PeopleOne Health
Member Participation Agreement
Service Relationship and Scope
Member Agreement for participation in Direct Primary Care Services
By executing this Agreement, Member enters into a direct primary care services relationship with PeopleOne Health, Inc. and its affiliated entities, including PeopleOne Health Florida, LLC and PeopleOne Health Medical Group, PA (collectively, "PeopleOne Health"). Member also authorizes PeopleOne Health to coordinate care through its network of independent Care Partners, which are separate healthcare providers that PeopleOne Health may contract with to deliver additional services outside of direct primary care ("Care Partners").
Establishment of Patient Relationship
Patient-Provider Relationship Formation
By completing enrollment in PeopleOne Health's services, Member establishes a direct patient-provider relationship with PeopleOne Health, Inc. and its affiliated clinical entities, including PeopleOne Health Medical Group, PA, and their respective clinicians, physicians, and healthcare providers (collectively, "PeopleOne Health Clinicians"). This patient-provider relationship is established upon completion of the enrollment process and does not require an initial appointment or in-person visit.
Consent to Treatment and Care Delivery
Member hereby consents to receive healthcare services from PeopleOne Health Clinicians and authorizes PeopleOne Health Clinicians to provide direct primary care services, telehealth services, care coordination, and other healthcare services as defined in this Agreement. Member acknowledges that PeopleOne Health Clinicians may initiate contact with Member for healthcare purposes immediately upon enrollment completion, including but not limited to health assessments, care planning, medication management, and preventive care outreach.
Clinical Documentation and Decision-Making Authority
Member acknowledges that PeopleOne Health Clinicians have full authority to make clinical decisions regarding Member's care within the scope of services provided under this Agreement. Member consents to the creation and maintenance of medical records by PeopleOne Health and agrees that such records may be maintained in electronic format and shared among PeopleOne Health Clinicians and authorized Care Partners as necessary for treatment purposes.
Supplemental Clinical Consents
While this Agreement establishes the foundational patient-provider relationship and general consent to treatment, Member acknowledges that additional specific clinical consents may be obtained as part of the care delivery process, including but not limited to informed consent for specific procedures, treatments, or interventions. Such supplemental consents will be obtained in accordance with applicable medical standards and legal requirements but shall not be prerequisites to the establishment of the patient-provider relationship or the provision of routine direct primary care services.
Service Scope and Limitations
PeopleOne Health provides direct primary care services as defined in applicable state statutes, including but not limited to: routine primary care consultations, basic diagnostic services, care coordination, health coaching, and wellness programs as detailed in PeopleOne Health's standard services agreement available at [website]. Services are delivered through PeopleOne Health clinics and via telehealth platforms accessible nationwide.
Care Partner Services Disclaimer
Member acknowledges that certain services may be provided by independent Care Partners under separate contract with PeopleOne Health. Care Partners are independent healthcare providers, separate from PeopleOne Health entities, who may provide additional services outside of direct primary care. PeopleOne Health acts as a coordinator and facilitator of these services but does not assume liability for the independent medical judgments, acts, or omissions of Care Partners. Each Care Partner maintains independent responsibility for their professional services and carries appropriate professional liability coverage.
Insurance and Coverage Disclaimer
This Agreement does not provide comprehensive health insurance coverage nor is it a contract of insurance. Services do not represent minimum essential coverage under the Affordable Care Act. Member remains responsible for maintaining appropriate health insurance coverage for services not included in this Agreement.
Payment Structure and Authorization
Flexible Payment Arrangements
PeopleOne Health offers flexible payment structures to accommodate both employer-sponsored and individual direct membership arrangements:
a) Employer/Association Payment: For employer-sponsored members, fees are paid directly by the sponsoring employer or association according to separate agreements between PeopleOne Health and such entities.
b) Individual Direct Payment: For individual members, fees are paid directly by Member according to the payment terms specified in Member's enrollment materials.
c) Combination Arrangements: PeopleOne Health may, in its discretion, establish combination payment arrangements where costs are shared between employers and individual members.
Credit Card Payment Authorization (Individual Members)
For Member-paid services, Member authorizes PeopleOne Health to charge the credit card or bank account provided during enrollment for all applicable fees. Member represents that they are authorized to use the designated payment method and agrees to maintain current payment information.
Billing Cycles and Payment Terms
Initial Payment: Member authorizes a 60-day upfront payment upon enrollment
Ongoing Billing: Following the initial period, Member will be billed on 30-day cycles
Automatic Renewal: Payment authorization continues until terminated according to this Agreement
Payment Processing: All payments are processed through PCI DSS-compliant payment processors
Variable Pricing and Revision Rights
PeopleOne Health reserves the right to establish variable pricing for different membership arrangements, employer groups, and service levels. PeopleOne Health may revise pricing with 30 days' written notice to affected Members. Pricing changes will not affect prepaid periods.
Credit Card Payment Failures and Account Management
Declined Payment Notification: If a scheduled payment is declined, PeopleOne Health will notify Member via email and/or phone within 2 business days using the contact information on file. Member is responsible for maintaining current contact information.
Grace Period and Retry Attempts: Member will have a 30-day grace period from the date of notification to resolve payment issues. PeopleOne Health may, at its discretion, attempt to process the declined payment up to 4 additional times during this grace period.
During any grace period or account suspension, PeopleOne Health will continue to provide:
Emergency and urgent care services as medically necessary
Prescription refills for ongoing chronic conditions for up to 30 days
Completion of active treatment episodes already in progress
Care coordination for referrals and ongoing specialist care
PeopleOne Health reserves the right to limit non-urgent services during this period.
Account Suspension: If payment issues are not resolved within the 30-day grace period, Member's account will be suspended, and access to services will be temporarily discontinued. Member will be notified of account suspension via email and certified mail.
Reinstatement Requirements: To reinstate services after suspension, Member must: (1) resolve all outstanding payment issues; (2) pay any applicable late fees or administrative charges; and (3) provide updated payment information if necessary. PeopleOne Health may require immediate payment of current month's fees upon reinstatement.
Termination for Non-Payment: If payment issues remain unresolved for 30 days after account suspension, PeopleOne Health may terminate this Agreement immediately without additional notice. Member will remain responsible for all unpaid fees and any collection costs. During this final notice period, PeopleOne Health will continue to provide emergency care and assist with care transition to ensure continuity of care.
Updated Payment Method Requirements: Member agrees to promptly update payment information when credit cards expire, are cancelled, or when banking information changes. Failure to maintain current payment information may result in service interruption.
Member Enrollment and Dependent Authority
Primary Member Enrollment Authority
Member has the authority to enroll themselves and eligible household members/dependents under this Agreement, subject to the dependent definitions below.
Dependent Definitions
For Employer-Sponsored Members: Dependents are defined according to the sponsoring employer's benefit plan definitions and may include spouses, domestic partners, children, and other eligible family members as specified in the employer's agreement with PeopleOne Health.
For Individual Direct Members: Dependents include:
Legal spouse or domestic partner
Biological, adopted, or step-children up to age 18 (or up to age 26 if enrolled in full-time education)
Other dependents as specifically approved by PeopleOne Health
Enrollment Representations
By enrolling dependents, Member represents that:
They have legal authority to make healthcare decisions for enrolled dependents
All enrollment information provided is accurate and complete
They will promptly notify PeopleOne Health of changes in dependent eligibility
Communication and Contact Provisions
Contact Information Collection and Use
Member consents to PeopleOne Health's collection and use of personally identifiable information, including but not limited to: name, address, phone numbers, email addresses, emergency contacts, and demographic information necessary for service delivery and account management.
Service Communications Authorization
Member authorizes PeopleOne Health to communicate regarding:
Appointment scheduling and reminders
Treatment-related communications and care coordination
Account and billing information
Health and wellness program updates directly related to Member's care
Automated and AI-Powered Communications Consent
Member consents to receive communications from PeopleOne Health and its authorized service providers using automated telephone dialing systems, artificial intelligence (AI) voice technology, AI-generated text messages, short message service (SMS) text messages, and/or prerecorded messages at any telephone number provided by Member. Such automated communications may include: (a) healthcare operations communications, including appointment scheduling, appointment reminders, care coordination, treatment-related outreach, and health program communications related to Member's care; and (b) marketing and promotional communications, including information about additional services, membership upgrades, health and wellness programs, wellness resources, promotional offers, special programs, satisfaction surveys and feedback requests, referral programs, testimonial and review requests, member milestone celebrations, and other marketing communications from PeopleOne Health. Member understands that these calls and text messages may be placed or sent by third-party service providers acting on PeopleOne Health's behalf, and that such third parties may use AI voice technology and AI-generated messaging for both healthcare operations and marketing purposes. This consent to receive automated communications is not a condition of enrollment or receiving services from PeopleOne Health. Member may opt out of marketing communications at any time by updating communication preferences through the Member portal, contacting PeopleOne Health at compliance@peopleonehealth.com, or calling 1-888-330-6891 x5. Member may separately opt out of healthcare operations communications through the same channels; however, Member acknowledges that opting out of healthcare operations communications may result in fewer appointment reminders, care coordination contacts, and treatment-related outreach. Opting out of either category of communications will not affect Member's ability to receive services from PeopleOne Health.
HIPAA Marketing Authorization and Communication Disclosures
Member hereby authorizes PeopleOne Health to use Member's Protected Health Information (PHI) for marketing communications regarding health-related products, services, programs, wellness offerings, membership options, care services, and other healthcare-related offerings provided by PeopleOne Health or its affiliates. This authorization extends to all current and future health-related services, wellness programs, membership upgrades, care coordination services, preventive care programs, and any other healthcare or wellness offerings that PeopleOne Health may provide or develop. This authorization remains valid indefinitely unless specifically revoked by Member in writing delivered to PeopleOne Health at compliance@peopleonehealth.com.
Member further authorizes PeopleOne Health to disclose limited PHI to third-party business associates, marketing platforms, communication vendors, and other authorized service providers for the purpose of marketing health-related products and services offered by PeopleOne Health. Such third-party business associates are bound by appropriate business associate agreements and confidentiality provisions as required by HIPAA.
Member acknowledges that automated telephone calls and text messages from PeopleOne Health will identify PeopleOne Health, Inc. or its authorized service providers as the sender or calling party. Member understands that the frequency of communications from PeopleOne Health and its service providers will vary based on Member's individual healthcare needs, care coordination requirements, enrollment status, account activity, PeopleOne Health's operational necessities, marketing campaigns, and other business activities. PeopleOne Health reserves the right to determine appropriate communication frequency in its sole discretion based on these factors.
Member acknowledges that standard message and data rates may apply to text messages and other mobile communications, and Member is solely responsible for any charges imposed by Member's wireless carrier or mobile service provider in connection with receiving communications from PeopleOne Health or its authorized service providers.
Member may modify communication preferences at any time by emailing compliance@peopleonehealth.com or through the Member portal. When Member opts out of a category of automated calls or text messages through any reasonable means, including by updating preferences in the Member portal, replying "STOP" or similar language to a text message, emailing compliance@peopleonehealth.com, or calling 1-888-330-6891 x5, PeopleOne Health will treat such request as a revocation of consent to receive automated calls or text messages in that category and will honor the request within ten (10) business days. Revocation of consent for automated calls or text messages does not revoke Member's separate HIPAA marketing authorization set forth above, which must be revoked in a separate written notice delivered to PeopleOne Health at compliance@peopleonehealth.com.
Marketing and Outreach Communications
Member authorizes PeopleOne Health to contact Member regarding:
Additional services and membership upgrades
Health and wellness programs and resources
Educational materials and health information
Community events and member benefits
Satisfaction surveys and feedback requests
Testimonials, reviews, and member success stories
Referral program promotions and member milestone celebrations
Member may opt-out of marketing communications at any time by contacting PeopleOne Health at the information provided below.
Third-Party Vendor Information Sharing
Member authorizes PeopleOne Health to share necessary contact and account information with third-party vendors who provide services on PeopleOne Health's behalf, including but not limited to: payment processors, IT service providers, marketing platforms, and Care Partners. Member further authorizes such third-party vendors to contact Member directly on PeopleOne Health's behalf for marketing purposes, healthcare operations, appointment reminders, care coordination, promotional communications, and other outreach related to PeopleOne Health's services. All third-party vendors are bound by appropriate confidentiality and data protection agreements.
Termination and Refund Provisions
Member Termination Rights
Member may terminate this Agreement at any time and for any reason by providing 30 days' written notice to PeopleOne Health. Written notice may be provided via email to the address specified below or through Member's online portal.
Termination Effective Date
Regardless of when during a month the termination notice is provided, Member's coverage will terminate on the last day of the month in which the 30-day notice period expires. For example, if Member provides notice on January 15th, the 30-day notice period expires on February 14th, and coverage will terminate on February 28th (or 29th in leap years).
Re-enrollment Limitations
PeopleOne Health reserves the right to limit re-enrollment opportunities or modify pricing for members who re-enroll after voluntary termination. Members who terminate and subsequently seek to re-enroll may be subject to different pricing, waiting periods, or enrollment restrictions at PeopleOne Health's sole discretion. This provision is designed to ensure program integrity and fair access for all members.
Prepaid Fee Refunds
Since members pay one month in advance and termination is effective on the last day of the month following the 30-day notice period, no refunds will be provided for standard terminations as members receive services through their final paid month.
PeopleOne Health Termination Rights
PeopleOne Health may terminate this Agreement with 30 days' written notice for any reason, with termination effective on the last day of the month in which the notice period expires. PeopleOne Health may terminate immediately for cause including but not limited to: non-payment of fees, material breach of Agreement terms, or behavior that disrupts care delivery or endangers staff or other members. For immediate terminations due to cause, Member will receive a prorated refund of any prepaid fees for services not yet rendered, calculated from the effective termination date.
Member Obligations and Responsibilities
Active Participation in Care
Member agrees to actively participate in their healthcare by:
Disclosing all relevant health information to PeopleOne Health clinicians
Following agreed-upon treatment plans and recommendations
Informing PeopleOne Health of healthcare services received outside the network
Maintaining current contact and insurance information
Health and Safety Responsibilities
Member understands their responsibility to avoid exposing themselves or others to disease or danger and agrees to follow health and safety guidance provided by PeopleOne Health clinicians.
Complaint Process and Dispute Resolution
Internal Complaint Process
Member has the right to fair, fast, and objective review of complaints regarding clinicians, staff, wait times, operating hours, conduct, business practices, and adequacy of services. Member agrees to first bring complaints to PeopleOne Health staff and participate in the internal complaint and grievance process.
Contact Information for Complaints
Complaints may be submitted to:
Email: compliance@peopleonehealth.com
Phone: 1-888-330-6891 x5
Mail: PeopleOne Health, Inc., PO Box 123, Oakmont, Pennsylvania 15139
Protected Health Information and Privacy
HIPAA Authorization
Member acknowledges that PeopleOne Health is a HIPAA Covered Entity and authorizes the collection, use, and disclosure of Protected Health Information (PHI) as described in PeopleOne Health's Notice of Privacy Practices, which is incorporated by reference and available upon request.
PHI Use for Service Delivery
Member specifically authorizes use of PHI for:
Treatment coordination with Care Partners
Payment processing and billing activities
Healthcare operations and quality improvement
Communication regarding treatment alternatives and health-related services
STATUTORY DISCLOSURE REGARDING INSURANCE
This agreement is not health insurance and the health care provider will not file any claims against the patient's health insurance policy or plan for reimbursement of any health care services covered by the agreement. This agreement does not qualify as minimum essential coverage to satisfy the individual shared responsibility provision of the Patient Protection and Affordable Care Act, 26 U.S.C. s. 5000A. This agreement is not workers' compensation insurance and does not replace an employer's obligations under chapter 440.
Member Participation Agreement v1.0 | Effective: March 24, 2026