Terms and Conditions
Innovative Health Network
Recurring Payment Authorization
Payments will be scheduled to be automatically deducted from your bank account, or charged to your Visa, MasterCard, American Express or Discover Card.
Here’s How Recurring Payments Work:
You authorize regularly scheduled charges to your checking/savings account or credit card. You will be charged the amount indicated below each billing period. A receipt for each payment will be emailed to you and the charge will appear on your bank statement as an “ACH Debit.” You agree that no prior-notification will be provided unless the date or amount changes, in which case you will receive notice from us at least 10 days prior to the payment being collected.
How Payments Are Collected:
- The effective date for automatic recurring payments is the date of initial sign up.
- Automatic payments occur monthly for the plan initially chosen at sign up.
- Automatic payments are charged to the payment method used at initial sign up. Payment methods may be adjusted for future recurring automatic payments.
- By signing up for Innovative Health Network plan(s), you are authorizing recurring automatic payments to be charged to the payment method on file for your account.
I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify Innovative Health Network in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date. If the above noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. For ACH debits to my checking/savings account, I understand that because these are electronic transactions, these funds may be withdrawn from my account as soon as the above noted periodic transaction dates. In the case of an ACH Transaction being rejected for Non Sufficient Funds (NSF) I understand that Innovative Health Network may at its discretion attempt to process the charge again within 30 days, and agree to an additional $ charge for each attempt returned NSF which will be initiated as a separate transaction from the authorized recurring payment. I understand and agree that, a 10% late fee may be assessed if the amount due is not received in good and collected funds within 30 days of the payment date. I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of this credit card/bank account and will not dispute these scheduled transactions with my bank or credit card company; so long as the transactions correspond to the terms indicated in this authorization form.