C. Fee Schedule - TEST


A. ENROLLMENT FEE:

The initial deposit (the “Enrollment Fee”) is payable before the birth of the Child. Upon receipt of the signed Service Agreement by CELLSAVE, the collection kit will be sent to you. This fee includes the Cord Blood (and/or, if applicable, Cord Tissue/ Placental Tissue/ Cord Vessel/ Amnion Placental Tissue) collection kit, account set-up, and administration fee.

B. PROCESSING FEE AND STORAGE FEE:

The amount of the processing and storage fee (the “Processing Fee” and “Storage Fee”) is dependent on the Service you have chosen, and is payable prior to the time the Product is collected from the hospital:

 

CryoPlus (Cord Blood and Cord Tissue)

 

AED

SAR

KWD

QAR

OMR

BHD

Enrollment

2,000

2,000

200

2,000

200

200

Processing

5,000

5,000

500

5,000

500

500

Storage

11,500

12,000

900

12,000

1,200

1,200

TOTAL

18,500

19,000

1,600

19,000

1,900

1,900

CryoAdvanced (Cord Blood, Cord Tissue and Placental Tissue)

 

AED

SAR

KWD

QAR

OMR

BHD

Enrollment

2,000

2,000

200

2,000

200

200

Processing

6,000

6,000

600

6,000

600

600

Storage

13,500

14,000

1,000

14,000

1,400

1,400

TOTAL

21,500

22,000

1,800

22,000

2,200

2,200

CryoUltimate (Cord Blood, Cord Tissue, Placental Tissue, Amnion Placental Tissue, and Cord Vessel)

 

AED

SAR

KWD

QAR

OMR

BHD

Enrollment

2,000

2,000

200

2,000

200

200

Processing

7,000

7,000

700

7,000

700

700

Storage

17,500

18,000

1,400

18,000

1,800

1,800

TOTAL

26,500

27,000

2,300

27,000

2,700

2,700

CryoInfinite (Cord Blood, Cord Tissue (ready-to-be-used MSCs), Placental Tissue, Amnion Placental Tissue, Cord Vessel (ready-to-be-used MSCs))

 

AED

SAR

KWD

QAR

OMR

BHD

Enrollment

2,000

2,000

200

2,000

200

200

Processing

12,000

12,000

1,200

12,000

1,200

1,200

Storage

23,500

24,000

2,000

24,000

2,400

2,400

TOTAL

37,500

38,000

3,400

38,000

3,800

3,800

 

FEE SCHEDULE

Service

Enrollment Fee

Processing

Storage

Storage Period

Add a 5 chamber Storage Bag option - You will be charged extra 1,000 AED?

Total Amount

Description

Installment Amount (if applicable)

Installment Starting Date

 

The Processing Fee includes, processing, and testing. It also includes the maternal blood tests.

The Storage Fee includes storage during the Initial Storage Period.

This Service Agreement may be terminated by written notice with immediate effect by CELLSAVE if CELLSAVE does not receive the Enrollment, Processing, or Storage Fee within the specified time.

Termination of this Service Agreement will not affect the Client’s responsibility for payment in full of all amounts invoiced and of all additional administrative and legal costs related to collecting the outstanding amounts under this Service Agreement.

C. ADDITIONAL FEES:

Additional fees may be charged if additional testing is required; e.g. because of abnormal laboratory test results.

D. REFUNDS:

The Enrollment Fee is a non-refundable down payment and should accompany the signed Client Service Agreement.

In the event that Specimen has been collected, received, and processed, yet CELLSAVE rejects the sample due to its non-compliance with regulatory standards, no storage will take place and CELLSAVE will refund the Storage Fee to the Client. The Processing Fee is not refundable if the Cord Blood (and/or, if applicable, Cord Tissue/Placental Tissue/Amnion Placental Tissue/Cord Vessel) Specimen has been processed and tested.

E. PAYMENT OPTIONS:

Please check option(s) below for payments of the Fees as outlined in the Fee Schedule:

 

Credit / Debit Card: Major credit cards are accepted. Please contact the CELLSAVE Office for more details.

Bank Transfer: (Important: Please mention your Client ID and name when making a direct bank transfer.) You can directly transfer the fees to Account Name: CELLSAVE ARABIA FZ-L.L.C., Bank Name:  First Abu Dhabi Bank. Account Number: 1611323041175013, IBAN: AE540351611323041175013, Swift code: NBAD AE AA SZR, Branch: Shaikh Zayed Road Branch, Address: Shaikh Zayed Road, Dubai

Cheque. You can pay by cheque to CELLSAVE ARABIA FZ-L.L.C. or your country’s Authorized CELLSAVE Medical Representative.

Cash. Cash payment can be made at CELLSAVE Office or to your country’s Authorized CELLSAVE Medical Representative.

All payments must be received and cleared at the time specified in the Fee Schedule. In the event of failure to meet this requirement, even in relation to a single invoice, the Client shall be obliged to pay the entire outstanding balance due in one single payment. Should the Client fail to do so, the Service Agreement may be terminated by CELLSAVE in accordance with section 6 of the General Terms and conditions. The storage certificate will only be released after full payment has been received and cleared.

For installment plan please check the options below.

Installment Plan Disclosures for any monthly installment plans - The plan requires a 95 AED one-time installment payment fee. This fee will be applied on the first installment payment transaction.

Overdraft Fee:

The client will be responsible for an additional 75 AED per month for every month over 30 days calendar days that there is a past balance due.

 

Cellsave Representative:

Code: A.4.06-3A Fee Schedule-CSA

 

SIGNATURE OF PARENT/LEGAL GUARDIAN

*THIS PLAN DISCLOSURE IS VALID FOR 10 DAYS

 

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Document name: C. Fee Schedule - TEST
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September 13, 2023 4:53 pm +04C. Fee Schedule - TEST Uploaded by Cellsave Arabia - csait@cellsave.com IP 5.32.48.90