GOOD MEDICINE, INC., a Florida professional corporation doing business as “GOOD MEDICINE”, is a medical practice that: a) is not an insurance plan or offers insurance, and b) provides additional services for which Member must pay private fees as outlined below. Members must still comply with GOOD MEDICINE’s Financial Policy.
Services: GOOD MEDICINE offers the following Services to Members that are beyond Medicare or Member's health insurance plan (“Insurance”) benefits:
• Same-day or next-day appointments during business hours.
• Extended appointment times and visits as needed to accommodate individual circumstances.
• Member’s health provider available 24 hours per day, 7 days per week. If Member’s health provider is unavailable, another GOOD MEDICINE health provider will be made available.
• After-hours electronic and phone communications with GOOD MEDICINE with same or next day response for evaluation and management to provide ongoing educational communication support, but specifically excluding electronic communication related to the office visit scheduling or following-up on an office visit covered by any applicable medical plan, or based on emergent medical needs.
• Subscription to online scheduling platform and integrated communications platform to manage personal health information.
• Assistance with administrative needs, such as scheduling of specialist appointments.
*Participation in Services is limited to a select number of participants in order to preserve and retain the personal private character of health care services provided.
Membership Fees: The membership fee is based on membership plan type. Members can pay monthly, quarterly, or annually. GOOD MEDICINE offers a 5% discount if Member pays annually. Except for those Members with extenuating circumstances as determined by GOOD MEDICINE, GOOD MEDICINE requires that fees be paid via automatic payment; Members will sign the attached Credit Card Authorization Form to pay by credit card. Member must never submit to Medicare or any Insurance a request for reimbursement for the Services Fee.
Insurance or Other Medical Coverage: This agreement is not a substitute for health insurance or other health plan coverage (such as membership in an HMO). Member acknowledges that GOOD MEDICINE has advised to obtain or keep in full force Member’s health insurance policy(ies) or plans in order to cover Member and family members for healthcare costs. Member acknowledge that this Agreement is not a contract that provides health insurance, and this Agreement is not intended to replace any existing or future health insurance or health plan coverage that Member may carry.
In no event shall Services be deemed to include “access” to GOOD MEDICINE, “care coordination” with other providers covered or bundled with covered services, or emergency medical services.
Termination: This Agreement will commence on the Effective Date above. Both Member and GOOD MEDICINE shall have the absolute and unconditional right to terminate the Agreement, without the showing of any cause for termination, upon giving 30 days prior written notice to the other party. This Agreement shall also terminate upon the death of the Patient. If the Agreement is terminated by written notice, GOOD MEDICINE shall refund to Member, immediately upon the date of termination, the fee for the unexpired portion of the year in which the Agreement terminates, prorated based on the number of days during such year prior to the date of termination. Unless previously terminated as set forth above, at the expiration of the initial term (and each succeeding term), the Agreement will automatically renew for successive terms upon the payment of the annual fee (or semi-annual fee, as the case may be) for the ensuing year. GOOD MEDICINE may terminate this Agreement at any time should Member fail to timely pay the Membership Fee or statements for health care services provided, or violate GOOD MEDICINE policies or instructions communicated to Member.
Severability; Payment: If for any reason any provision of this Agreement shall be deemed, by a court of competent jurisdiction, to be legally invalid or unenforceable in any jurisdiction to which it applies, the validity of the remainder of the Agreement shall not be affected, and that provision shall be deemed modified to the minimum extent necessary to make that provision consistent with applicable law and in its modified form, and that provision shall then be enforceable.
Governing Law: This Agreement shall be governed by and construed in accordance with the laws of the State of Florida.
Entire Agreement: This Agreement represents the entire agreement between the parties hereto with respect to the subject matter hereof and supersedes any and all other agreements, either oral or written, between the parties with respect to the subject matter hereof, and no other agreement, statement, or promise relating to the subject matter of this Agreement shall be valid or binding.
Amendment: No amendment of this Agreement shall be binding on a party unless it is made in writing and signed by all the parties. Notwithstanding the foregoing, GOOD MEDICINE may unilaterally amend this Agreement to the extent required by federal, state, or local law or regulation (“Applicable Law”) by sending Member 30 days advance written notice of any such change. Any such changes are incorporated by reference into this Agreement without the need for signature by the parties and are effective as of the date established by GOOD MEDICINE, except that Member will initial any such change at GOOD MEDICINE’s request. Moreover, if Applicable Law requires this Agreement to contain provisions that are not expressly set forth in this Agreement, then, to the extent necessary, such provisions shall be incorporated by reference into this Agreement and shall be deemed a part of this Agreement as though they had been expressly set forth in this Agreement.
Assignment: This Agreement, and any rights Member may have under it, may not be assigned or transferred by Member.
