Terms and Conditions for WorkMed Plus - Direct Primary Care Services
{March 31, 2025}
Work Med, Inc., DBA Work Med Plus
Las Cruces, New Mexico
Introduction
This document outlines the terms and conditions under which Work Med, Inc., DBA Work Med Plus provides Direct Primary Care (DPC) services to employers, employees, and individual patients. By enrolling in our DPC program, clicking a checkmark during registration, or making a payment for services, you agree to these terms and conditions.
Legal Name and Trade Name
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Legal Name: Work Med, Inc.
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Trade Name/DBA: Work Med Plus
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All contracts, formal agreements (Master Service Agreements), and legal documents will reference the legal name (Work Med, Inc.) followed by the trade name (DBA Work Med Plus).
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Marketing materials may exclusively use the trade name (Work Med Plus) for branding purposes.
Definitions
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Direct Primary Care (DPC): A healthcare model where patients pay a periodic fee directly to the provider for access to primary care services.
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Patient: Any individual or employee enrolled in Work Med Plus’s DPC services.
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Employer Group: Companies that enroll their employees into Work Med Plus’s DPC program.
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Membership Fee: The periodic payment made by the patient or employer group to access DPC services.
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Master Service Agreement (MSA): A separate agreement outlining the specific terms of service for employers, employees, and individuals.
Disclaimer: Not Insurance
The Direct Primary Care (DPC) services provided by Work Med, Inc., DBA Work Med Plus, are not insurance and do not replace health insurance coverage. These services do not meet the minimum essential coverage requirements under the Affordable Care Act (ACA). Patients are encouraged to maintain separate health insurance coverage for services not provided under this agreement, such as hospitalizations, specialty care, or emergency services.
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HIPAA Compliance
Work Med, Inc., DBA Work Med Plus, complies with all applicable federal and state laws regarding the privacy and security of Protected Health Information (PHI). We implement administrative, physical, and technical safeguards to protect PHI from unauthorized access or disclosure. For more details on how we handle PHI, please refer to our Privacy Policy provided at the time of enrollment.
Medicare Opt-Out Notice
Work Med Plus has formally opted out of Medicare. Therefore, we cannot bill Medicare for any services provided to Medicare beneficiaries. By signing this agreement or completing a purchase online, Medicare patients acknowledge that they cannot seek reimbursement from Medicare for services rendered by Work Med Plus.
Services Provided
1. Scope of Services:
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The specific medical services provided by Work Med Plus will be detailed in formal agreements (Master Service Agreements) with patients and employers. These agreements will outline the scope of care, including examinations, diagnostic tests, treatments, preventive care, chronic condition management, and other applicable services.
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These agreements will be sent via email or provided in person at our office on the day of enrollment or visit.
2. Limitations:
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DPC services do not include hospitalizations, emergency care, specialty care, or procedures outside the scope of primary care. Patients may need to seek additional care outside Work Med Plus’s offerings. Costs for such services are not covered under the membership fee.
3. Exclusions:
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Services such as X-rays, laboratory tests, or medications may be offered in office or at discounted rates but are not included in the membership fee unless explicitly stated.
Use of Third-Party Technology Providers
1. Role of Third Parties:
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To enhance operational efficiency and improve patient experience, Work Med Plus may utilize third-party service providers such as Hint for onboarding new patients, managing memberships, processing payments, scheduling appointments, and other administrative functions.
2. Data Sharing:
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In compliance with HIPAA regulations and other applicable laws governing data privacy and security, only necessary patient information will be shared with third-party providers to facilitate these functions.
3. Liability Disclaimer:
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While Work Med Plus ensures that all third-party providers comply with applicable data protection standards (e.g., HIPAA), we are not liable for any data breaches or unauthorized disclosures caused solely by these third parties.
4. Patient Acknowledgment:
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By enrolling in our services or completing a purchase online, you acknowledge that your information may be shared with third-party technology providers solely for operational purposes as outlined above.
Master Service Agreements (MSAs)
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MSAs will be provided separately to employers, employees, and individual patients.
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These agreements detail specific terms and conditions tailored to each group and must be signed before enrollment is finalized.
Payment Terms
1. Fee Structure:
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Individual patients pay a standard monthly membership fee based on their selected plan (e.g., Essentials or Wellness).
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Employers benefit from volume-based pricing for their enrolled employees, resulting in lower per-member costs compared to general public rates. (e.g Employee Essential or Employee Plus)
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All members must pay a one-time $50 enrollment fee upon registration.
2. Billing Cycle:
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Membership fees are due on the first of each month. Payments are auto-deducted at the beginning of each billing cycle.
3. 90-Day Stay Period for Individuals:
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Individual patients may cancel their membership at any time; however, there is a required 90-day stay period from the date of enrollment.
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This 90-day stay period ensures that Work Med Plus can cover onboarding costs, maintain health records, and provide high-quality services during this time.
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Membership fees for the 90-day stay period are non-refundable.
4. Adjustments (Specific to General Public Plans):
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Adjustments to membership fees apply only to non-employer-sponsored individuals enrolled in our Essentials or Wellness plans.
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Work Med Plus reserves the right to adjust membership fees for these plans with a 90-day written notice.
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Employer-sponsored plans and employee memberships are exempt from this adjustment policy due to pre-negotiated pricing agreements.
5. Non-Payment:
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Failure to pay membership fees on time may result in suspension or termination of services.
6. Refund Policy for Enrollment Fees:
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The one-time $50 enrollment fee is non-refundable under any circumstances. Membership fees may only be refunded as explicitly outlined in this agreement or the Master Service Agreement (MSA).
Cancellation Policy
1. Effective Date of Cancellation
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If an individual chooses to cancel their membership, the cancellation will take effect at the end of the current billing cycle (month). Membership benefits will remain active until the last day of the month in which the cancellation request is made.
2. No Partial Refunds
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Work Med Plus does not provide partial refunds for unused days within a billing cycle. For example, if a cancellation request is submitted on the 15th of the month, the individual will retain access to their membership benefits through the end of that month, but no refund will be issued for the remaining days.
3. 90-Day Stay Period
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Individual patients must fulfill the required 90-day stay period before cancellation requests can be processed. Membership fees during this period are non- refundable.
Arbitration Agreement
By enrolling in Work Med Plus’s Direct Primary Care services or making payment online:
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You agree that any dispute arising from these Terms of Service or the provision of healthcare services will be resolved exclusively through binding arbitration.
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Arbitration shall be conducted under the rules of the American Arbitration Association in Las Cruces, New Mexico.
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You acknowledge that you are waiving your right to sue in court or have a jury trial.
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Arbitration costs shall be shared equally by both parties unless otherwise determined by the arbitrator.
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The arbitrator’s decision shall be final and binding and accompanied by a written explanation detailing the prevailing party and any awards granted.
Class Action Waiver
By agreeing to these Terms of Service through enrollment or payment:
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You waive any right to bring or participate in a class action lawsuit against Work Med Inc., DBA Work Med Plus related to these Terms of Service or its provision of healthcare services.
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All claims must be brought on an individual basis through arbitration as outlined above.
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This waiver does not apply where prohibited by law or public policy (e.g., cases involving sexual assault or harassment).
Limitation of Liability
To the fullest extent permitted by law:
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Work Med Inc., DBA Work Med Plus shall not be liable for any indirect, incidental, special, consequential, or punitive damages arising out of this agreement or its provision of medical services.
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Our total liability shall not exceed the total amount paid by you in membership fees during the six months preceding your claim.
Force Majeure
Work Med Inc., DBA Work Med Plus shall not be held responsible for any delay or failure in performance resulting from events beyond its reasonable control including but not limited to acts of God, natural disasters, pandemics, government orders, labor
strikes, or power outages.
Governing Law
These Terms shall be governed by New Mexico law without regard to conflict-of-law
principles.
Acknowledgment Upon Purchase
By making a purchase online through our checkout page:
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You confirm that you have read these Terms & Conditions.
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You understand that completing your purchase constitutes legal acceptance of these Terms & Conditions.
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If you do not agree with these Terms & Conditions, you must not proceed with payment.
Contact Information
Work Med Inc., DBA Work Med Plus
2525 S Telshor Blvd Suite 16-104
Las Cruces, NM 88011
Phone: 1-575-521-1919
By making a payment, enrolling, signing below (if applicable), clicking a checkmark during registration, or making a payment for services, you acknowledge that you have read and agree to these terms.