Insulet Omnipod GO User Manual page 85

Appendix
6. Select the medical equipment supplier of your choice.
7. Make informed decisions regarding your care planning.
8. Understand what services will be provided to you.
9. Obtain an explanation of charges, including policy for payment.
10. Agree to or refuse any part of the plan of service or plan of care.
11. Voice complaints without fear of termination of service or
other reprisals.
12. Have your communication needs met.
You have the responsibility to:
1. Ask questions about any part of the plan of service or plan of
care that you do not understand.
2. Use the equipment for the purpose for which it was prescribed,
following instructions provided for use, handling care, safety
and cleaning.
3. Supply Insulet Corporation with insurance information
necessary to obtain payment for services.
4. Be accountable for charges not covered by your insurance. You
are responsible for settlement in full of your account.
5. Notify us immediately of:
a. Equipment failure, damage or need of supplies.
b. Any change in your prescription or physician.
c. Any change or loss in insurance coverage.
d. Any change of address or telephone number, whether
permanent or temporary.
Warranty
LIMITED EXPRESS WARRANTY, DISCLAIMER OF IMPLIED WARRANTIES
AND LIMITATION OF REMEDIES FOR THE OMNIPOD GO POD (United States of
America)
LIMITED EXPRESS WARRANTY COVERAGE
Limited Warranty Coverage for the Omnipod GO Pods
Subject to this Limited Express Warranty, Insulet warrants to you, the
original purchaser of the Omnipod GO Pod, that, if Insulet determines,
during the period of eighteen (18) months from the date of manufacture
and seventy-two (72) hours from the time of activation, that an unexpired
Omnipod GO Pod ("Pod") included in your shipment manifests a defect in
material or workmanship while utilized under normal use and conditions,
Insulet will replace the Pod. To be eligible for replacement, the activation
of the Pod must fall within both time periods (i.e. occur on or before the
expiration date printed on the label with a manufacture date no more than
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