Terms and Conditions

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The agreement between you and Telemedica for the use of our website, portal, apps and services.

Effective November 3, 2026

The short version

  • Telemedica arranges medical evaluations and medical evidence for VA disability claims. Independent licensed clinicians perform the evaluations and decide, in their own professional judgement, what the evidence can say.

  • Telemedica is not part of the VA, does not file claims, does not give legal advice and does not promise any outcome.

  • You must be at least 18, give truthful information, keep your sign-in private and be physically in the provider's state during a telehealth appointment.

  • Fees, refunds, cancellations and the no-show policy are in the Payment Terms published below, which are part of these Terms. Texas law applies, and disputes go to the courts in Texas.

The short version is a guide. The sections below are the document.

1. The agreement

These Terms of Service ("Terms") are a binding agreement between you and Telemedica LLC ("Telemedica", "we", "us"). By creating an account, buying a service, signing in with VA.gov, or otherwise using telemedica.com, the Telemedica portal, the Telemedica mobile apps or any service offered through them (together, the "Services"), you accept these Terms. If you do not accept them, do not use the Services.

These Terms include our Privacy Policy, our Notice of Privacy Practices, the Payment Terms and fee schedule published below, and every consent you sign for a particular service (for example a telehealth consent or an informed consent for a mental health evaluation). If a signed consent and these Terms conflict about that service, the consent governs.

2. Who we are, and the independent providers

Telemedica is an administrative and technology company. It is not a medical practice and does not practise medicine, psychology or any other licensed profession. Every evaluation, diagnosis, medical opinion and document provided through the Services is made by an independent licensed clinician (a "Provider"), practising through the Provider's own professional entity, who uses our platform to meet you, review your records and deliver their work.

Providers exercise independent professional judgement. Telemedica does not direct, control or guarantee it, and Telemedica is not responsible for a Provider's professional acts or omissions. The fee you pay for an evaluation or a document is made up of the Provider's professional fee, which Telemedica collects and passes to the Provider's entity, and Telemedica's administrative fee, as the Payment Terms state.

Your relationship with a Provider is limited to the evaluation or review you ordered. It is not ongoing medical care, the Provider does not become your treating clinician, and nothing in the Services replaces your own doctor or emergency services.

3. Not the VA, not legal advice, no guaranteed outcome

Telemedica is a private company. It is not part of, affiliated with, endorsed by or sponsored by the U.S. Department of Veterans Affairs (VA) or any other government agency. Telemedica is not an accredited claims agent, attorney or Veterans Service Organization and does not prepare, present or prosecute VA claims.

We do not give legal advice and we do not tell you whether, when or how to file a claim. We do not promise that any document will be accepted by VA, that any claim will be granted, or that any rating will be awarded or increased. A Provider writes a document only when the Provider's honest medical opinion supports it; fees for reviews and evaluations pay for the Provider's time and are owed whether or not that opinion turns out to be favourable, as the Payment Terms state.

The information on our website, in our guides and in our FAQs is general information. It is not medical advice, legal advice or a substitute for either.

4. Eligibility and your account

  • You must be at least 18 years old and able to enter a binding contract.

  • The Services are offered to veterans and service members in the United States. A telehealth appointment is with a Provider licensed in the state you give us, and you must be physically in that state at the time of the appointment.

  • You may hold one account, in your own name, and everything you tell us must be true, complete and kept up to date. You may not open an account for another person without their written authority.

  • You are responsible for everything done through your account. Keep your password and passkeys private, switch on two-step sign-in when offered, and tell us at once if you suspect unauthorised use. We may suspend an account to protect it or others.

  • If someone else (for example a family member) helps you use the Services, you remain responsible for what they do in your account.

5. The Services and how they work

  • You choose a service and pay for it, or pay the initial fee the Payment Terms describe. We then ask you for the records and forms the service needs; a Provider does not begin until you have supplied them and confirmed they are complete.

  • Where the service includes an appointment, you book it in the portal with a Provider licensed in your state. Cancellation and no-show rules are in the Payment Terms.

  • The Provider reviews your records and, where applicable, meets you, then writes the document. Our quality team may review the Provider's work before it is released to you.

  • We deliver your documents in the portal. They are yours to use for your claim. You may not alter a signed document.

  • Turnaround times are estimates, not promises. A Provider may decline a case, or stop, for reasons of professional scope, conflict of interest, safety, or because the records do not support the document requested; if that happens we tell you, and any refund is as the Payment Terms state.

The Services are not for emergencies. If you are in crisis, call or text 988 and press 1 for the Veterans Crisis Line, or call 911.

6. Telehealth

An appointment is held by secure video, or by telephone where the Provider offers it. By booking one you consent to receive care by telehealth, and you understand that telehealth has limits: a Provider cannot examine you physically, technology can fail, and a Provider may decide that telehealth is not appropriate and end the appointment. The Provider will confirm your identity and your location at the start. We do not record appointments unless you are told beforehand and agree. Your state may give you further rights about telehealth, and those rights are not reduced by these Terms.

7. Connecting your VA.gov account

  • Connecting your VA.gov account is optional. If you connect it, you authorise Telemedica to retrieve from VA the categories of information you select on VA's consent screen, and to use them only as section 4 of our Privacy Policy describes.

  • You may disconnect at any time, in your portal account settings or at VA.gov. Disconnecting stops any further retrieval immediately.

  • You confirm that the VA.gov account you connect is your own. Connecting another person's account is a breach of these Terms and may be unlawful.

  • Your VA.gov, Login.gov and ID.me accounts are governed by their own terms. We are not responsible for VA's systems, their availability or the accuracy of what they hold, and we cannot change anything in your VA records.

8. Your information, records and documents

  • You own the records and information you give us. You grant Telemedica and your Providers a licence to store, copy, process and use them to provide the Services, to keep the records the law requires and to protect the Services.

  • You confirm that you have the right to share everything you upload, and that it is genuine and unaltered. Do not upload another person's records without their written authority.

  • We may decline to use a record that is unreadable, irrelevant to the service you ordered, or that we reasonably believe is not genuine.

  • The documents a Provider writes for you are yours to use for your claim and your care. The templates, methods, software and know-how used to produce them remain the property of Telemedica and the Providers.

9. Fees, payment and refunds

The Payment Terms and the fee schedule published below are part of these Terms and govern prices, what each fee covers, the initial fee, member rates, cancellations, missed appointments, disputes of an invoice and refunds. Prices are those shown at the time you buy; where a price on the site and the Payment Terms differ, the price shown at checkout applies. You are responsible for any taxes. If you believe a charge is wrong, contact us before disputing it with your card issuer, and we will put it right where we should.

10. Communications and electronic consent

  • You agree that we may give you notices, documents, receipts and consents electronically, in the portal or by email, and that your electronic signature in the portal has the same effect as a handwritten one. You may ask for a paper copy, and you may withdraw this consent by email, in which case some Services may no longer be available to you.

  • We may contact you by email, by notice in the portal and, where you opted in, by text message about your case. Message and data rates may apply; reply STOP to end texts. Marketing messages are sent only with your consent, as the Privacy Policy describes.

  • Keep your contact details current. A notice sent to the email address on your account is delivered when sent.

11. Acceptable use

You agree not to:

  • Pretend to be someone else, or use the Services for anyone but yourself without written authority.

  • Give false or misleading information, or ask a Provider to say anything the Provider does not believe to be true.

  • Upload malicious code, probe or interfere with the Services, access another person's account or records, or bypass any security measure.

  • Copy, scrape, resell, reverse engineer or build a competing service from the Services or their content.

  • Harass, threaten or abuse our staff or Providers.

  • Use the Services for anything unlawful, including to obtain a benefit you are not entitled to.

We may suspend or end your access for a breach, and we may report unlawful conduct.

12. Intellectual property

The Services, including their software, design, text, images, guides and trademarks, belong to Telemedica or its licensors and are protected by law. We grant you a limited, personal, non-transferable licence to use the Services for your own claim and care, under these Terms. If you send us feedback, we may use it without obligation to you.

13. Third-party services

The Services rely on third parties: Square and Afterpay for payment, Zoom for video, VA.gov with Login.gov and ID.me for the optional VA connection, email and text carriers, and the membership organisations whose member rates we honour. Their terms and policies apply to your use of them. We are not responsible for a third party's service, its availability or its acts.

14. Mobile apps

If you use a Telemedica app from an app store, the store's terms also apply. We grant you a licence to install and use the app on a device you own or control, for the Services. You may switch push notifications off in your device settings. Your carrier's data charges are yours.

15. Disclaimers

To the fullest extent the law allows, the Services are provided "as is" and "as available", without warranties of any kind, express or implied, including fitness for a particular purpose and non-infringement. We do not warrant that the Services will be uninterrupted, error-free or secure, that any document will achieve any result with VA, or that any information on our site is complete or current. A Provider's opinion is the Provider's own.

16. Limitation of liability

To the fullest extent the law allows, Telemedica, its owners, staff and agents are not liable for indirect, incidental, special, consequential or punitive damages, or for lost benefits, lost income or lost data, arising from the Services or these Terms, however caused. Our total liability for all claims arising from the Services in any twelve-month period is limited to the amount you paid us for the Services in that period. Nothing in these Terms limits or excludes any liability that cannot be limited or excluded by law, including a Provider's liability for professional negligence, which is a matter between you and that Provider.

17. Indemnity

You agree to indemnify and hold harmless Telemedica, its owners, staff and agents from claims, losses and reasonable costs, including legal fees, arising from your breach of these Terms, your violation of a law or of another person's rights, or information you supplied that was false or that you had no right to share.

18. Ending the agreement

  • You may close your account at any time from your portal account settings or by email. Closing it does not cancel a service already in progress or the fees owed for it, which the Payment Terms govern.

  • We may suspend or end your access if you breach these Terms, do not pay, or put the safety of people or the Services at risk, and we will tell you why unless the law prevents it. Services already paid for are completed or refunded as the Payment Terms state.

  • Sections that by their nature should survive (including 8, 9, 12 and 15 to 21) survive the end of this agreement. Your records are kept and deleted as the Privacy Policy describes.

19. Governing law and disputes

These Terms, and any dispute arising from them or from the Services, are governed by the laws of the State of Texas, without regard to its conflict-of-law rules. Before starting a legal proceeding, you agree to contact us and give us 30 days to resolve the dispute informally. Any legal action between you and Telemedica shall be brought exclusively in a state or federal court of competent jurisdiction in Texas, and you consent to the personal jurisdiction of those courts. A claim against a Provider is governed by the law that applies to that Provider.

20. Changes to these Terms

We may change these Terms. The new version is posted here with a new effective date, and for a material change we will also notify you by email or in the portal before it takes effect. Your continued use of the Services after the effective date is acceptance of the new Terms; if you do not accept them, stop using the Services and close your account.

21. General

  • These Terms, with the documents they incorporate, are the entire agreement between you and Telemedica about the Services and replace any earlier agreement.

  • If a part of these Terms is found unenforceable, the rest remains in force.

  • You may not assign these Terms. We may assign them to a successor to our business, with notice to you.

  • Our not enforcing a term is not a waiver of it.

  • We are not responsible for a failure or delay caused by events beyond our reasonable control.

  • Notices to us go to the contact details in section 22. The English-language version of these Terms governs.

22. Contact

  • Email: customerservice@telemedica.com

  • Help desk: https://help.telemedica.com/

23. Payment Terms and fee schedule

The Payment Terms and the fee schedule are published on this page, below these Terms, at https://telemedica.com/terms-and-conditions#payment-terms, and are part of these Terms.

Payment Terms

Last Updated 1/8/2025

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@telemedica.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. DBQ† - $699
  2. Medical Record Review - $199
  3. Mental Health Evaluation - $849
  4. Mental Health Rebuttal Determination - $275
  5. Mental Health Reevaluation - $200
  6. Nexus Letter† - $849
  7. Physical Rebuttal Determination - $275
  8. Priority (2 Business Day Delivery) DBQ† - $824
  9. Priority (2 Business Day Delivery) Nexus Letter† - $974
*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 Evaluations, Telemedicine Evaluations, and Medical Nexus Eligibility Reviews, there is a $125 non-refundable Technology & Access 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.

† Chart review must be completed prior to service.

‡ In some cases, a targeted chart review must be completed before confirmation that this document is possible with a cost of $50. For complicated rebuttal letters, there may be an additional $25 charge.

** Includes a Medical Nexus Letter and a Medical DBQ for the same condition. Cannot be combined with any other discount.

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
*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 Evaluations, Telemedicine Evaluations, and Medical Nexus Eligibility Reviews, there is a $125 non-refundable Technology & Access 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.

† Chart review must be completed prior to service.

‡ In some cases, a targeted chart review must be completed before confirmation that this document is possible with a cost of $50. For complicated rebuttal letters, there may be a additional $25 charge.

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@telemedica.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.telemedica.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.telemedica.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.