Pricing Policy

Pricing & Billing Policies for your Guardian Medical Direction Account

General Terms

Billing Frequency and Methods

Billing

Frequency and Method

Basic Identifiers

One-time fee; billed at sign-up

Account Subscription fees

Billed annually or monthly in advance

Good Faith Exam fees

Billed monthly in arrears

Practice/MSO Entity Structure fees

Per separate MSO Agreement

Professional services (training, licensing, credentialing) fees

Services are billed monthly in advance. Pass-through fees billed monthly in arrears

  • “Account” means an individual business location or state. For example, a clinical user licensed in 3 states would require 3 accounts.
  • “Standard Clinical User” means any mid-level licensed provider holding either an RN or licensed EMS designation who is an employee, customer, or has an employment, contractor, or agent relationship with a Customer, for which the Service organizes information and provides medical direction and other services.
  • “Advanced Clinical User” means a mid-level licensed provider holding either an NP or PA designation who is an employee, customer, or has an employment, contractor, or agent relationship with a Customer, for which the Service organizes information and provides medical direction and other services.
  • “Administrative User” means any non-licensed user requiring access to complete clinical administrative tasks with Guardian Medical Direction.
  • Adding or Removing Users. New (activated) Clinical Users will be charged on a pro-rata monthly basis, but removed (deactivated) Clinical Users are charged for the last full month in advance.
  • Medical Director or Collaborating Physician means a Physician who monitors and aids Standard and/or Advanced Clinical User by reviewing and approving therapeutic protocols, chart reviews and proving indirect patient care consultation to the clinic.
  • Fees: All fees charged by Guardian Medical Direction are described in the Pricing Policy page and are determined by the subscription level selected and specific provider characteristics (e.g., IV Hydration Only, Telemedicine, Elite Plan). All prices may change with 30 days’ electronic notice. You are responsible for keeping your email address updated with Guardian Medical Direction.

Billing & Other Terms

  • Account Changes: Guardian Medical Direction bills on rolling calendar month based on your account creation date (called the “billing date”). Account cancellations, terminations and other changes must be made ten (10) days prior to the billing date in order for the changes to be reflected on your next invoice.
  • No Refunds/Credits: All fees are nonrefundable and non-cancellable. Guardian Medical Direction does not refund or credit subscription fees for partial months, or any portion of a prepaid plan upon a deactivation of a Provider or account cancellation. Customer is responsible for all fees (including any monthly minimum) for the entire term of the applicable order or subscription agreement.
  • Must have at least one active licensed provider in the account for the account to remain active.
  • Guardian Medical Direction Platform: Pricing may include bundle pricing for Guardian Medical Direction Core, GuardianMD Connect, and/or GuardianEngage only. If one or more modules are canceled at any time, remaining modules revert to full price.
  • Reactivation Fee: Guardian Medical Direction reserves the right to assess a reactivation fee to Customers whose accounts are suspended based on late payments received more than fifteen (15) days following the payment due date.

Setup & Onboarding Fees

  • Initial one-time setup and onboarding fee is required per account.
  • Setup and onboarding fee may be waived for all plans where payment is made upfront annually.
  • Setup fee for all new Guardian Medical Direction subscription levels is $750.

Account Subscription Fees

Pursuant to the terms and conditions of the Guardian Medical Direction Terms of Service, the following fee schedule applies:

Plan Level

Plan Includes

Fees

Telemedicine Only Plan

  • Access to Guardian Medical Direction’s proprietary platform with one (1) Standard Clinical User and one (1) Advanced Clinical User included in monthly rate
  • Assignment of Medical Director (MD) or Physician Collaborator (PC) for oversight on any telemedicine platform only.
  • Signing of all initial forms, protocols, collaborative agreements, etc.
  • Consultative email correspondence with Medical Director or Physician Collaborator
  • 10% chart review (up to 100 patient visits per month) and calls (i.e. Medical Director calls that require a more immediate response time or additional chart review) included – Additional chart review / call credits may be purchased if needed (not common)
  • Services covered by this plan are:
    – Family & Urgent Care
    – Psychiatric & Behavioral Health

$500 per month per account PLUS:

  • $15/mo per additional Standard Clinical Users (EMT-P or RN license)
  • $500/mo per additional Advanced Clinical Users (NP or PA license)

IV Hydration Plan

  • Access to Guardian Medical Direction’s proprietary platform with one (1) Standard Clinical User and one (1) Advanced Clinical User included in monthly rate
  • Assignment of Medical Director
  • Signing of all initial pharmacy and IV hydration protocol forms
  • Consultative email correspondence with Medical Director
  • 3 chart reviews and/or calls (i.e. Medical Director calls that require a more immediate response
  • Time or additional chart review) included per month – Additional chart review / call credits may be purchased if needed (not common)
  • Services covered by this plan are:
    • IV Therapy & Vitamin injections
    • Oxygen Therapy

$675 per month per account PLUS:

  • $15/mo per additional Standard Clinical Users (EMT-P or RN license)
  • $500/mo per additional Advanced Clinical Users (NP or PA license)

Elite Plan

  • Access to Guardian Medical Direction’s proprietary platform with one (1) Standard Clinical User and one (1) Advanced Clinical User included in monthly rate
  • Assignment of Medical Director (MD) or Physician Collaborator (PC)
  • Practice Protocols, Policy and Procedure documents draft with one (1) revision
  • Signing of all initial forms, protocols, collaborative agreements, etc.
  • Consultative email correspondence with Medical Director or Physician Collaborator
  • 10% chart review (up to 120 patient visits per month) and calls (i.e. Medical Director calls that require a more immediate response time or additional chart review) included – Additional chart review / call credits may be purchased if needed (not common)
  • Services covered by this plan are:
    • IV Therapy & Vitamin injections
    • Oxygen Therapy
    • Botox and filler injections
    • Hormone Replacement Therapy
    • Micro needling
    • Body Contouring
    • Family & Urgent Care
    • Chemical Peels
    • -esthetician Services
    • Microdermabrasion
    • Acne Treatments
    • Laser Treatments
    • Weight Loss Injections
    • -sychiatric & Behavioral Health

$945 per month per account PLUS:

  • $15/mo per additional Standard Clinical Users (EMT-P or RN license)
  • $500/mo per additional Advanced Clinical Users (NP or PA license)

Email and Chat Support

All subscription levels include unlimited access to customer support by email and chat.

GuardianEngage Fees

  • GuardianEngage is an all-in-one system that acts as your sales & marketing team. Everything you need in one place so you can reduce your costs & increase your sales.
  • GuardianEngage may be included in a bundle pricing. Ask your Account Manager.
  • Current Standalone Pricing can be found at https://v2.guardianengage.com/pricing.

GuardianMD Connect – Good Faith Exam Fees

Pursuant to the terms and conditions of the GuardianMD Connect Agreement, the following fee schedule applies:

User Type

Definition

Per User Per Month

Clinic User

Platform user (i.e. Customer) without consultation permissions. Includes all other platform permissions.

$30
(One (1) license per location is included at no cost for Clients)

Patient User

An unlimited number of patient users is permitted at no cost

No fee

Customer will be invoiced monthly for the number of users active in the Platform at any time in the given month, whichever is greater.

Other Fees

Services

Definition

Fee

Good Faith Exams

Exams performed by Guardian providers for clearance of therapies for client clinics.

$39 per appointment

Exams are invoiced monthly for all appointments seen for the previous month with statuses of Successful, Patient did not attend, Dropped, and where patients cancel within 24 hours of appointment time.

Practice/MSO Entity Structure fees

The terms, conditions, and fees for this section shall be governed by and subject to the provisions set forth in the Managed Services Agreement (MSA).

Professional Service Fees

Professional Services Fees will be determined and quoted in advance of order. Professional services will be billed in advance for the service and any fees incurred will be billed in arrears on a monthly basis.

Fee Changes

  • For Customers with month-to-month agreements, all fees may be changed with sixty (60) days’ notice to the Customer.
  • For all current Customers, Guardian Medical Direction reserves the right to increase its prices by no greater than current US Healthcare Inflation Rate plus 4.0% at any one time, no more frequently than once per 12-month period, upon thirty (30) days’ notice to the Customer.
  • For all Customers, Guardian Medical Direction may increase fees to cover the cost of postage rate increases as well as regulatory, compliance, and other cost increases imposed by changes to applicable federal and state rules. Guardian Medical Direction will automatically apply the rate increase to all services impacted by the change with thirty (30) days’ notice to the Customer.

Last updated on June 21, 2023