DR. Miguel Navarro Bariatric Financial, Payment Policy

DR. MIGUEL NAVARRO BARIATRICs financial, deposit, cancellation, and refund policy is described below and pertain to all monies and payments made to DR. MIGUEL NAVARRO BARIATRIC. including, but not limited to: credit cards, checks, wire transfers, bank deposits, bank transfers, ACH payments (e-check), cashiers check, cash, and all other payments made to DR. MIGUEL NAVARRO BARIATRICs.

1. Deposit and Booking Surgery Policy:

Booking Deposit: A deposit is a security deposit is due at the time of scheduling the surgery to secure your surgery date and to get consulted by our staff. The booking deposit will apply to the total balance owed for your procedure.

Booking Deposits of less than $400 USD are not entitled to Refunds or Cancellations: Occasionally, we’ll accept a booking deposit of less than $400 USD, if that is made, you’re not eligible for any refunds. A booking deposit of less than $400 USD, for example, $300 USD or $250 USD, will be used towards your total balance – however, it’s not available for the refunds nor cancellation policy.

2. Refunds and Cancellation Policy:

All cancellations and refunds must be received by DR. MIGUEL NAVARRO BARIATRIC in writing, via email or fax. Please allow up to six (6) weeks for processing refunds.

2.1. Refunds and Cancellation: Booking Deposit Refund Policy.

 

The following policy is only for Booking Deposits of at least $400 USD.

• Booking Deposit Refund of at least $400 USD: All refunds and cancellations must be made in writing. The booking deposit is fully refundable if made in writing by no less than thirty-one (31) days before the scheduled surgery date. If the cancellation and refund request, is established between thirty-two (32) and forty-five (45) days before the surgery date, the customer is entitled to a $100 USD refund of the original deposit amount. Customers who deposit at least $400 USD can cancel any surgery date that is at least forty-six (46) days prior to their surgery date, with only a $120 USD administrative fee. No refunds are made within thirty-one (31) days before the surgery date, whatsoever.

• Booking Deposit Refund of less than $400 USD: No refunds are made with booking deposits of less than $400 USD whatsoever.

2.2 Refunds and Cancellation: All Money Paid to DR. MIGUEL NAVARRO BARIATRIC  Policy.

The following policy is for all money and payments made to DR. MIGUEL NAVARRO BARIATRIC .

• All Money Paid to DR. MIGUEL NAVARRO BARIATRIC : No refunds are made within thirty-one (31) days before the scheduled surgery date. All payments to DR. MIGUEL NAVARRO BARIATRIC , including booking deposit and payments towards surgery total balance, are subject to full forfeiture. Customers are not entitled to any refund, full or partial, of any kind. However, limited refunds will be dispersed on a case-by-case basis, with no guarantee whatsoever. Refunds are limited in scope, because of the financial investment in making arrangements for the hotel, transportation, surgery operating room, hospital room, administrative fees, equipment procurement, etc.

2.3 Refunds and Cancellation: Postponed, Rescheduled Policy.

The following policy is for customers who’ve postponed or rescheduled their initially scheduled surgery date.

Postponed, Rescheduled: No refunds are given to any customer who has postponed or rescheduled their surgery whatsoever.

2.4 Refunds and Cancellation: Booking Deposit Refund Policy.

The following policy is only for Booking Deposits of at least $400 USD.

• Booking Deposit Refund of at least $400 USD: All refunds and cancellations must be made in writing. The booking deposit is fully refundable if made in writing by no less than thirty-one (31) days before the scheduled surgery date. If the cancellation and refund request, is established between thirty-two (32) and forty-ve (45) days before the surgery date, the customer is entitled to a $100 USD refund of the original deposit amount. Customers who deposit at least $400 USD can cancel any surgery date that is at least forty-six (46) days prior to their surgery date, with only a $120 USD administrative fee. No refunds are made within thirty-one (31) days before the surgery date, whatsoever.

• Booking Deposit Refund of less than $400 USD: No refunds are made with booking deposits of less than $400 USD whatsoever.

2.5 Refunds and Cancellation: All Money Paid to DR. MIGUEL NAVARRO BARIATRIC  Policy.

The following policy is for all money and payments made to DR. MIGUEL NAVARRO BARIATRIC . All Money Paid to DR. MIGUEL NAVARRO BARIATRIC : No refunds are made within thirty-one (31) days before the scheduled surgery date. All payments to DR. MIGUEL NAVARRO BARIATRIC s, including booking deposit and payments towards surgery total balance, are subject to full forfeiture. Customers are not entitled to any refund, full or partial, of any kind. However, limited refunds will be dispersed on a case-by-case basis, with no guarantee whatsoever. Refunds are limited in scope, because of the financial investment in making arrangements for the hotel, transportation, surgery operating room, hospital room, administrative fees, equipment procurement, surgical materials, etc.

Cancellations within 14 days prior to surgery will result in a forfeiture of your booking deposit, and a fee of $500 USD. Rescheduling is not possible within 14 days prior to surgery.

Cancellations made within 7 days prior to surgery will result in a forfeiture of your booking deposit, and the fee of $1,500 USD. Rescheduling is not possible within 7 days prior to surgery.

Surgeries scheduled within 30 days of surgery date are not subject to a refund.

2.6 Refunds and Cancellation: Postponed, Rescheduled Policy.

The following policy is for customers who’ve postponed or rescheduled their initially scheduled surgery date.

Postponed, Rescheduled: No refunds are given to any customer who has postponed or rescheduled their surgery whatsoever.

3) Rescheduled, Postponed Policy:

The following policy is only for Booking Deposits of at least $400 USD.

Customers can postpone the original surgery date once if made in writing no less than thirty-one (31) days prior to scheduled surgery date. Customers can only postpone once (1), allowing customers to use re-use the booking deposit for another surgery date.

For example, if a customer books a surgery for a future scheduled date of March 1st, then postpones to April 1st, then postpones again, to May 1st, the customer will lose the initial booking deposit – and must pay another booking deposit to secure the surgery date for May 1st.

If the customer postpones within thirty-one (31) days before the initially scheduled the surgery date, then the initial booking deposit or $500 USD, whichever is greater, will be forfeited from their account, and the customer must pay a booking deposit of $500 USD to secure another surgery date.

4) Doctor Cancellation Policy:

If the surgery is canceled at the doctor’s request because of the following issues:

• The customer did not follow pre-operative instructions, or

• The customer lied, omitted information, mislead DR. MIGUEL NAVARRO BARIATRIC s or DR. MIGUEL NAVARRO BARIATRIC  sta- about their health.

Then the entire loss of the booking deposit, all payments made for the procedure are forfeited, and a fee $1,500 USD will be imposed. Furthermore, if the doctor tries to perform the surgery but encounters an issue preventing safe surgery with high-outcomes, the doctor has the right to cancel the surgery. No refunds or partial refunds are returned for canceled surgeries.

5) Fully-Paid Customers & Remainder Funds Policy:

Customers must fully pay all outstanding balances before traveling to Mexico for the procedure(s). Customers must pay the outstanding balance one week (7 days) before their surgery date. If a customer fails to fully-pay for the procedure, DR. MIGUEL NAVARRO BARIATRICs has the right to cancel the surgery, and all payments made for their outstanding balance will be forfeited. Customers may discharge all amount owed last minute using a bank wire.

Please plan your payments carefully, certain payments take longer to clear, and must be received by using the schedule below:

• Bank Transfers, Wire Transfers take at least 5 business days to process.

• Bank Transfers through Zelle: Transfers take at least 4 business days to process.

• Third-Party Financing Company Payments takes at least 8 business days to process.

6) Customer No-Communication Policy:

If the customer fails to communicate and/or respond to DR. MIGUEL NAVARRO BARIATRICs’ communication attempts. DR. MIGUEL NAVARRO BARIATRIC  reserves the right to cancel the procedure, and relinquish the surgery date. In the event this happens, the customer will still owe DR. MIGUEL NAVARRO BARIATRIC  for any and all outstanding balances and will lose their booking deposit and any payments made to discharge their balance.

7) Failed Payments, Outstanding Balances Policy:

If a credit card or ACH e-check payment fails to clear, for any reason, there will be a $100 USD one-time fee added to your outstanding balance. Accounts not paid within 30 days of the date of surgery are subject to a 2% monthly finance charge.

If bill collections are necessary, the fees associated and incurred by DR. MIGUEL NAVARRO BARIATRIC  will be applied to the balance owed.

8. Possible Additional Fees:

Possible intraoperative procedures (not covered by medical tourism coverage): I also consent to any procedure, the doctor deems necessary to save my life or to ensure minimal complications postoperatively, during this procedure and I hereby agree to pay for the costs related to these procedures. This includes, but is not limited to:

• Endoscopy – $400

• C-PAP – $100/Night (bring your own to waive the fee)

• Hiatal hernia repair – $500 Umbilical Hernia Repair – $600

• Removal of the gallbladder – $500

• High BMI Fee (Over 49 BMI) – $500

• High BMI 59+ Fee (Over 59 BMI) – $1000

• Additional Hotel Nights – $125/Night

• Additional Companion(s) – $125/Night per companion(this applies to 2 or more companions)

• Extra Medicines – TBD

• Lysis of Adhesions – TBD

• Blood Transfusions – TBD

• Oxygen Treatments – TBD

• Arrival Times Variations – TBD

• Esophagogastroduodenoscopy – TBD

• Cardiologist Exam/Consultation – TBD

 

9) Current Payment Fees:

 

• Credit Card Fee:  6%

• Third-party Financing Fee:  0-10% (depends on the provider)

• ACH Fee:  No Fee

• Wire Transfer:  No Fee

• Bank Transfer or Deposit: No Fee

BY:______________________________________

Signature Date: ____________________________