Terms of service
VIPMDs Annual Concierge Membership Agreement & Telemedicine Terms
You are agree to at least a one year term to be billed monthly/annually.
This Annual Concierge Membership Agreement ("Agreement") is entered into between VIPMDs ("Practice") and the undersigned patient ("Member").
By signing this Agreement, the Member acknowledges that they have read, understood, and agree to the following terms.
1. Concierge Membership
The VIPMDs Concierge Membership is designed to provide enhanced access to medical care through telemedicine and other concierge services.
Membership is voluntary and is not health insurance.
The annual membership fee covers only the concierge services specifically listed in this Agreement and does not guarantee payment for medical treatment, laboratory testing, imaging, medications, specialist services, hospital care, or any services not expressly included.
2. Membership Benefits
Depending upon the selected membership plan, benefits may include:
- Same-day or next-business-day telemedicine appointments, when clinically appropriate.
- Extended appointment times.
- Direct messaging with your provider through the patient portal.
- Prescription management and medication monitoring.
- Preventive health planning.
- Chronic disease management.
- Weight management consultations.
- Lifestyle and wellness counseling.
- Travel consultations.
- Coordination of specialty referrals.
- Annual comprehensive health review (if included in your selected plan).
Benefits may be modified periodically upon notice to Members.
3. Membership Fees
Annual Membership Fee varies based on the plan you choose.
Membership fees are payable in advance.
Unless otherwise stated in writing, membership fees are non-refundable after services have begun.
Failure to maintain an active membership may result in termination of concierge benefits.
4. Services Not Included
Membership fees do not include:
- Emergency department care
- Hospital services
- Surgery
- Specialist physician fees
- Laboratory testing
- Diagnostic imaging
- Vaccinations
- Medications
- Durable medical equipment
- Home health services
- Insurance copayments or deductibles
- Any third-party charges
These services may generate separate charges.
5. Insurance
VIPMDs may or may not participate with health insurance plans.
Regardless of insurance participation, membership fees are generally not reimbursable by Medicare, Medicaid, or commercial insurance unless specifically permitted by applicable law and payer policies.
The Member remains financially responsible for services not covered by insurance.
6. Telemedicine Services
The Member agrees to receive healthcare services through secure telemedicine technology when clinically appropriate.
Telemedicine may include:
- Video visits
- Telephone visits
- Secure electronic messaging
- Review of medical records
- Remote follow-up care
The provider will determine whether telemedicine is appropriate for each medical concern.
7. Limitations of Telemedicine
The Member understands:
- Telemedicine does not replace emergency medical care.
- Some medical conditions require an in-person examination.
- Technical failures may interrupt visits.
- Diagnosis may be limited without a physical examination.
- The provider may recommend referral to urgent care, an emergency department, or another healthcare facility when medically necessary.
8. Medical Emergencies
VIPMDs does not provide emergency medical services.
If experiencing symptoms including but not limited to chest pain, severe shortness of breath, stroke symptoms, severe allergic reactions, uncontrolled bleeding, seizures, suicidal thoughts, or any other medical emergency, the Member should immediately call 911 or go to the nearest emergency department.
9. Prescriptions
Prescriptions are issued only when medically appropriate.
The provider may decline to prescribe medications if clinically indicated.
Controlled substances are prescribed only in accordance with applicable federal and state laws and may require an in-person evaluation, identity verification, additional documentation, or referral.
Prescription refills require adequate follow-up and may not be processed outside normal business hours except at the provider's discretion.
10. Communication
Members may communicate through approved secure methods.
Response times are generally:
- Urgent messages: same business day when possible
- Routine messages: within 1–2 business days
Messaging should not be used for emergencies.
11. Privacy
VIPMDs maintains the confidentiality of protected health information in accordance with applicable federal and state privacy laws, including HIPAA where applicable.
Electronic communications utilize reasonable security measures; however, no electronic system can guarantee absolute security.
12. Member Responsibilities
The Member agrees to:
- Provide accurate medical information.
- Keep contact information current.
- Notify the Practice of changes in health status.
- Maintain an active pharmacy on file.
- Participate honestly in medical evaluations.
- Follow recommended treatment plans.
- Seek emergency care when appropriate.
13. Cancellation and Termination
The Member may cancel membership at any time by providing written notice.
Unless otherwise required by law or stated in a separate written policy, membership fees are non-refundable after the membership term has begun.
VIPMDs may terminate membership for reasons including:
- Abusive or threatening behavior
- Failure to comply with practice policies
- Non-payment
- Breakdown of the provider-patient relationship
- Fraud or misuse of services
Termination will not affect the Member's responsibility for outstanding balances.
14. No Guarantee of Outcomes
Medicine is not an exact science.
VIPMDs cannot guarantee any specific diagnosis, treatment result, or health outcome.
15. Governing Law
This Agreement shall be governed by the laws of the state in which the medical services are provided, without regard to conflict-of-law principles.
16. Entire Agreement
This document constitutes the entire agreement regarding concierge membership and supersedes prior discussions or representations concerning the membership program.
If any provision is determined to be unenforceable, the remaining provisions shall remain in effect.
17. Patient Acknowledgment
By signing below, I acknowledge that:
- I understand this membership is not health insurance.
- I understand membership fees cover concierge services only.
- I understand telemedicine has benefits and limitations.
- I understand I should seek emergency medical care by calling 911 or going to the nearest emergency department when appropriate.
- I have had the opportunity to ask questions.
- I voluntarily agree to participate in the VIPMDs Concierge Membership Program.
- I consent to receive healthcare services through telemedicine when clinically appropriate.