Pathways in Aging provides Aging Life Care Management and related services to support older adults and their families. In this agreement, Pathways in Aging may be referred to as "Pathways".

Services may include:

• Care assessments and care planning
• Care coordination and advocacy
• Communication with providers and family members
• Medical appointment accompaniment
• Resource recommendations and referrals
• Caregiver support and education
• Ongoing monitoring and crisis support

The services below and the attached Fee Schedule are part of this Agreement:

Addendum A – Fee Schedule

Client agrees to pay for services provided according to the current Fee Schedule attached as Addendum A.

Key billing policies:

• Services are billed hourly in 6 min increments unless otherwise noted
• Travel time and mileage related to client care are billable
• After-hours services are billed at a higher rate
• Invoices are sent monthly and are due upon receipt
• Unpaid balances over 30 days may incur late fees and interruption of services
• Appointments canceled with less than 24 hours notice may be billed

The person signing this Agreement accepts financial responsibility for services provided.

Pathways in Aging may update its Fee Schedule from time to time. Clients will receive at least 30 days written notice before any fee changes take effect.

Business hours are Monday–Friday, 8:30 AM–5:30 PM, excluding holidays.

Pathways in Aging does not provide 24-hour emergency services. Families should continue to use 911, emergency responders, physicians, and other emergency resources when needed.

Pathways in Aging may communicate by phone, email, text message, video conference, or secure electronic systems.

Pathways in Aging strives to protect client confidentiality. To provide services efficiently, Pathways in Aging uses secure electronic systems, including electronic records, email, text messaging, healthcare portals, fax and AI-supported documentation tools. While reasonable safeguards are used, electronic communication carries some privacy risk. By signing this Agreement, Client and Care Recipient authorize Pathways in Aging to communicate with healthcare providers, facilities, family members, and other professionals involved in care as appropriate.

Pathways in Aging may recommend or coordinate services with outside providers or community resources. Clients are responsible for choosing and paying those providers directly. While Pathways in Aging works to recommend quality providers, Pathways in Aging is not responsible for the actions or services of independent third parties.

If transportation is provided by Pathways in Aging staff, Client understands that travel involves ordinary risks. Pathways is not responsible for injuries or damages unless caused by Pathways’ negligence or intentional misconduct.

Either party may end this Agreement with 7 days written notice. Pathways may end services if:

• client needs exceed the scope of services provided,
• the environment is unsafe,
• bills remain unpaid,
• or services are no longer appropriate or needed.

Outstanding balances remain due upon termination.

Any disputes related to this Agreement will be resolved through binding arbitration rather than court proceedings. This Agreement is governed by the laws of the Commonwealth of Virginia. If any part of this Agreement is found invalid, the remainder will still apply. This Agreement replaces prior discussions or agreements.

By signing below, the parties confirm they have read and understand this Agreement and agree to its terms.

$69/month

Applies to all active clients.

$150/hour

Includes office, phone, or virtual initial consultation services.

$195/hour

(Billed in 6-minute increments)

Billable services may include:

• assessments and care planning,
• communication with providers and family members,
• care coordination,
• advocacy,
• documentation,
• research,
• travel time,
• and other professional services provided on behalf of the client.

Care Recipients are visited in person at least once a month to support ongoing care management and reduce the likelihood of crisis situations.

$80/hour

(Billed in 6-minute increments)

Provided based on availability and client needs.

$500 initial enrollment

Includes client onboarding and initial meeting. Routine quarterly or biannual virtual meetings and additional care management services are billed at the current Care Management rate.

$250/hour
(Billed in 15-minute increments)
Applies to services provided:

• evenings,
• weekends,
• holidays,
• or outside normal business hours
  (Monday-Friday, 8:30 AM-5:30 PM, excluding holidays)

A minimum of 15 minutes applies to after-hours services.

Mileage is billed at the current IRS standard business mileage rate.

• Invoices are issued monthly and are due upon receipt
• Accepted payment methods: check or credit card
• Balances unpaid after 30 days may incur a 1.5% monthly late fee
• Services may be paused for overdue accounts
• Appointments canceled with less than 24 hours notice may be billed
• Outstanding balances remain due upon termination of services

Pathways in Aging may update fees periodically with at least 30 days written notice to clients.