Plan A — Essential Care
Orlando: 12301 Lake Underhill Rd, Suite 215, Orlando, FL 32828 | (321) 800-9245
Deland: 450 N McDonald Ave, Deland, FL 32724 | (386) 777-0940 | bodylogic.health

2. Plan Summary & Services Included

Plan Feature	What's Included	Member Responsibility
Monthly Premium	N/A	$99 per enrolled member
Total Included Visits	12 visits per contract year, counted from the Contract Start Date.	Fully covered
Additional In-Person Visits (beyond the 12 included)	Available upon request	$65 per visit
Additional Virtual Visits (beyond the 12 included)	Available upon request	$35 per visit
In-Clinic Diagnostic Testing	Available upon request	30% off standard rates
Care Coordination	Included	No additional charge
Service Area	Orlando and Deland service areas	N/A

Covered services are provided within Body Logic Wellness Center's service areas serving Orlando and Deland. Services are rendered by licensed Body Logic Wellness Center providers. This agreement does not constitute insurance and does not cover hospitalization, specialist referrals, imaging, laboratory services, or emergency care.
The twelve (12) included visits are counted from the member's Contract Start Date. Included visits that are not used by the end of the contract year expire and do not roll over to any renewal term or to any other period.

Orlando: 12301 Lake Underhill Rd, Suite 215, Orlando, FL 32828 | (321) 800-9245
Deland: 450 N McDonald Ave, Deland, FL 32724 | (386) 777-0940

The monthly membership fee for Plan A — Essential Care is $99.00 per enrolled member, due on the 1st of each month. Body Logic Wellness Center will collect payment via the method selected below.

• Additional virtual visit beyond the 12 included per year: $35
• Additional in-person visit beyond the 12 included per year: $65
• Additional fees due at time of service or charged to the payment method on file for no-shows.
• No show appointments are counted as a visit.
• No surprise billing — costs disclosed in advance

Late payments not received within 10 days of the due date may result in a temporary suspension of services. Accounts more than 30 days past due may result in membership termination at Body Logic Wellness Center's discretion. Body Logic Wellness Center will provide written notice before any suspension or termination.

This agreement begins on the Contract Start Date listed above and remains in effect for a period of twelve (12) months unless terminated earlier in accordance with this section.

This agreement will automatically renew for successive one-year terms unless either party provides written notice of non-renewal at least 30 days prior to the end of the current term.

The member may cancel this agreement at any time by providing written notice to Body Logic Wellness Center. Cancellations take effect at the end of the current billing month. No refunds will be issued for partial months unless cancellation is due to member relocation outside the Body Logic Wellness Center service area or a documented medical circumstance. A $50 early termination fee will apply if cancellation occurs within the first 90 days of the initial contract term.

Body Logic Wellness Center reserves the right to terminate this agreement with 30 days' written notice for non-payment, conduct that is disruptive to staff or other patients, or circumstances beyond Body Logic Wellness Center's reasonable control. Termination for cause (e.g., fraud or misrepresentation) may be immediate.

Body Logic Wellness Center's direct care membership is designed to provide accessible, relationship-based primary care. This agreement does not include, and Body Logic Wellness Center is not responsible for:

• Emergency medical services or hospital care
• Specialist consultations or referrals (Body Logic Wellness Center may facilitate referrals but does not cover their cost)
• Prescription medications (not covered; members are responsible for medication costs)

Body Logic Wellness Center | Confidential | Plan A Essential Care Agreement

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• Diagnostic imaging and laboratory testing performed outside Body Logic Wellness Center clinic (in-clinic diagnostic testing is available at 30% off standard rates)
• Mental health or behavioral health services beyond brief screening
• Dental, vision, or hearing services

Members are encouraged to maintain a separate emergency or catastrophic insurance policy. Body Logic Wellness Center is not a substitute for comprehensive health insurance.

• Provide accurate and up-to-date personal and health information at enrollment and upon any material change
• Schedule appointments in advance; same-day availability is not guaranteed
• Provide at least 24 hours' notice for appointment cancellations or rescheduling
• Missed Appointments (No-Shows): If a member does not attend a scheduled appointment and does not cancel or reschedule with at least 24 hours' notice, the appointment will be treated as a no show. A no-show counts as one of the members' twelve (12) included visits for the contract year.
• Treat all Body Logic Wellness Center staff with respect; abusive or threatening behavior will result in immediate termination of this agreement
• Pay all fees in a timely manner as outlined in Section 3

Body Logic Wellness Center will maintain the confidentiality of all protected health information (PHI) in accordance with the Health Insurance Portability and Accountability Act (HIPAA) and applicable Florida law. By signing this agreement, the member authorizes Body Logic Wellness Center to collect, store, and use health information for the purposes of providing care under this agreement.

Members may request access to their medical records at any time. A HIPAA Authorization form may be required for release of records to third parties.

Body Logic Wellness Center and its providers will deliver care in accordance with accepted standards of medical practice. Nothing in this agreement limits any rights the member may have under applicable law with respect to medical malpractice. Body Logic Wellness Center's financial liability under this agreement is limited to a refund of prepaid membership fees for services not yet rendered.

This agreement shall be governed by the laws of the State of Florida. Any disputes arising under this agreement shall first be submitted to good-faith mediation. If mediation fails to resolve the dispute, the parties agree to binding arbitration in Orange County, Florida, in accordance with the rules of the American Arbitration Association.

Body Logic Wellness Center reserves the right to amend the terms of this agreement, including plan features and pricing, upon 30 days' written notice to the member. Continued enrollment after the effective date of any amendment constitutes acceptance of the revised terms. Members who do not agree to an amendment may cancel without penalty within the 30-day notice period.

By signing below, the member acknowledges that they have read, understand, and agree to the terms and conditions of this Direct Care Membership Agreement for Plan A — Essential Care with Body Logic Wellness Center.

Body Logic Wellness Center | Orlando & Deland | bodylogic health
Questions? Contact our Patient Services team before signing.