This Agreement sets forth the terms of your membership in the weight care program (“Program”) by Pondus, Inc and Pondus Medical (FL) LLC (“Practice” or “Professional Entities”) (collectively, “Cora Health”). The Program is designed to provide you (referred to as  “Member”) with direct personalized treatment for weight care  in exchange for fees paid by you on the terms and conditions described below.

1.Program Services: 

a) In exchange for the Monthly Membership Fee, as that term is defined herein, the Practice agrees to provide the following services: initial evaluation, ongoing management of your care, medication prescribing when appropriate, access to the Practice medical team when necessary in connection with ongoing care, access to the Cora Health platform, when it becomes available, and synchronous and asynchronous health coaching  (collectively, the “Services”). The scope of all Services is strictly limited to treatment for Weight care.

b) Practice will make every effort to address your medical needs in a timely manner, but we cannot guarantee availability. Generally, Practice will respond within twenty-four (24) hours to communications that are received on a business day, and forty-eight (48) hours for other communications.

2. No Emergency Care:

Certain Services and Items Excluded: If you have an emergency you must dial 911. Practice does not treat emergencies. Practice exclusively provides treatment for Weight care, therefore, no other healthcare services are contemplated or covered by this Agreement. 

3. Cancellation & Refund Policy:

Only if you are enrolled in a Weight Care plan for 6 months, you may cancel your plan and you may be eligible for a refund. Other plans can not be cancelled after booking.

For Weight Care 6-month plans:

You can get a full refund if you decide that Cora’s program is not what you expected and you cancel within the first 30 days, before receiving any medication.

You may also cancel your plan later. Your refund will depend on when you cancel your plan. For example, if you have signed up for 6 months and you cancel before the 6 months are completed, you will only be charged for the months that your plan was active (charged at the month-to-month price) and you will get a refund for the difference between that amount and what you paid in total.

The specific guidelines for cancellations and some more examples are outlined in our Patient Agreement. If you are unsure of the decision to cancel or would like to know how much your refund would be, email us at support@joincorahealth.com

4. Transfers of Membership:

Membership may not be transferred.

5. Fees:

a) Membership Fee. In exchange for the Services described above, you agree to pay Cora Health a Membership Fee (“Membership Fee”) as stated during initial sign up per month for the duration of your membership. The Membership Fee is due in advance for each month you participate in the Program, and is due monthly on the anniversary of your intake appointment (the “Payment Date”). Once paid, your Membership Fee is non-refundable, except as outlined in this document below.

b) Fee Changes. Cora Health has the right to change the Monthly Membership Fee upon providing 90 days’ written notice to you before fee changes are enacted. 

c) Valid Payment: You are required to keep a valid form of payment on file with Practice or its vendor at all times. If the form of payment provided expires or otherwise becomes invalid, you agree to promptly provide Cora Health with updated payment information. You further agree to pay for any costs associated with invalid payments or payment information, including but not limited to insufficient funds or chargeback fees.  

d) Re-Enrollment. If you choose to discontinue your membership and you later wish to re-enroll, you may do so at any time. 

5. Buyer’s Obligations:

Buyer is engaging in a written contract with Cora Health for the duration of the membership program the Buyer selected upon sign up. Buyer shall not be relieved of Buyer’s obligations to make payments agreed to, and no deduction from any payments shall be made because of Member’s failure to take their medication, receive testing, or in any other way not use the Cora Health platform or associated services. Buyer’s obligations shall be relieved without penalty only if

• (i) Buyer experiences medical complications or adverse reaction to weight loss medication, if and only if the Buyer provided all medical information requested by the Practice before the beginning of their first visit with a medical professional contracted by or working for the Practice.

• (iii) Buyer decides to cancel the membership within 30 days from their membership subscription purchase date. NOTE: Only the cost of the membership may be refunded. Cora Health reserves the right to charge for the cost of the medications and any shipping, tax and logistics costs associated with the medication. 

6. Early Termination Fee:

If the Buyer cancels this agreement before the end of the membership term purchased, Buyer is responsible for an early termination fee equal to the prevailing monthly retail price of the membership that Buyer chose. This fee includes the program free and the medication(s) costs and related fees for medications prescribed during the program.  

5. Unpaid Balances:

Members will not receive medication, testing, or other associated Cora Health’s Weight Care services if they have unpaid balances.

6. No Insurance Accepted; Self-Payment Only.

You acknowledge and understand that this Agreement is not health insurance or a health plan.  The fees paid under this Agreement are not insurance premium.  This Agreement is not a substitute for health insurance or other health plan coverage, and it does not meet any individual health plan mandates. This Agreement is not subject to regulation as health insurance or a health plan, and no protections are available to you with respect to this Agreement under state insurance law. This Agreement is solely for obesity treatment provided directly to you by Practice. This Agreement does not cover regular primary care, hospital, specialist, or any other services not directly provided by Practice. Some health insurance plans may offer specific care with no charge to you that is similar to some of the Services offered by Practice. You should maintain health insurance or health plan coverage for such care. 

You acknowledge that neither Practice, nor its physicians and other providers participate in any public or private health insurance, HMO or similar plans, including Medicare and Medicaid. Neither Practice nor its physicians make any representations regarding third party insurance reimbursement of Fees paid under this Agreement, and such reimbursement is not anticipated by this Agreement. Practice will not bill any health insurance or health plan for Services.

You are solely responsible for payment of all fees for Practice’s Services. If you do have health insurance, your insurance policy is a contract between you and your insurance company. It is your responsibility to know your benefits, and how they will apply to your benefit payments. Practice takes no responsibility to understand or be bound by the terms and conditions of such insurance. There is no guarantee your insurance company will make any payment on the cost of the services you have purchased. 

7. Term:

Cora Health may, in its sole discretion, not accept this Agreement and return your payment to you. If Cora Health accepts the Agreement, it will so notify you, and the initial term of this Agreement will begin on the date Cora Health receives your Membership Fee payment and last for the length of the Membership Term you selected (“Initial Term”). After the Initial Term, this Agreement will automatically renew for successive Membership Terms of identical length (each, a “Renewal Term”), unless this Agreement is terminated as provided below. 

8. Practice Services and Labs:

I agree to receive laboratory testing (the “Test(s)”) upon request from the Practice from either Quest Diagnostics Clinical Laboratories Inc., Laboratory Corporation of America Holdings, or other labs that have the appropriate labs requested by the clinicians. I understand that the sole purpose of this examination and test is to evaluate my health status. I acknowledge that I am requesting review of a request for weight loss medications by independent physician partners. I understand and acknowledge that licensed providers of independent physician partners may decide to prescribe or not prescribe the medication at their sole discretion. I agree to receive prescriptions upon request from the Practice from one of Pondus, Inc d/b/a Cora Health (“Cora Health”)  pharmacy partners (the “Pharmacie(s)”).  I acknowledge that neither the Practice nor Cora Health are responsible or legally liable in any way for any issues related to the medication prescribed by the Pharmacies or from any process, operations, quality or any other issues related to the compounding, storage, picking, packing or any other activity performed by the Pharmacies. If the member needs to contact the Pharmacies, they can do as by contacting:

Honeybee Health 

3515 Helms Ave. 

Culver City, CA 90232

833-466-3979

Strive Compounding Pharmacy

3906 E Cragmont Drive

Tampa, Florida 33619

(813) 644-7700

I understand and acknowledge Cora Health is a software platform and is not a provider of medical services. I understand that in order to receive the Test or Prescription, I may be asked to complete a questionnaire and a physician or other authorized health care provider, such as independent physician partners, (the “Provider”) may evaluate my eligibility to receive the Test and/or Prescription. 

I understand that Pondus, Inc d/b/a Cora Health (“Cora Health”) will support the Laboratory and the Provider with non-medical services such as software and administrative services, but Pondus, Inc is not a clinical provider and will not provide health care or treatment to me. I understand that Cora Health will have no liability for the results of my Test or in regard to any information that is obtained during the testing. I irrevocably release, waive and forever discharge any and all claims and causes of action of whatever kind or character that I may have had, may now have, or would later be able to assert (at law, in equity or otherwise) against Cora Health for the results of my Test, or the subsequent reaction to such results.

I acknowledge and agree that:

• I am the individual who will provide the sample for the Test(s) that I am requesting or I am the parent or legal guardian of a minor who is providing the sample for testing.

• I am at least eighteen (18) years of age

• I have read and understand the information provided about the Test(s) and Prescription(s) that I have been provided.

• I am responsible for checking my email for results notification and logging on to my account to view my results when available.

• At the time of the Test, I will be physically present in the state of residence I provided. I am responsible for forwarding any results to my primary care or other personal physician (or, if I am the parent or legal guardian of a minor who is providing the sample for testing, the minor’s pediatrician) and for initiating follow up with such physician for care, diagnosis or medical treatment.

• I will not make medical decisions without consulting a healthcare provider or disregard medical advice from my healthcare provider or delay seeking such advice based on information as a result of the Test.

• My test results will be forwarded to my state, local and/or federal health agency in accordance with applicable law.

• I consent to receipt of the Test and post-testing medical evaluation by independent physician partners as set forth above.

• I understand that my insurance will be billed by the lab. 

• I acknowledge that it is my responsibility to understand my individual insurance plan details, to check if my insurance is in network or a preferred insurance of the lab of my choosing. 

• I understand I can contact Cora Health at any time to change the lab. 

• I understand that by using my insurance I may owe the lab a copay and am responsible for paying any deductible. 

• I understand that if I do not want to use my insurance, I will change to out of pocket

• I understand that if I have any questions before or after my Test, I can email support@joincorahealth.com.

I acknowledge that Cora Health is not responsible for the 

10.Payment for Services by Practice.

In connection with your enrollment with Cora Health, you acknowledge and agree that the Professional Entities may submit claims on your behalf for the Services to the extent such Professional Entities are participating providers with, any federal or state healthcare programs (i.e., Medicare, Medicaid) or any third party commercial payor (collectively, “Payor Reimbursement”). The Professional Entities may elect to accept as payment in full any and all Payment Reimbursement from any federal or state healthcare program or any third party commercial payor for the Services.

By agreeing to use the Services, you acknowledge and agree that: (1) to the extent the Services are a covered service under any applicable federal or state healthcare programs or any third party commercial payor, you hereby authorize Cora Health and the Professional Entities to submit claims on your behalf to Payor Reimbursement; (2) to the extent the Services are a covered service under any applicable federal or state healthcare programs or any third party commercial payor, you hereby authorize Cora Health and the 3 Professional Entities to release any and all medical and other information to process any claims for Payor Reimbursement and assign or otherwise authorize payment directly to Cora Health and/or the Professional Entities for Payor Reimbursement with respect to the Services; (3) to the extent Payor Reimbursement does not fully reimburse Cora Health and the Professional Entities for the cost of the Services, you authorize and agree that Cora Health may charge your Payment Method (as herein defined) for amounts not otherwise covered under Payor Reimbursement; or (4) to the extent you are choosing not use a federal and/or state healthcare program or third party commercial payor for Services, you are explicitly choosing to obtain products and services on a cash basis outside of such programs and you have sole financial responsibility for all Services provided to you. SUBMISSION OF CLAIMS DOES NOT WAIVE OUR RIGHT TO SEEK PAYMENT DIRECTLY FROM YOU.

Subject to any ability to refund as hereinafter set forth, you agree that you will be charged for the Services, by providing a credit card or other payment method accepted by Cora Health (“Payment Method”), and you are expressly agreeing that Cora Health is authorized to charge to the Payment Method any fees for Services, together with any applicable taxes, to the extent, if applicable not covered by Payor Reimbursement.

You agree that authorizations to charge your Payment Method remain in effect until you cancel it in writing, and you agree to notify Cora Health of any changes to your Payment Method. You certify that you are an authorized user of the Payment Method and will not dispute charges for the Services. You acknowledge that the origination of ACH transactions to your account must comply with applicable provisions of U.S. law. In the case of an ACH transaction rejected for insufficient funds, Cora Health may at its discretion attempt to process the charge again at any time within 30 days.

By checking the Box for this "Weight Care Membership Agreement" form I hereby state that I have read, understood, and agree to the terms of this document.