1) Key Definitions
- You / Patient: the individual requesting concierge matching and booking coordination.
- Concierge Service: intake, benefits interpretation support, clinic matching, and booking coordination performed by BenefitsButler.
- Clinic Match: a single vetted clinic selected based on service type, location, availability, and fit.
- Supported Services: services we may match for, such as RMT, Physiotherapy, Chiropractic, Acupuncture, Naturopathic services, and Psychotherapy (availability varies).
- Benefits Information: any plan details you share (limits, caps, reset month, booklet screenshots, etc.).
- Insurer: your insurance provider or plan administrator responsible for adjudicating claims and reimbursement decisions.
- Clinic Policies: the matched clinic’s policies (including deposits, cancellations, no-show fees, and payment methods).
2) Pricing
There is currently no fee for patients to use BenefitsButler for concierge intake, matching, and booking coordination. BenefitsButler does not charge subscription fees, retainers, or per-booking fees to patients at this time.
If we introduce optional paid features in the future, we will present pricing clearly and require your explicit agreement before any charge applies.
3) What You Pay For
You pay the clinic directly for clinical services you receive. Depending on the clinic and your plan, you may pay:
- the full visit cost (cash-pay), or
- a co-pay / portion not covered by your plan, or
- fees related to deposits, late cancellations, or no-shows (per the clinic’s policies).
BenefitsButler does not collect payment for clinical services and does not set clinic fees or clinic cancellation policies.
4) Matching & Coordination
BenefitsButler helps coordinate a clinic match and booking coordination based on the information you provide.
- Availability varies: clinic availability depends on capacity, hours, and your responsiveness.
- No instant booking: we coordinate with the clinic; timing is not guaranteed.
- One active request: we may pause or close a request if we cannot reach you after reasonable attempts.
- Fit and safety: we may decline to coordinate for requests outside supported services or where clinic fit is not appropriate.
5) Benefits & Reimbursement
BenefitsButler can help interpret the Benefits Information you share (annual limits, caps, combined limits, reset month, etc.).
- Benefits are interpreted, not guaranteed. If your plan details are incomplete or unclear, interpretations may be approximate.
- Insurers decide final reimbursement. Your insurer makes the final decision on coverage, eligibility, and reimbursement amount.
- You are responsible for confirmation. If you need certainty, confirm directly with your insurer before your appointment.
Some clinics offer direct billing; others require payment at the time of service and you submit claims afterward. This depends on the clinic and your insurer.
6) Scheduling, Cancellations & No-Shows
Appointments are governed by the clinic’s scheduling rules and policies. By proceeding with booking coordination, you agree that:
- you will comply with the clinic’s cancellation and no-show policy, and
- you are responsible for any fees the clinic charges for late cancellations or no-shows.
If you need to reschedule, we can attempt to help coordinate changes, but availability is not guaranteed.
7) Privacy & Communications
We use your information to provide concierge intake, matching, and booking coordination. Details are described in our Privacy Policy.
- Messaging: if you opt in, we may contact you by email and/or SMS for coordination updates.
- Unsubscribe: you can unsubscribe from marketing at any time; coordination messages may still be required for an active request.
- Minimum necessary sharing: we share only what is needed with the clinic to coordinate your booking (e.g., service requested, availability, and basic contact details).
8) Disclaimers & No Guarantees
- No insurer approval: we do not approve coverage. Insurers decide reimbursement.
- No medical advice: BenefitsButler does not provide diagnosis, treatment, or clinical advice.
- Not for emergencies: if you have an emergency, call 911 (or your local emergency number) or seek immediate care.
- No guarantees: we do not guarantee appointment timing, clinic availability, cost savings, or reimbursement outcomes.
9) Termination
You may stop using the Concierge Service at any time. If you ask us to discontinue coordination, we will stop outreach and close your active request, subject to any separate obligations you may have directly with a clinic (e.g., cancellation policy).
We may decline or discontinue coordination in cases of misuse, fraud, harassment, or requests outside supported services.
10) Contact
Questions about these Terms or your request:
Support: [email protected]
Billing (clinics only): [email protected]
Privacy: Privacy Policy