Terms and Conditions

If you would like to contact us regarding Telemedica LLC, our telemedicine services, our service providers, additional services, or have a general inquiry, you can also click here to contact us.

If you were directed to this page in error, and would like to learn more about our telemedicine services, including Nexus Letters, Telemedicine Evaluations, Mental Health Evaluations, and more, please click here to be directed to our home page.

If you are looking for assistance on a medical service that you have submitted, and need to locate our ticket portal - please click here.

Payment Terms

Before you can use our services, we need to obtain your agreement to the following terms

These Terms of Payment set forth the terms and conditions of the online payment services (“Online Payment Services”) offered to you by Telemedica, LLC (“we”, “us”, “ourselves” or “our”) via our website and online services (“Website”). The Online Payment Services provides customers with the ability to make payments online by Credit/Debit Card (Visa, MasterCard, American Express, or Discover), buy now/pay later services such as Afterpay, or eCheck, which are subject to the applicable Terms of Use and terms and conditions set forth below (collectively, “Terms”). You agree to be bound by these Terms and if you do not agree, you may not use this Website to make a payment or to utilize our services (“Telemedica Services”). You also agree not to use the Online Payment Services or Telemedica Services in any unauthorized or illegal manner.

Any disputes arising from these Terms of Payment, including those related to automatic renewal of services, shall be governed by and construed in accordance with the laws of the State of Texas, without giving effect to any principles of conflicts of law. You agree that any legal action or proceeding between you and Telemedica shall be brought exclusively in a federal or state court of competent jurisdiction sitting in Travis County, Texas.

Third Party Payment Terms

You should be aware that we may use one or more third-party payment processors (a “Payment Processor”) to process your payments of fees that you have incurred for the use of the Telemedica Services. These Payment Processors may charge separate fees that we have no control over. The processing of payments or credits in connection with your use of Telemedica Services will be subject to the terms, conditions, and privacy policies of the Payment Processor, your credit card issuer, and Afterpay, in addition to this Payment Terms Agreement. Such terms and conditions and policies are solely managed by the Payment Processor, your credit card issuer, or Afterpay. We are not responsible for any errors or omissions made by any Payment Processor, your credit card issuer, or Afterpay, that are beyond our reasonable control.

We and our Payment Processors comply with all applicable data protection laws, including but not limited to the General Data Protection Regulation (GDPR) and the California Consumer Privacy Act (CCPA). We ensure that all payment data is encrypted during transmission and storage to protect your personal and financial information.

For more information regarding credit card fees, please refer to the information provided by your credit card issuer. For more information regarding Afterpay's terms and conditions and fees, please refer to Afterpay's Terms (afterpay.com) and Customer Privacy Policy.

Your payment data will be retained for a period of up to 7 years after your last transaction, after which it will be securely deleted unless retention is required by applicable laws or regulations. In the event of a data breach involving your payment information, we will promptly notify you via email or other appropriate means. This notification will include details of the breach, the type of information affected, and the steps we are taking to address the situation. We will also provide guidance on any actions you should take to protect yourself and your information.

Telemedica Payment Terms and Conditions

You agree to pay all fees for your Telemedica Services in accordance with the fees, charges, and payment terms in effect at the time a fee or charge is due and payable. You understand and agree that for any of the Telemedica Services provided to you on an appointment basis, if you fail to properly cancel a scheduled appointment at least 72 hours in advance of the appointment or if you fail to attend the appointment, you will be responsible for a missed appointment fee. (See “Missed Appointment Policy” below) You understand that Independent Medical Opinions (“IMO's”), Nexus Letters, and/or any other requested documentation will only be provided to you by the provider after we have received full payment of the fee from you.

For mental health appointments, you understand that you will be matched with a provider licensed in the state you choose upon booking. You need to be physically located in the state at the time of the appointment; otherwise, you will be charged a $50 rescheduling fee.

We charge and collect either a portion OR all of the fee in advance for the use of any Telemedica Services. Fees for other services will be charged on an as-quoted basis and billed to you directly or charged to your card on file. Our prices are exclusive of all taxes or duties imposed by taxing authorities, and you shall be responsible for payment of all such taxes or duties. You agree to provide us with complete and accurate billing and contact information. This information includes your legal name, e-mail address, street address, and telephone number, and you agree to update this information immediately upon any change to it. If the contact information you have provided is false or fraudulent, we reserve the right to terminate your Telemedica Services in addition to any other remedies at law or equity that we may have available to us. All transactions will be billed in United States Dollars (USD).

If you believe that your invoice/bill is incorrect, you must immediately contact us in writing regarding the amount in question to be eligible to receive an adjustment at customerservice@telemedicallc.com. If you fail to notify us in writing within seven (7) calendar days after your receipt of the invoice that you believe is inaccurate (with an explanation of why, providing reasonable detail), then you waive your right to challenge such bill.

Fee Disclosures

Telemedica Rates:

1. Mental Health Evaluation Package^* - $1,495
2. Mental Health Re-evaluation - $150
3. Mental Health Rebuttal Letter - $200
4. Telemedicine Medical Diagnosis Evaluation^*/† - $985
5. Additional Telemedicine Medical Diagnosis Evaluation - $860
6. Medical Nexus Eligibility Review^* - $325
7. Medical Nexus Letter^*/† - $1,595
8. Specialty Letter^*/† - $1,595
9. Medical DBQ^*/† - $1,400
10. Nexus Service Rebuttal Letter^*/‡ - $275-300
11. Fully Developed Claim Package^{*/† /**} - $2,490

*This fee is made up of two separate charges: (i) a portion is retained for the professional fee charged by the Independent Provider's PLLC, and (ii) a portion is retained for an administrative management fee charged by Telemedica LLC.

For Mental Health Evaluation, there is a $125 non-refundable Technology & Access Fee. There is an additional $54 non-refundable Chart Review Fee. This is obtained when services are initiated. A provider will not begin its evaluation and other services until you have uploaded all of the required documentation and have attested to the completeness of such uploaded documentation. At that time, a provider will begin its review and evaluation (the “Initiation of Services”), and we will not issue any full refunds, even if within the 7-day refund eligibility window. However, partial refunds or credit towards future services may be considered on a case-by-case basis.

For Telemedicine Evaluations, there is a $125 non-refundable Technology & Access Fee and an additional $54 non-refundable Chart Review Fee. This is obtained when services are initiated. Once a provider has begun the Initiation of Services, we will not issue any full refunds, even if within the 7-day refund eligibility window. However, partial refunds or credit towards future services may be considered on a case-by-case basis.

For Nexus Letter/DBQ Services, there is a $125 non-refundable Technology & Access Fee that is collected at the Initiation of Services. Once the provider has completed its chart review, we will not issue any full refunds, even if within the 7-day refund eligibility window. However, partial refunds or credit towards future services may be considered on a case-by-case basis.

Third-Party Member Discounted Rates:

1. Mental Health Evaluation Package^* - $799
2. Mental Health Re-evaluation - $150
3. Mental Health Rebuttal Letter - $200
4. Telemedicine Medical Diagnosis Evaluation^*/† - $524
5. Additional Telemedicine Medical Evaluation - $399
6. Medical Nexus Eligibility Review^* - $325
7. Medical Nexus Letter^*/† - $620
8. Specialty Letter^*/† - $620
9. Medical DBQ^*/† - $425
10. Nexus Service Rebuttal Letter^*/‡ - $275-300
11. Fully Developed Claim Package^{*/† /**} - $945

*This fee is made up of two separate charges: (i) a portion is retained for the professional fee charged by the Independent Provider's PLLC, and (ii) a portion is retained for an administrative management fee charged by Telemedica LLC.°

You will only be eligible for the preferred third-party discount rate if you have an active contract with the preferred third-party.

Please note that if you cancel your third-party membership 72 hours or more prior to your appointment, you will be billed at the non-discounted rate. Failure to pay the remaining balance will result in the cancelation of your appointment.

For Mental Health Evaluation, there is a $125 non-refundable Technology & Access Fee. There is an additional $54 non-refundable Chart Review Fee. This is obtained when services are initiated. A provider will not begin its evaluation and other services until you have uploaded all of the required documentation and have attested to the completeness of such uploaded documentation. At that time, a provider will begin its review and evaluation (the “Initiation of Services”), and we will not issue any full refunds, even if within the 7-day refund eligibility window. However, partial refunds or credit towards future services may be considered on a case-by-case basis.

For Telemedicine Evaluations, there is a $125 non-refundable Technology & Access Fee and an additional $54 non-refundable Chart Review Fee. This is obtained when services are initiated. Once a provider has begun the Initiation of Services, we will not issue any full refunds, even if within the 7-day refund eligibility window. However, partial refunds or credit towards future services may be considered on a case-by-case basis.

For Nexus Letter/DBQ Services, there is a $125 non-refundable Technology & Access Fee that is collected at the Initiation of Services. Once the provider has completed its chart review, we will not issue any full refunds, even if within the 7-day refund eligibility window. However, partial refunds or credit towards future services may be considered on a case-by-case basis.

Weight Management Service Fee Schedule

Breakdown of pricing per cycle

Please note that for the customer's convenience, Telemedica LLC collects all of the fees and passes the professional fees directly to the appropriate professional entity without offset. For the avoidance of doubt, Telemedica does not provide any professional services, including but not limited to health evaluations or medical diagnostic services.

Refund/Missed Appointment Policy

To request a refund from us, you must contact customerservice@telemedicallc.com in writing regarding the amount in question to be eligible to receive a refund. A transaction may be eligible for a refund up to seven (7) days from the date of the completed payment. After this period, we will not review or issue refunds for captured payments unless an escalation ticket has been submitted at help.telemedicallc.com. You understand that the Medical Records Review/Administrative Fee is non-refundable. You understand that once a provider has begun the Initiation of Services, no full refunds will be issued, even if within the 7-day refund eligibility window. Refunds for completed appointments and completed documentation will only be considered on a case-by-case basis and upon review by the Telemedica Quality Assurance Team, and requests can be submitted at help.telemedicallc.com. Approved refunds will be issued to the original payment method used for the transaction. You understand and agree that for services provided on an appointment basis, if you fail to properly cancel a scheduled appointment at least 72 hours in advance of the appointment or if you fail to attend the appointment, you will be responsible for a missed appointment fee of $50. Rescheduling appointments is permitted twice at no fee, provided the request is made more than 72 hours prior to the scheduled appointment. However, a $50 rescheduling fee will apply for the third rescheduling. If a service is not rendered within 90 days of booking, a refund may be issued, minus any applicable fees, including the non-refundable booking fee. Refunds can only be processed within one year of the original transaction date. Once this window has passed, refunds will no longer be available. You agree to upload any pertinent documents or records that can assist the provider with completing your Medical Records Review. If you do not have all of the documentation at the time of submission of your intake form, you will have the option to pay for another chart review if you submit new evidence.

Amendment

We reserve the right to amend (i.e., add to, delete or otherwise change) the terms and conditions of these Terms.

Entire Agreement

These Terms, along with any other specific terms of use explicitly communicated by us in writing, constitute the entire agreement between us and you with respect to the Online Payment Services.