Terms of Service
The healthcare system can present people with problems that may be unsolvable even with the best advocacy. Coverlipedema.com cannot guarantee coverage and payment, but we are certain that women will do considerably better using Coverlipedema.com than if they were to rely solely on social media or their surgeon’s office staff. Our mission is to make lipedema surgery coverage easy for anyone who needs it. To accomplish this, we ask that you abide by the following terms of service.
Coverlipedema.com makes no guarantees or warranties about the results of a Member’s coverage requests, appeals, network requests, or claims. Coverlipedema.com is a user-driven, web-based tool that provides step-by-step processes that its Members have to complete themselves. As a Member, you are required to follow instructions, modify templates for letters and other documents, obtain various documents from your physicians, submit your requests to your insurance company, follow-up on those requests and respond to responses to those requests. Coverlipedema.com may recommend additional medical exams and evaluations that may incur additional costs not covered by Membership. While we provide assistance, direction, and advice, the burden of completion is on you, the Member. You are solely responsible for knowing and meeting deadlines for the submission of requests. You are ultimately responsible for the content and quality of the submissions that you send to your insurance company.
You have access to Coverlipedema.com as described by your Memberships, which include Plan Review, Coverage Process™, Appeal Process™, Appeal Process™ Upgrade, and Payment Process™, for the amount of time described when you purchased your Membership. If your needs extend beyond that time, we are willing to extend your access reasonably. The Membership content of this site is meant to be used only by Members for their own purposes to obtain insurance coverage and payment of their lipedema surgeries during the term of their Membership. Membership does not grant the right to resell, copy, repackage, or publicly display our materials. Membership does not give you the right to share content from your Membership with other Members or non-Members who do not have access to the content of your Membership. Please do not share your login credentials with anyone else. We do not allow advocate access for third parties. These restrictions on the content of the website extend beyond the expiration and/or cancellation of Membership.
The content of Coverlipedema.com is unique and valuable. The materials herein are copyrighted, and sharing them with others or allowing their use by other persons is strictly prohibited. Our template letters and appeals are copyrighted and for the use of the Member only. Third-party documents, such as coverage approvals, even when redacted, are not to be shared as a condition of your use in your coverage, appeal, and payment submissions. These restrictions extend beyond the expiration or termination of Membership.
We offer discounted and even free services to people in financial need. We also stress that to prevail in coverage and payment issues, Members must have access to the latest information. We update our documentation and templates frequently to reflect the almost daily changes in lipedema coverage currently. Not having the latest versions could lead to failure to obtain coverage or payment. We believe that every failed coverage or appeal submission will create the basis for future denials. Our system is designed to keep costs low to encourage as many women as possible to pursue coverage while sharing their successes with each other through Coverlipedema.com.
Sharing your log-in credentials, sharing the content of the website, or sharing our Templates will be grounds for immediate termination of membership without refund. Any further use of our materials will be prohibited and such use will be punishable to the greatest extent of the law.
We are open-minded and encourage diversity of opinion. We cherish our Members and encourage them to reach out to us with any questions, comments, or complaints. We will always respond authentically. However, members who post audio, visual, or textual messages on any public media, including social media sites and apps, that portray Coverlipedema.com or its staff in an unfavorable or inaccurate manner will be subject to the immediate termination of their Memberships, including permission for the continued use of our content, templates, documents and other benefits, without refund.
Any personal data that you share with Coverlipedema.com will be kept confidential. We will not share our Member information with third parties without your consent.
Coverlipedema.com requires a collaborative relationship with its Membership in order to obtain fair coverage. We require good faith, adherence to our instructions and advice, trust, and sufficient effort. Should we believe that a member is not meeting those requirements, we reserve the right to terminate membership and the right to the continued use of the content and materials of the website. Refund of Memberships terminated prior to expiration will be subject to the discretion of Coverlipedema.com.
To the maximum extent permitted by law, Coverlipedema.com shall not be liable for any indirect, incidental, special, consequential, indirect, punitive, incidental, or special damages, loss of profits, data or revenues, or other intangible losses, resulting from the use of our website, its content or advice provided by our staff or from the termination of access to our website, its content or advice provided by our staff.
Any disputes which are not resolved by meeting and conferring will be submitted to final and binding arbitration under a mutually agreeable arbitrator. Costs of arbitration will be borne by the Member. The parties agree that there will be only one arbitrator. The arbitrator’s decision, including any decision about which party will pay costs and/or attorneys’ fees, will be final and binding.
This page was updated on 29 October 2020