provider also declares that each Healthcare Professionals of Provider:-
2.1.3.1 has not been denied, restricted, limited, suspended, revoked its license to practice at any jurisdiction or reprimanded by a licensing agency;
2.1.3.2 has not been denied, restricted, limited, suspended, revoked privilege or membership at any hospital or institution or have disciplinary proceedings been instituted against it;
2.1.3.3 has no physical or mental health issues that may impair its ability to practice;
2.1.3.4 has not received any treatment for alcoholism or drug addiction;
2.1.3.5 has not been convicted of a felony;
2.1.3.6 has not in the past seven years been under any claims, settlements or judgments against it; and
2.1.3.7 has (to the best knowledge of the Provider and the Healthcare Professionals of Provider) not been investigated or sanctioned by regulatory agency.
Provider also agrees to notify MediConCen
in writing with regard to any change in the qualification, registration status,
or any matter stated above in this clause of Healthcare
Professionals of Provider within five
(5) days.
2.1.4 Without prejudice to other agreement or statement between the Parties, accept that personal data offered by the Provider provided to MediConCen may be used for the purpose or its incidental purpose of
a. assessing the application;
b. making appointment to include such Provider or Healthcare Professionals of Provider into the Network;
c. providing information for future development of services and insurance scheme to Provider or Healthcare Professionals of Provider;
d. providing MediConCen’s services and products, including administering, maintaining, managing and operating such services and products, which may include, without limitation, insurance, pension, financial and wealth management services and products;
e. processing, assessing and determining any applications or requests made by the Provider in connection with MediConCen’s services or products and maintaining the Provider’s account with the MediConCen;
f. underwriting of insurance products of MediConCen Client;
g. providing health related advices to MediConCen Client;
h. developing insurance and other financial services and products for MediConCen Client;
i. developing and maintaining credit and risk related models;
j. processing payment instructions;
k. determining any indebtedness owing to or from the Provider, and collecting and recovering any amount owing from the Provider or any person who has provided any security or other undertakings for the Provider’s liabilities;
l. exercising any rights that the MediConCen may have in connection with MediConCen’s services and/or products;
m. carrying out and/or verifying any eligibility, credit, physical, medical, security, underwriting and/or identity checks in connection with MediConCen’s services and products;
n. any purposes in connection with any claims made by or against or otherwise involving the Provider in respect of any of MediConCen services or products, including making, defending, analysing, investigating, processing, assessing, determining, responding to, resolving or settling such claims;
o. performing policy reviews and needs analysis (whether or not on a regular basis);
p. meeting disclosure obligations and other requirements imposed by or for the purposes of any laws, rules, regulations, codes of practice or guidelines (whether applicable in or outside Hong Kong) binding on the MediConCen or any other member of MediConCen, including making disclosure to any legal, regulatory, governmental, tax, law enforcement or other authorities (including compliance with sanctions laws, the prevention or detection of money laundering, terrorist financing or other unlawful activities) or to any self-regulatory or industry bodies such as federations or associations of insurers;
q. for statistical or actuarial research undertaken by the MediConCen or any member of the MediConCen, including matching of any data held which relates to MediConCen Client from time to time for any of the purposes listed herein; and
r. fulfilling any other purposes directly related to a to q above.
Furthermore, Provider accepts that, as MediConCen considers necessary, any medical opinion held or collected may be stored or used by, disclosed or transferred (whether within or outside Hong Kong) to individuals or organisation associated with MediConCen or the underwriter of the Client or any selected third parties including reinsurer, claim investigator, industry association for the purpose of underwriting and evaluating application and dealing of any matter from any policy pursuant to that application.
2.1.5 In the event of any doubt or dispute as to whether a person is a MediConCen Client or the benefits coverage or limit entitled to by its Client, make due and immediate inquiry with MediConCen and agree that MediConCen shall have the final and absolute discretion in determining such dispute.
2.1.6 Provide MediConCen on demand with access to all the records, including clinical records and other information of its Clients to facilitate its utilization review and quality assessment of the services or performance of the Provider and its Healthcare professional(s) under this Agreement free of charge, provided that the prior consent of the relevant MediConCen Clients to the disclosure of such records or information has been obtained.
2.1.7 Ensure that extra medication and long-term medication outside the scope of Covered Medical Services in Schedule 1 is only prescribed to MediConCen Clients where reasonably and medically necessary. Provider and Healthcare Professionals of Provider(s) must provide MediConCen with all the necessary information including but not limited to the diagnosis, name of medication(s), dosage, frequency, quantity, duration, and dollar amount and indicate “extra medication” or “long-term medication” in the Application of MediConCen. In any event, Provider shall not charge MediConCen for such medication, if required, at a rate not exceeding 120% of the actual acquisition costs of such medication.
2.1.8 Where any MediConCen Client requires services such as medical examination services including but not limited to laboratory services, radiological examinations, and physiotherapy and sports therapy, recommend and refer such MediConCen Client to the organisations or companies affiliated with or recommended or designated by MediConCen (if any) for the provision of such services where available, provided that any such referral or recommendation shall be made in compliance with the Professional Code and Conduct for the Guidance of Medical Practitioners issued from time to time by the Medical Council of Hong Kong.
2.1.9 Provide services to MediConCen Clients with the same level of quality and standard as in the case of patients of the Provider and Healthcare Professionals of Provider who are not MediConCen Clients.
2.1.10 In the event of any complaint by any MediConCen Client against its Provider or/and Healthcare Professionals of Provider(s), render full support to MediConCen follow-up action and, subject to the prior written consent of the relevant MediConCen Client to the disclosure of the records or information by MediConCen and in accordance with the Personal Data (Privacy) Ordinance, provide the information as stated in Clause 1.1.6 above or otherwise that may be reasonably necessary for the purpose of the investigation and resolution of such complaint to MediConCen in writing until the complaint is fully settled.
2.1.11 MediConCen reserves the right not to make settlement on claims with extra medication if the bill of extra medication or the name of the prescriptions are not clearly recorded.
2.1.12
Cooperate with MediConCen
in resolving any grievances or administrative matters relating to health care
services rendered to MediConCen Clients by Provider or Healthcare
Professionals of Provider.
2.1.13
Agree that MediConCen may include, display
or/and disclose Provider and Healthcare Professionals
of Provider’s name, address, telephone number(s),
website, email, photo, business hours or other identifying information, and a
description of its health care services, specialities and practising
certificates in the Network directory and in other Network materials and inform
MediConCen if any such information is changed as soon as practicable such that
MediConCen can maintain the latest record. Provider accepts that record stated
above and that in the business card will be listed in the list of participating
healthcare providers accessible of the underwriters to their insured.
2.1.14 The Provider may directly bill MediConCen Client only if
a. MediConCen has confirmed that the services concerned to be rendered by the Provider or Healthcare Professionals of Provider are not Covered Medical Services under this Agreement;
b. the MediConCen Client has been advised prior to the services to be rendered that the specific services are not Covered Medical Services; and
c.
the MediConCen Client agreed to pay for
such services;
2.1.15 The Provider must follow the instructions given by MediConCen from time to time in administering the arrangement under this Agreement and use MediConCen Application to confirm the eligibility of MediConCen Client and record the transaction after the Covered Medical Service is provided. MediConCen is only liable to pay the Provider on that transaction if
a. MediConCen Application has confirmed the eligibility of the client; and
b. where referral letter is required per MediConCen Application, a copy of such referral letter from any registered Healthcare professional of Provider (including those under other Provider(s)) in general practice is kept; and
c. the name of MediConCen Client as shown in government issued identity document such as Hong Kong Identity Card are the same as shown in MediConCen Application; and
d. the transaction is recorded to MediConCen Application by means of QR code scanning or typing in the strings encoded by the QR code; and
e. all needed inputs such as diagnosis code, service type, extra medication bill (if any), name of the extra medication prescription (if any) are recorded using MediConCen Application and MediConCen Application confirms the transaction is completed.
2.1.16 Provide MediConCen with, upon request of MediConCen, any contracts or agreements which the Provider has entered into with any Healthcare Professionals of Provider in relation to the provision of Covered Medical Services under this Agreement to the MediConCen Client.
3. CHARGES AND PAYMENT
3.1 MediConCen hereby appoints Provider to provide the Covered Medical Services to MediConCen’s Clients at the Agreed Fee.
3.2 When Copayment is applicable, the Agreed Fee will be reduced by the Copayment amount as specified in the particular insurance plans and shown in the MediConCen Application or portal. Provider shall collect the Copayment from the MediConCen Client themselves directly. MediConCen will not pay the Copayment under any circumstances.
3.3 Upon in compliance with conditions in clause 2.1.7 where extra medication and long-term medication outside the scope of Covered Medical Services in Schedule 1 is prescribed to MediConCen Clients, MediConCen shall be made payable for such medication bill less the Out-of-pocket Extra Medicine Fee after the out-of-pocket Extra Medicine Fee is collected from MediConCen Client directly. Further, MediConCen will not pay the Out-of-pocket Extra Medicine Fee under any circumstances.
3.4 Transactions shall be settled monthly in arrears. MediConCen will provide a monthly statement to the Provider with data as specified in schedule 2 within 30 days after the end of each calendar month and MediConCen will pay the Amount Received from Network as defined below to the Provider for the transactions occurred in the previous calendar month within 30 days after the end of each calendar month.
Amount Received from Network
= Agreed Fee - Copayment
+ Extra Medicine Fee - Out-of-pocket Extra Medicine Fee
The amount due will be settled through bank transfer,
or any other payment means mutually agreed by the Parties.
3.5 Provider may make a request for changing the Agreed Fee in the setting of Application or web portal provided by MediConCen once every six (6) months. MediConCen will approve or disapprove such change as soon as practicable. Provider needs to wait at least one (1) month before any new Agreed Fee become effective and Agreed Fee will only be adjusted on 1st January and 1st July each year. Until the new Agreed Fee becomes effective, old Agreed Fee applies. For clarification purposes,
3.5.1 If a Provider requests a change in the Agreed Fee between 1st December and 31th May, the new Agreed Fee will be effective on 1st July if MediConCen approves such change;
3.5.2 If a Provider requests a change in the Agreed Fee between 1st June and 30th November, the new Agreed Fee will be effective on 1st January if MediConCen approves such change;
3.6 No change on matters stipulated in Clause 3.5 shall become effective unless there is an agreement in writing by an authorized representative of MediConCen.
3.7 Provider shall not levy any charge for photocopying medical records to MediConCen, its Client or among the participating Provider(s).
3.8 Provider warrants that the Provider and/or its Related Companies, consultants and subcontractors (if any) under this Agreement shall:
a. comply with all applicable laws and regulations including the Personal Data (Privacy) Ordinance (Cap. 486 of Laws of Hong Kong) and any data protection principles therein; and
b. ensure no personal information is stored outside Hong Kong;
For the purpose of this clause, “Related Company” means the holding company or subsidiary of the Provider or the subsidiary of the holding company of the Provider.
3.9 For surgery services provided to clients of Blue Cross (Asia-Pacific) Insurance Ltd, the Provider shall notify MediConCen and follow the surgery fee and ward-round fee as agreed with Blue Cross (Asia-Pacific) Insurance Ltd. (Refer to Schedule 3 below) For other MediConCen Clients, the Provider shall charge normal and customary surgery fee and ward-round fee that would normally be charged to other patients. The Provider agrees that a claim handling charge shall be paid to MediConCen and offset any amount owing from MediConCen for the surgery transactions occurred in the previous calendar month within 30 days after the end of each calendar month. Such claim handling charge is 3% of the surgery fee and ward-round fee for clients of Blue Cross (Asia-Pacific) Insurance Ltd, and 10% of the surgery fee and ward-round fee for other MediConCen Client.
4. OBLIGATIONS OF MEDICONCEN
4.1. MediConCen shall, upon request by the Provider, provide to the Provider all information in relation to MediConCen Clients as may be reasonably necessary to enable the Provider to verify the membership and the benefits coverage of such MediConCen Clients.
4.2. MediConCen agrees to make reasonable commercial endeavour to include Provider as a Provider of the Network when marketing the Network to prospective MediConCen Clients, so long as MediConCen Clients desire the modality the Provider practices.
5. WARRANTIES AND UNDERTAKINGS
5.1. The Provider represents and warrants that it and Healthcare Professional of Provider shall not in any way
a. counsel or advise, directly or indirectly, MediConCen Client or other entities who are currently holders of in force medical insurance plans of the Company to cancel, modify, or not renew their medical insurance plans;
b. impede or otherwise interfere with negotiations which MediConCen Client is conducting for the provision of the Company’s medical insurance plans; or
c. use or disclose to any third party membership lists or any personal data of the MediConCen Client or policyholders acquired during the term of this Agreement for the purpose of soliciting, enticing or persuading by itself or its agents or by any means for any MediConCen Client to participate in any medical insurance plan directly or indirectly provided by the Provider, and in any event for any purpose other than the provision of Covered Medical Services. Such non-use or non-disclosure shall survive the termination of this agreement.
Nothing in this Clause is intended or shall be deemed to restrict any communication between a Healthcare Professionals of Provider and a MediConCen Client determined by the Healthcare Professional of Provider to be appropriate for the diagnosis and care of the MediConCen Client. In the event of a breach or a threatened breach of this Clause 5.1 by a Provider, MediConCen shall have the right of specific performance and injunctive relief in addition to any and all other remedies and rights at law or in equity, and such rights and remedies shall be cumulative.
5.2. The Provider represents and warrants that it and Healthcare Professional of Provider shall not use any records of MediConCen Clients, including any personal data, clinical information and other information obtained by Provider directly or indirectly through the provision of services under this Agreement, for any promotional purpose or for any purpose other than the provision of Covered Medical Services, and shall strictly comply with the Personal Data (Privacy) Ordinance (Cap. 486 of the Laws of Hong Kong) in this respect.
6. LIMITATION OF LIABILITY
6.1. Without prejudice to any rights of MediConCen as against any MediConCen Client for any outstanding payment due to the former in accordance with their respective agreements, Provider shall in no event bill, charge or seek remuneration, reimbursement, compensation or legal recourse against MediConCen Clients in respect of any default in payment under this Agreement by MediConCen to Provider and/or any alleged breach of this Agreement by MediConCen.
6.2. Provider shall indemnify MediConCen in the event of any loss and/or damage sustained by MediConCen in connection with or as a result of (a) any breach of this Agreement by Provider or Healthcare Professionals of Provider; (b) any complaint against the Provider or Healthcare Professionals of Provider including a complaint to the Medical Council of Hong Kong, Chinese Medicine Council of Hong Kong, Dental Council of Hong Kong, Chiropractors Council of Hong Kong, Physiotherapists Board of Hong Kong, the Society of Sports Therapists, and/or Supplementary Medical Professions Council of Hong Kong; (c) any claim against MediConCen in relation to the performance of any services, treatments or surgeries by Healthcare Professionals of Provider on any MediConCen Client under this Agreement or any agreements MediConCen has with MediConCen Client; (d) any alleged act of negligence or omission of Provider or Healthcare Professionals of Provider in relation to the performance of any services, treatments or surgeries on any MediConCen Client under this Agreement; and (e) any complaint/claim against in relation to Provider or Healthcare Professionals of Provider’s failure to comply with the Personal Data (Privacy) Ordinance (Cap.486 of the Laws of Hong Kong) in respect of MediConCen Clients’ personal data as defined in that Ordinance.
6.3. Provider shall under no circumstances hold MediConCen responsible for any claims, liabilities, injuries, demands and/or compensation which may arise out of or in connection with any alleged act of negligence or omission, or any allegation of professional misconduct of Provider or Healthcare Professionals of Provider.
6.4. Provider shall take out valid professional indemnity insurance or to ensure Healthcare Professionals of Provider to take out the same through which all the practice of the Provider and Healthcare Professionals of Provider including but not limited to any medical services, treatments and or surgeries provided by the Provider to any MediConCen Client in pursuance of this Agreement. Provider shall provide further evidence within ten (10) working days upon MediConCen’s request or during the random audit by MediConCen to ensure that it has maintained the required insurance. Provider shall inform MediConCen in writing within seven (7) days upon notification of any change in its status of coverage or any amendment to the terms of such insurance policy.
6.5. Without prejudice to Clauses 6.1 to 6.4 above, Provider shall maintain over itself and Healthcare Professionals of Provider throughout the term of this Agreement professional liability insurance and comprehensive general liability insurance in at least the minimum amounts required by law.
6.6. Without prejudice to Clauses 6.1 to 6.4 above, in the event of a claim being made against both MediConCen, and Provider and/or Healthcare Professionals of Provider, MediConCen and Provider shall take all actions as may be reasonably necessary to defend such claim or cause their insurers to do likewise unless there is any conflict of interest between MediConCen and Provider.
6.7. Without prejudice to Clauses 6.1 to 6.4 above, in the event of any assistance needed by MediConCen in enforcing the rights under the agreements it has with MediConCen Client or resolving any disputes or complaints by MediConCen Client, MediConCen and Provider shall take all actions as may be reasonably necessary to resolve the issues unless there is any conflict of interest between MediConCen and Provider.
7. TERMINATIONS
7.1. The initial term of this Agreement shall be one (1) year from the Effective Date. This Agreement will be automatically renewed at each anniversary date for an additional one (1) year term with its agreement continue and remain in full force and effect unless terminated by either Party by giving advance ninety (90) days prior written notice by certified or registered mail, or email.
7.2. MediConCen may terminate the status of any Provider for default or breach of the Provider’s obligations hereunder upon at least thirty (30) days’ notice to the said Provider. In addition, MediConCen may immediately terminate or suspend in whole or in part the status of any Provider at MediConCen’s sole discretion at any time, due to:
a. a suspension, withdrawal, expiration, non-renewal or revocation of any license, certificate or other legal credential authorizing the Provider or Healthcare Professionals of Provider to practice medicine (or his or her other professional discipline);
b. the indictment, arrest, charge or conviction of any felony or criminal charge related to moral turpitude or the practice of medicine (or its other professional discipline) of the Provider or/and Healthcare Professionals of Provider;
c. the cancellation, reduction, limitation or termination of the Provider’s insurance required by this Agreement;
d. the filing of a bankruptcy petition, the appointment of a receiver, the marshalling of debts and assets, or the proposed settlement of outstanding debts under applicable reorganisation or insolvency laws of or against a Provider;
e. any false statement or material omission in the Provider’s application and/or confidential information forms and all other requested information, as determined by MediConCen in its sole discretion; or
f. MediConCen’s determination, in its sole discretion, that continuation of the Provider’s participation hereunder could adversely affect patient care.
Save and except Clause 7.2 (e) above, Provider shall provide immediate notice to MediConCen of any of the aforesaid events.
8. OBLIGATIONS FOLLOWING TERMINATION
8.1. Following the effective date of any termination of this Agreement, Provider shall comply with the following obligations. The provisions under Clause 8 shall supersede any contrary arrangements now existing or hereinafter made and shall survive the termination of this Agreement, regardless of the cause of termination.
8.2. Upon notice of termination of this Agreement, Provider shall cooperate fully with MediConCen and comply with procedures of MediConCen, if any, in the transfer of MediConCen Clients to other Providers.
8.3. Upon termination, each Party is deemed to have borne its own costs incurred in connection with this Agreement, and neither Party shall be responsible for indemnifying the other Party for any expenses incurred.
9. NOTICE
9.1. All notices, consents, payments, and other communication required by this Agreement shall be in writing or registered mails, or other certifiable electronic means to ensure notice is received by the other Party (such as “notify when received” encrypted email notification) at the address at which each Party regularly communicates with the other. Such notice is deemed to be effective upon receipt.
10. CONFIDENTIALITY
10.1. MediConCen and Provider hereby agree that the terms and conditions of this Agreement shall be kept strictly confidential during the term of this Agreement and after the termination of this Agreement unless prior written consent of the other Party has been obtained or disclosure of any term or condition of this Agreement is required by law or necessary for the purpose of litigation or other specified forms of dispute resolution listed in Clause 12 in which this Agreement forms part or all of the dispute.
11. GENERAL
11.1. Governing laws and jurisdiction. This Agreement shall be governed by and construed in accordance with the laws of the Hong Kong S.A.R. The Courts of Hong Kong S.A.R. will have non-exclusive jurisdiction to adjudicate any dispute arising under or in connection with this Agreement.
11.2. Electronic signatures. The Parties agree that this Agreement may be executed by electronic means, including reply email and portable document format. The Parties agree that electronic signatures are binding.
11.3. Partial invalidity. The various clause, sub-clause, provision, and paragraph of this Agreement are severable and if any clause, sub-clause, provision, paragraph or identifiable part thereof is held to be invalid or unenforceable by any court or competent jurisdiction, then such invalidity or unenforceability will not affect the validity of enforceability of the remaining clause, sub-clause, provision, paragraph or identifiable parts thereof in this Agreement.
11.4. Independent contractors. No joint venture, partnership, employment, agency or other relationship is created by this Agreement between or among any Parties. No Party is authorised by this Agreement to represent any other party for any purpose.
11.5. Entire agreement. This Agreement constitutes the entire agreement between the Parties. MediConCen may modify this Agreement from time to time. If such modification materially affects this Agreement, MediConCen will promptly deliver, by written or electronic notice, such modification to the Provider. If Provider does not wish to be bound by this Agreement as amended, Provider shall provide written notice to MediConCen within ten (10) days of receipt of the modification. Otherwise, this Agreement, as amended by such changes, shall be binding on all Parties.
11.6. Effective date. This Agreement becomes effective upon approval of Provider’s application by MediConCen and MediConCen sending written or electronic notice thereof to the Provider.
11.7. In the event of any inconsistency between the Chinese and English versions of this Agreement, the English version shall prevail.
12. Dispute Resolution
12.1. MediConCen and Provider agree to meet and confer in good faith to resolve any controversy, dispute or disagreement that arises out of or relates to this Agreement. However, if the Parties cannot agree, any dispute, controversy, difference or claim arising of or relating to this Agreement, including the existence, validity, interpretation, performance, breach or termination thereof or any dispute regarding non-contractual obligations arising out of or relating to it shall be referred to and finally resolved by a single arbitrator in Hong Kong and under Hong Kong law and the UNCITRAL Arbitration Rules in force when the Notice of Arbitration is submitted as modified by the HKIAC Procedures for the Administration of Arbitration under the UNCITRAL Arbitration Rules. through and administered by the Hong Kong International Arbitration Centre (“HKIAC”),
12.2. Both Parties agree to request the arbitrator to make their determination within three (3) months after the dispute, difference or claim was referred to arbitration (or such other period as the Parties may agree).
12.3. If a dispute that cannot be easily resolved arises, both Parties agree to submit the matter to non-binding mediation prior to seeking resolution in court.
12.4. Notwithstanding the submission of any issue to arbitration in accordance with this clause, the Parties will continue to perform their obligations under this Agreement in accordance with its terms. Nothing in this clause prevents a Party from seeking urgent or similar interim relief from a court.
13. RIGHTS OF THIRD PARTIES
13.1. No person other than MediConCen and Provider shall have any right under the Contracts (Rights of Third Parties) Ordinance (Cap.623) to enforce any of the provisions of this Agreement.
IN WITNESS WHEREOF, the Parties, intending to be legally bound, have caused their proper and duly authorized officer to execute and deliver this Agreement on the date first written above.
For and on behalf of MediConCen Limited
Name: Jenny Lau
Title: Chief Of Staff
For and on behalf of Provider
Name:
Title:
x This will be executed via electronic signature.
Schedule 1
Applicable to all plans except Prestige Plan (the plan level will be shown in MediConCen Application)
|
Covered Medical Services (As per agreed by the Parties) |
Agreed Fee (HK$ per visit) |
|
GP Consultation* with 3 days of Basic Medication SP Consultation# with 3 days of Basic Medication Chinese Medicine Practitioner Consultation^ with 2 packs of Chinese Herbal Medication dispensed pursuant to the Chinese Medicine Practitioner’s prescription Chinese Medicine Practitioner Consultation with Acupuncture Treatment^ Chinese Medicine Practitioner Consultation with Bone-setting Treatment^ Physiotherapy Treatment@ – Single Treatment without Shockwave Chiropractic Treatment+ – Consultation with Single Treatment Dental Consultation˚ – Scaling and Polishing with Oral Examination Sports Therapy$ – Consultation with Single Treatment Tuina Massage% – Consultation with Single Treatment Cupping Therapy% – Consultation with Single Treatment Nutrition Therapy() – Consultation with Single Treatment Dietetic Therapy“ – Consultation with Single Treatment Psychological Service& – Single Treatment Counselling Service~ – Single Treatment Primary Eye Care Examinations§ (Aged 3 or above) – covering Refraction, Binocular Vision Function, Colour Vision Screening, Intra-ocular Pressure Measurement, External and Internal Ocular Health Examination, and report and explanation by Optometrist Comprehensive Eye Examinations¶ – covering all examination items included in Primary Eye Care Examination and Computerized Visual Field |
As per stated in application form submitted by the providers and approved by MediConCen. |
Applicable to Prestige Plan Only (the plan level will be shown in MediConCen Application)
|
Covered Medical Services (As per agreed by the Parties) |
Agreed Fee (HK$ per visit) |
|
GP Consultation* with All Medication SP Consultation# with All Mediciation Chinese Medicine Practitioner Consultation^ with All Medication Chinese Medicine Practitioner Consultation with Acupuncture Treatment^ Chinese Medicine Practitioner Consultation with Bone-setting Treatment^ Physiotherapy Treatment@ – Including All Treatments Chiropractic Treatment+ – Consultation with All Treatments Dental Consultation˚ – All services included Sports Therapy$ – Consultation with All Treatments Tuina Massage% – Consultation with All Treatments Cupping Therapy% – Consultation with All Treatments Nutrition Therapy() – Consultation with All Treatments Dietetic Therapy“ – Consultation with All Treatments Psychological Service& – All Treatments Counselling Service~ – All Treatments Primary Eye Care Examinations§ (Aged 3 or above) – covering Refraction, Binocular Vision Function, Colour Vision Screening, Intra-ocular Pressure Measurement, External and Internal Ocular Health Examination, and report and explanation by Optometrist Comprehensive Eye Examinations¶ – covering all examination items included in Primary Eye Care Examination and Computerized Visual Field |
As per stated in application form submitted by the providers and approved by MediConCen. |
* GP Consultation refers to any consultation with a Participating Provider who is a registered medical practitioner of the Medical Council of Hong Kong engaging in general practice and has a valid and subsisting practising certificate issued by the Registrar of Medical Practitioners pursuant to the Medical Registration Ordinance (Cap.161 of the Laws of Hong Kong)
# SP Consultation refers to any consultation with a Participating Provider whose name is included in the Specialist Register of the Medical Council of Hong Kong and who is qualified to provide specialist advice or treatment, prior referral of such patients by a registered medical practitioner who provides general consultation may be required
^ Chinese Medicine Practitioner consultation refers to any consultation with a Participating Provider who is a registered Chinese Medicine Practitioner of the Chinese Medicine Council of Hong Kong and has a valid and subsisting practising certificate issued by the Registrar of Medical Practitioners pursuant to the Chinese Medicine Ordinance (Cap. 549 of the Laws of Hong Kong)
@ Physiotherapy Treatments provided by a Participating Provider who is a registered physiotherapist of the Physiotherapists Board of Hong Kong and has a valid and subsisting practising certificate issued by the Registrar of Physiotherapists pursuant to the Supplementary Medical Professions Ordinance (Cap. 359 of the Laws of Hong Kong)
+ Chiropractic Treatments provided by a Participating Provider who is a registered Chiropractor of the Chiropractors Council of Hong Kong and has a valid and subsisting practising certificate pursuant to the Chiropractors Registration Ordinance (Cap. 428 of the Laws of Hong Kong)
˚ Dental Consultations provided by a Participating Provider who is a registered dentist of the Dental Council of Hong Kong and has a valid and subsisting practising certificate pursuant to the Dentists Registration Ordinance (Cap. 156 of the Laws of Hong Kong)
$ Sports Therapy provided by a Participating Provider who is a health care professional who has the knowledge, skills and ability to utilise sports and exercise principles to optimise performance, preparation and injury prevention programmes, provide the immediate care of injuries and basic life support in a recreational, training and competitive environment, assess, treat and, where appropriate, refer on for specialist advice and intervention, provide appropriate sport and remedial massage in a sport and exercise context, plan and implement appropriate rehabilitation programmes as set out by the Society of Sports Therapists, including but not limited to satisfying the minimum benchmark requirement for Member status of The Society of Sports Therapists.
% Tuina Massage or Cupping Therapy provided by a Participating Provider who holds a valid and subsisting certification in the relevant area or as seen fit by MediConCen
() Nutrition Therapy provided by a Participating Provider who holds a degree (baccalaureate, master or higher) in Food and Nutritional Sciences and is a registered member (except student member) of the Hong Kong Nutrition Association or equivalent of foreign jurisdiction, or as seen fit by MediConCen
“ Dietetic Therapy provided by a Participating Provider who holds a degree (baccalaureate, master or higher) in Nutrition and Dietetics and is a registered member (except student member) of the Hong Kong Dietitians Association Ltd. or equivalent of foreign jurisdictions, or as seen fit by MediConCen
& Psychological Service provided by a Participating Provider who holds a degree (baccalaureate, master or higher) in Psychology and is a registered member (except student member) of the Hong Kong Psychological Society or equivalent of foreign jurisdictions, or as seen fit by MediConCen
~ Counselling Services provided by a Participating Provider who holds a degree (baccalaureate, master or higher) in Counselling and is a registered member (except student member) of The Hong Kong Professional Counselling Association or Hong Kong Marriage and Family Therapy Association, or equivalent of foreign jurisdictions, or as seen fit by MediConCen
§ Primary Eye Care Examinations (Aged 3 or above) provided by a Participating Provider who is a registered Part I optometrist of the Optometrists Board of Hong Kong, and has a valid and subsisting practising certificate pursuant to the Supplementary Medical Professions Ordinance (Cap. 359 of the Laws of Hong Kong), or seen fit by MediConCen
¶ Comprehensive Eye Examinations provided by a Participating Provider who is a registered Part I optometrist of the Optometrists Board of Hong Kong, and has a valid and subsisting practising certificate pursuant to the Supplementary Medical Professions Ordinance (Cap. 359 of the Laws of Hong Kong), or seen fit by MediConCen
Schedule 2
Schedule 3
服務協議
簽署日期: 29-09-2022
此服務協議（下稱「此協議」）由
醫結有限公司（下稱「醫結」），即主要業務地址為香港新蒲崗爵祿街33號 PORT 33 15樓 1501-1502室的一所香港保險科技公司。及
署名提供者（下稱「提供者」） 則為獲得認證及/或獲授權提供綜合醫療保健服務的醫療保健提供者 。
雙方所簽訂。
在此協議中，「任何一方」是指醫結或提供者。
引言
1.
醫結建立了一個醫療保健從業者網絡（下稱「網絡」），以提供技術支援及醫療保健服務予其客戶。
2. 醫結保留自行決定將供應者包含及排除於網絡的權利。
1. 定義及釋義
1.1. 在此協議中，除非另有說明，以下字眼指下列含義：
1.1.1 「協議醫療診費」指成功登記後由醫結與供應者協定由前者向後者因換取相關服務而繳付，以及列於附表一的最高費用。
1.1.2
「承保醫療服務」指根據雙方所同意的醫療保障計劃的條款和條件，參與者有權獲得保障的醫療保健服務。
1.1.3 「自付額」指由醫結客戶根據其所屬預繳式醫療保險計劃須自行承擔的定額。
1.1.4 「額外醫療費用」指根據雙方所同意的醫療保障計劃，不包括附表一所列承保醫療服務的額外藥物及長期藥物的收費金額。
1.1.5 「自付式額外醫療費用」指據醫結應用程式計算及傳達的額外藥物及長期藥物金額，並由醫結客戶據其相應保單與醫結應用程式內提供者的費用。
1.1.6 「醫結客戶」
或「客戶」指任何合資格接受由提供者根據其所屬預繳式醫療保險計劃 或／及 醫結與客戶的合約所提供的承保醫療服務，並經醫結透過電子程式電子認證的客戶。
1.1.7 「醫結應用程式」或「應用程式」指由醫結提供予提供者或其客戶作街運作本協議下的安排的安卓、IOS流動作業程式及網絡應用程式。醫結保留 （1）更新有關應用程式及（2）指示提供者使用更新或其他作此用途的指定應用程式的權利。
1.1.8 「提供者旗下的醫健專業人士」指任何於參與本服務協議安排的署名提供者的網絡內或受其規管，同意承保醫療服務予客戶，及符合醫結所設立標準的醫療保健從業員。
為達此效，提供者需確認（如適用） ：
a. 提供列明於附表一普通科服務或門診服務的每位提供者旗下的醫健專業人士須持香港醫務委員會註冊主任根據香港法例第161章《醫生註冊條例》發出之持續有效的普通科執業證書之正式註冊的普通科醫生。
b. 在另一已登記普通科只有名列於香港醫務委員會專科醫生名冊的醫健專業人士提供列明於附表一的專科服務予客戶，以及符合包括而不限於2.1.15(b)的規定。
c. 提供如附表一列出的全科、針灸及/或骨傷科服務的醫健專業人士皆為由中醫註冊主任發出根據香港法例第549章《中醫藥條例》註冊持續有效的執業證書之登記中醫。
d. 提供如附表一列出的物理治療服務之醫健專業人士皆為持由物理治療師管理委員會註冊主任根據香港法例第359章《輔助醫療業條例》發出持續有效的執業證書之登記物理治療師，以及符合包括而不限於2.1.15(b)的規定。
e. 提供如附表一列出的脊骨醫療服務之醫健專業人士皆為持脊醫管理局根據香港法例第428章《脊醫註冊條例》所發出之持續有效的執業證書的登記脊醫。
f. 提供如附表一列出的牙科保健服務之醫健專業人士皆為已持香港牙醫管理委員會所發根據香港法例第156章《牙醫註冊條例》所發的持續有效之執業證書的登記普通科及/或專科牙醫。
g. 提供如附表一列出的運動醫學及康復治療服務之醫健專業人士皆具有運動治療相關的知識、技能和能力，能夠利用運動和鍛煉原則以優化表現、準備和預防方案，在娛樂、訓練和競爭環境中提供即時評估、護理和治療並酌情諮詢專家意見，在運動的環境中提供適當的按摩，規劃和實施運動治療師協會規定的適當康復方案，包括但不限於達到運動治療師協會會員地位的最低要求。
h. 提供如附表一列出的推拿按摩及拔罐療法之醫健專業人士皆持有相關專業機構發出持續有效的執業證書，或醫結認為符合標準之專業人士。
i. 提供如附表一列出的營養治療服務之醫健專業人士皆持食物及營養科學的學士、碩士或更高學位，並為香港營養學會或同等資歷的海外機構之登記會員，或醫結認為符合標準之專業人士。
j. 提供如附表一列出的飲食輔導服務之醫健專業人士皆持營養學的學士、碩士或更高學位，並為香港營養師協會或同等資歷的海外機構之登記會員，或醫結認為符合標準之專業人士。
k. 提供如附表一列出的心理服務之醫健專業人士皆持心理學的學士、碩士或更高學位，並為香港心理學會同等資歷的海外機構之登記會員。
l. 提供如附表一列出的輔導服務之醫健專業人士皆持輔導學的學士、碩士或更高學位，並為香港專業輔導協會、香港婚姻及家庭治療協會或同等資歷的海外機構之登記會員。
m. 提供如附表一列出的綜合眼科視光檢查及/或全面眼科視光檢查之醫健專業人士皆為持由視光師管理委員會根據香港法例第359章《輔助醫療業條例》發出持續有效的執業證書之第一部分註冊眼科視光師。
1.2. 本條款及細則內的標題乃為方便查閱而加上，並不影響本條款及細則的釋義及法律效力。
1.3. 表示某性別意思的字詞亦包括所有性別在内；表示單數的字詞亦包括複數，反之亦然。表示法人團體亦包括非法人團體，反之亦然。
1.4. 表示某任何法例、法規、條例、命令、規例及相類法律文件的字詞亦包括其不時進行之修訂、延伸、重擬及綜合之版本。
1.5. 除非另有說明，有關以群體指稱的標的物的條款為可分割及適用於個別標的物。
1.6. 以名字指稱的條款、部分及頁數即指有關條款、部分及頁數下的名稱。
1.7. 一般性字眼的意思並不限於透過「包括」、「例如」或其派生詞所指的特定舉例。
2. 提供者責任
2.1. 於合約期間，在不限制上述或下列的責任的前提下，提供者：
2.1.1 將透過提供者旗下的醫健專業人士提供承保醫療服務，而該承保醫療服務的範圍提供取決於醫結批准加入醫結網絡的申請，及其後申請擴闊或收窄服務範圍的事先書面或電子申請。除非醫結另有通知，提供服務的前提為於應用程式得列必須的批准
。提供者須繼續提供服務，不拒絕或優侍其他顧客而非醫結客戶，以換取由醫結提出的協議醫療診費，而任何要求擴闊或收窄服務範圍得申請須得醫結同意方可生效。
2.1.2 將向醫結提供一包含以下資料之完整列表：提供者旗下的醫健專業人士之姓名、性別、專業資格、公司地址、營業時間、電話號碼及執業範疇及專業。
2.1.3 提供者聲明各提供者旗下的醫健專業人士皆：
2.1.3.1未曾於任何地區被拒、受限、被限制、中止或撤消執業牌照，或受發牌機構紀律處分；
2.1.3.2未曾被拒丶中止、減少或拒絕更新任何醫療機構或醫院的會藉及特別待遇，或受有關機構向您進行紀律程序；
2.1.3.3未有影響其在其申請執業範疇上的能力身體及精神健康的狀況；
2.1.3.4 未因酗酒或濫藥而接受療程；
2.1.3.5未曾干犯重罪；
2.1.3.6未有在過往七年有任何針對其之索償、和解協議或判辭；
2.1.3.7未有於現在或曾經受監管機構調查或制裁 (如香港醫務委員會)。
提供者亦同意於五天內書面通知任何就提供者旗下的醫健專業人士的資歷、登記狀態及任何本條上列事宜。
2.1.4 在不影響各方其他協議及陳述，接受提供者給予醫結的個人資料會作以下或相關用途：
a. 批核申請；
b. 批准申請及委任提供者及其提供者旗下的醫健專業人士於網絡之內；
c. 提供資訊作未來以提供者及其提供者旗下的醫健專業人士為對象的服務或保險計劃的發展；
d. 提供本公司的服務及產品包括管理、維持、處理及運作有關服務及產品，當中包括但不限於保險、退休金、金融及財富管理的服務及產品；
e. 處理、評估及決定提供者就本公司的服務或產品而提出的任何申請或要求，以及維持閣下在本公司的帳戶；
f. 核保醫結客戶的保險產品；
g. 向醫結客戶提供健康有關的建議；
h. 發展以醫結客戶為對象的保險或其他金融服務及產路；
i. 發展及維持本公司信貸及風險之相關模型；
j. 處理付款指示；
k. 釐訂任何欠付提供者或提供者所欠的負債，及向提供者或任何為提供者的債務提供擔保或其他承諾的人士收取及追討欠款；
l. 行使與本公司的服務及／或產品有關的任何權利；
m. 就本公司之服務及產品作出資格、信貸、身體、醫療、擔保、承保及／或身份核証；
n.用於任何因醫結的產品或提供者的服務而由閣下提出或本公司對閣下提出的申索，包括作出 、分析、調查、處理、評核、決定、回應或解決有關申索，亦包括就有關申索提出抗辯或達成和解。
o. 保單審閱及需求分析（不論定期與否）；
p. 本公司或本集團的其他成員根據任何法律、規則、規例、實務守則或指引（不論在香港境內或境外適用）要求而須披露閣下的個人資料，包括向任何法定機構、監管機構、政府機構、稅務機構、執法機構或其他機構（包括為遵守制裁法、避免或偵查洗錢、恐怖分子資金籌集或其他不法活動）或向任何獨立監管或行業團體（如保險業聯會或協會等）披露閣下的個人資料
q. 作本公司或本集團的任何成員的統計或精算研究，包括不時就本條款所列的任何目的核對所持有的與閣下有關的任何資料；及
r. 履行與上文第(a)至(q)段直接有關的其他用途。
提供者亦接受，在醫結認為必須的情況下，作出或收集的任何醫學意見將儲存、使用、公關或傳送於（無論境內或境外）有醫結有連繫的個人或組織，客戶核保人，或任何指定的第三方包括分保人，調查員、行業組織以作核保、批核申請或任何處理任何與保單或其申請有關的事宜。
2.1.5 當就個別人士是否醫結客戶、其承保醫療服務之權益或限制有任何懷疑及爭議，向醫結作適切及即時的查詢，並同意接受醫結就此的絕對及最終決定。
2.1.6 當醫結提出以下要求提供所有包括醫療紀錄及其他客戶紀錄，在得到相關客戶的事前授權有關披露紀錄或資料的前提下，免費提供予醫結以作使用評估及履行水平的質量評估。
2.1.7 確保只在醫學上合理及必需的情況下作開出在附表一所列的承保醫療服務以外的額外藥物及長期藥物。提供者需將所有必需的資料，包括而不限於診斷、藥物名稱、劑量、服藥頻率、數量、時間及金額，並將開出額外藥物及長期藥物的此項資料指明於票券之上。無論任何情況，醫結不會承擔超過實際成本價120%的有關藥物費用。
2.1.8 當客戶要求牽涉醫療檢查如實驗室服務、放射性檢查、物理治療、運動治療等，在遵從香港註冊醫生專業守則（及其由香港醫務委員會的更新版本的前提）下，推薦及轉介客戶到醫結連繫、指定及推薦的組織及公司(如有)以提供此服務。
2.1.9對客戶提供與對其他非客戶患者相同的服務質素與標準。
2.1.10 當客戶對提供者有任何投訴，全面支援醫結的跟進工作，並在就紀錄及資料披露及取得相關人士事前書面授權及符合個人資料(私隱)條例的前提下，書面提供以上2.1.6條款所列的資訊以及其他就調查及解決投訴合理必需的其他資料，直至投訴得以解決。
2.1.11 確保所有票券（無論其為電子形式或印於實體紙張上）列明以下資訊，而當票券沒有列明下列資訊時中止提供服務或繳費。
2.1.12 與醫結合作以解決就由提供者提供予客戶保健服務而生的不滿及行政事宜。
2.1.13 接受醫結於網絡目錄及其他網絡資訊中包括提供者的姓名、地址、電話號碼、網頁、電郵地址、相片、營業時間及其他可作辨認的資訊，以及就保健服務的描述，專門名稱及執業證書。提供者將於盡早可行的情況下知會有關資料的變動以便醫結維持合時的紀錄。提供者接受以上紀錄或名片上的資訊將列於由承保人向其投保人所列的參與的醫健服務提供者名單。
2.1.14
提供者只能在以下情況向醫結客戶收費：
a. 醫結確認所要求提供的服務提供者及提供者旗下的醫健專業人士並非承保醫療服務；
b. 醫結客戶事先被告知所要求提供的服務並非承保醫療服務；
c. 該醫結客戶同意付款以獲得該服務。
2.1.15
提供者需跟從醫結不時的指示以運作本協議的安排以應用程式確認資格及紀錄已提供的承保醫療服務。醫結只會在以下情況就以下交易付款：
a.醫結電郵確認客戶合資格；
b. 當醫結應用程式指出需出示轉介信，提供者保存一封由已登記並提供普通科服務的提供者旗下的醫健專業人士（而不限於其本身單位的醫健專業人士）的轉介信；
c. 醫結客戶應用程式所示的的姓名與政府所發的身分証明文件如香港居民身分證的姓名相同；
d. 透過醫結應用程式紀錄以二維碼掃描或輸入由二維碼轉換的數字代碼；及
e. 經應用程式紀錄所有需要輸入的資料，例如病症編號、服務類型、額外藥物帳單（如有），額外藥物名稱（如有），而以上經醫結確認交易成功。
2.1.16
在醫結要求時提供與本協議所提供的承保醫療服務有關，任何提供者及提供者旗下的醫健專業人士之間的其合同或協議。
3. 收費及付款
3.1. 醫結委任提供者向客戶以協議醫療診費提供承保醫療服務。
3.2. 當自付額適用時，協議醫療診費將根據特定保險計劃所定扣除自付額，並見於電子應用程式及網頁。提供者將直接向客戶收取自付額，而無論任何情況，醫結不會繳付自付額。
3.3. 在符合2.1.7 條的情況下向醫結客戶開出在附表一所列的承保醫療服務以外的額外藥物及長期藥物以後，醫結有責任繳付該藥物的帳單扣除自付式額外醫療費用，而該責任由提供者向醫結客戶直接收取自付式額外醫療費用後方告生效。 無論任何情況，醫結不會繳付任何自付式額外醫療費用。
3.4. 款項將以每月後付結算，醫結將以電郵提供每月報表，於該月完結後的三十天內將附表二所列的內容提供予提供者，並於該月完結後的三十天內繳付由下列計算方式所得上一個月的網絡收取的費用。
網絡收取的費用 ＝協議醫療診費
– 自付額 ＋額外醫療費用 -自付式額外醫療費用
該金額會由銀行轉帳或其他合約雙方同意的繳費模式。
3.5. 提供者於每六（6）個月更改一次其協議醫療診費，醫結將在盡早可行的情況下批准或拒絕批准是項更改。如需更改，提供者可以在手機應用程式及網頁個人設置中更改診費設定。 提供者需要至少等待一（1）個月才能使用新協議醫療診費，診費只會在每年的1月1日和7月1日進行調整。 在新協議醫療診費生效之前，向提供者提交的轉介將繼續按照提供者變更之前公佈的收費。
a. 例如：如果提供者在12月1日至5月31日期間更改其協議醫療診費，新協議醫療診費將於7月1日生效。
b. 如果提供者在6月1日至11月30日之間更改其收費，則新協議醫療診費將於1月1日生效。
3.6. 任何於3.5條中的更改只能於書面同意並由醫結的授權代表簽妥方能生效。
3.7. 提供者不會施加對醫結、客戶及其他提供者任何影印醫療紀錄的費用。
3.8. 提供者保證提供者或／及其相關公司、顧問公司及其分包商（如有）於有關本協議的事宜上
a. 遵從一切法律與法規包括個人資料(私隱)條例（香港法例第486章）及其中的資料保護原則；
b. 確保沒有個人資料儲存於香港以外。
就本條而言，相關公司指提供者的控股公司、附屬公司以及其控股公司的附屬公司。
3.9. 為藍十字（亞太）保險有限公司客戶提供的手術服務，提供者應通知醫結並按照與藍十字（亞太）保險有限公司約定的手術費和醫生巡房房費。(請參看附表三) 至於其他醫結客戶，提供者應收取從一般病人所收取的正常和慣常的手術費和醫生巡房費。提供者同意在每一個日曆月後的 30 天內向醫結支付索賠處理費，並抵消上一個日曆月發生的手術交易而欠醫結的任何金額。此索賠處理費為藍十字（亞太）保險有限公司客戶的手術費和醫生巡房費的 3%，而其他醫結客戶則為手術費和醫生巡房費的 10%。
4. 醫結的責任
4.1. 醫結將應提供者要求提供供應者一切合理地必須用作確認客戶的客戶身份及權益的資料。
4.2. 在客戶滿意提供者服務的前提下，醫結將作最佳的商業嘗試在推廣該網絡時將提供者包含在網絡之內。
5. 保證及承諾
5.1. 於此條款及細則生效期內及期後，提供者聲稱及保證提供者及提供者旗下的醫健專業人士不會：
a. 以任何直接或間接方式建議或促成客戶及其他持有由醫結有合約的保險公司效期內醫療保險計劃的個體取消、修訂及拒絕更新其醫療保險計劃；
b. 妨礙或干擾醫結客戶就公司醫療保險計劃的提供作出的協商；或
c. 使用或向第三方公開會員名單或任何在協議期間期間所得醫結客戶或投保人的個人資料，以為其或其代理人以任何方法作索求丶唆使或說服的目的，以讓醫結客戶參與任何直接或間接由提供者提供的醫療保險計劃，或作任何與並非旨在提供承保醫療服務的目的。此不可使用及保密要求將於合約終結後繼續生效。
而此條無意及不可被視為限制供應者與客戶作適宜診斷及照顧所作的溝通。
而在提供者違反及威脅違反本條的情況下，醫結有權享有任何其他法律及衡平法的補助及權利，以及特定的履約及禁制命令普通權利，而有關補助及權利可併合累積執行。
5.2. 提供者聲稱及保證不會使用任何客戶紀錄，包括個人資料，醫療資訊及其他由本協議提供服務以直接或間接取得的資料，以作推廣或任何並非為提供承保醫療服務的用途，並嚴格遵從香港法例第486章《個人資料（私隱）條例》。
6. 責任的限制
6.1. 提供者不會就醫結對前者欠款及醫結的違約而對客戶要求付款，收費，索取報酬、報銷、補償及法律補助。此條不影響醫結對其客戶根據有關條款追收欠款的權利的情況。
6.2. 提供者將於以下情況有關或導致醫結的任何損失或損害作出補償：(a) 提供者的違約；(b)任何投訴包括向香港醫務委員會、香港中醫藥管理委員會、香港牙醫管理委員會、脊醫管理局、物理治療師管理委員會、運動治療學會或香港輔助醫療業管理局；(c) 向醫結提出的有關提供者向客戶提供本協議或醫結與其客戶的協議下履行服務、療程丶手術之工作的投訴；(d) 任何提供者就本協議下提供的服務、療程丶手術之工作被聲稱的疏忽或不作為；(e)任何就提供者未能遵從個人資料（私隱）條例（有關據條例定義所指客戶的個人資料）的投訴或索賠。
6.3. 提供者不能於任何情況下堅稱醫結需為提供者因被聲稱的疏忽或不作為或專業失職而導敢或有關的索賠、責任、傷害、律師函或／及補償負上責任。
6.4. 提供者需就其所有執業範疇（包括而不限於本協議下由提供者提供予客戶的）的購買有效的專業責任保險。提供者在醫結要求下及在不定期的審計下於十個工作天內提供更仔細的證據以證其持有所需的保險。當投保狀態及該保單條文有任何修訂時，提供者需於七日內以書面通知醫結有關修訂。
6.5. 在不影響以上6.1 至6.4條的前提下，提供者需在本協議生效期間維持法定最低水平的專業責任保險及全面的一般保險。
6.6. 在不影響以上6.1 至6.4條的前提下，當索賠指向醫結及其提供者時，雙方須作所有合理地必需的行動以抗辯及促使其承保人作抗辯，除非雙方有任何利益衝突。
6.7. 在不影響以上6.1 至6.4條的前提下，在醫結有需要協助行使其對其客戶協議權益時，或解決由客戶所提的爭議或投訴，醫結及其提供者須合理地必需的行動以解決該事件，除非雙方有任何利益衝突。
7. 有效期及終止
7.1. 此協議的初始有效期限為自生效日期起一（1）年。 此協議將每次在週年日時自動續期一（1）年，所有條款及細則維持及繼續存在生效， 除非任何一方一方提前九十（90）天通過認證或掛號郵件或電子確認書（包括電子郵件或其他的網絡確認書）以書面通知終止此協議。
7.2. 當提供者違反或拖欠本協議，醫結將透過三十（30）天通知終止提供者其提供者身份。在此之外，在下列成因下，醫結可於任何時間自行決定即時終止或中止所有或部份提供者的身份：
a. 中止、撤回、到期、未能續期、廢止任何執照、牌照或其他授權其執業的法律憑據；
b. 提供者因其職業範圍（有關道德淪喪）重罪及刑事罪行遭起訴、拘捕、刑事指控或定罪；
c. 提供者的保險根據本協議取消、減少丶限制或中止；
d. 針對提供者的破產呈請的存檔、委派接管人、債務及資產重組、 適用的破產及重組法的欠款的建議庭外和解。
e. 任何在提供者參與申請中的失實陳述及重要遺漏，及任何保密資料及其他要求的資料， 而此由醫結自行決定。
f. 醫結自行決定繼續提供者的參與將有損客戶的照顧。
而除以上e項，提供者須以即時通知醫結有關事件。
8. 終止後的責任
8.1. 在任何協議中止的生效日起，提供者須遵從以下責任。無論終止合約成因為何，本條中的規則將替代一切於現時或此後與之相違的安排，並於協議中止後維持有效。
8.2. 當收到終止合約的通知後，提供者需完全與醫結合作並遵從其程序(如有)將醫結客戶轉移至其他供應者。
8.3. 當協議中止時，雙方須承擔各自就本協議所產生的成本，而雙方皆無責任向對方彌償任何開支。
9. 通知
9.1. 此協議要求的任何通知、授權、繳費及其他溝通 必須以書面形式發出，並通過掛號信或其他可認證的電子方式（例如“收到時通知”加密電子郵件通知）發送到另一方定期作出溝通的地址，以確保另一方收到通知。 每份通知均在收到後生效。
10. 保密條款
10.1. 各方同意與此協議均應在協議期間或以後視為機密，除非經另一方明確的事先書面同意，或是法律要求、或必須用作訴訟及其他於第十二段所指的解決爭議方式（無論本協議構成該爭議的部分或全部）。
11. 其他
11.1. 管轄法律：此協議受香港特別行政區法律規管，並按照香港特別行政區的法律詮釋。 香港法庭行使非專屬司法管轄權以裁定任何本協議中的爭議。
11.2. 電子簽署：雙方同意此協議有機會以通過電子方式執行，包括回覆電子郵件和便攜式文件格式。 雙方同意電子簽署具有約束力。
11.3. 部分無效：本協議的各條款、細項、條文或段落為可分割，而若任何條款、細項、條落、段落或以上各項其中可辨的部份被有管轄權的法院判屬於或變成無效或不能強制執行，其他條款、細項、條落、段落或以上各項其中可辨的部份被有管轄權將保持全面有效，不受該等不合法性、無效性或不能強制執行性影響。
11.4. 獨立承辦人：此協議不會在雙方之間建立合資、合夥、僱傭、代理或其他關係。此協議未授權任何一方出於任何目的代表任何其他方。
11.5. 完整協議：此協議構成雙方之間的完整協議，醫結可能會不時修改此協議。 如果此類修改對本協議產生重大改變。 醫結將 通過書面或電子通知盡快向提供者提出此類修改。 如果提供者不希望受到此協議修訂本的約束，提供者應在收到修改後的十（10）天內向醫結提供書面通知。 否則，經修改的此協議對所有各方均具有約束力。
11.6. 生效日：本協議自醫結批准提供者申請並以書面或電子模式通知提供者始生效。
11.7. 如中、英文兩個版本有任何抵觸或不相符之處，應以英文版本為準。
12. 爭議解決
12.1. 醫結和提供者同意真誠地會面並協商去解決由此協議引起或與此協議相關的任何爭議、糾紛或分歧。但是，若雙方不能達成共識，由此協議引起或與之相關的任何糾紛、爭議、分歧或索賠，包括此協議的存在、有效性、解釋、履行、違約或終止，或此協議引起或與之相關的的任何非合同性義務的爭議應均應提交由香港國際仲裁中心管理的仲裁，並按照提交仲裁通知時有效的並經香港國際仲裁中心 《聯合國國際貿易法委員會仲裁規則》 下仲裁管理程式修訂的 《聯合國國際貿易法委員會仲裁規則》 ，由一名仲裁員根據香港法律最終解決。
12.2. 雙方同意要求仲裁員在爭議、分歧或索賠被提交至仲裁中心（或雙方可能同意的其他期間）後三（3）個月內作出裁決。
12.3.
若雙方未能簡單地解決爭議，雙方同意在訴諸法庭解決前作非約束性調解。
12.4. 雖然爭議將根據本條接受仲裁，此無阻雙方繼續履本協議的條款。本條不影響任何一方向法庭尋求緊急或暫時的救濟。
13. 第三方的權利
13.1. 非此協議一方的人不享有香港法例《合約( 第三者權利) 條例》( 第623 章) 規定的權利去強制執行此協議或享有此協議任何條款的利益。撤銷或更改此協議時不需要任何非此協議一方的人的同意。
本協議由雙方授權之代表，於本協議序文所記載日期，代表雙方當事人締結之，特此為證。
x 請於英文版簽署。
附表一
請參看英文版本
附表二
請參看英文版本
附表三
請參看英文版本