Common use of Gold Membership Clause in Contracts

Gold Membership. Retainer covers the cost of a complete physical, flu shot and office visits • In most cases, no need to pay additional out-of-pocket fees for your visits • A bundled fee that allows you to see the doctor more frequently, without the need to pay for each visit Membership Features: Silver Gold Unhurried Visits Same or next-day appointments More time w/doctor, less time waiting 24/7 Phone & email access to physician Annual Physical (included) Nearly unlimited office visits2 OFFICE VISIT FEES: Plan3 Annual Physical Complex/ Extended Visit Acute/ Routine Visit Injections/ Immunizations SILVER $100 $50 $25 Varies GOLD $0 $0 $0 Varies 1 Medicare patients will be prohibited from submitting any bills from Your Private MD, LLC to Medicare for reimbursement. 2 For the Gold Membership, after the 10th office visit (excluding annual physical) patients will pay a fee of $25 for each visit. 3 For Silver Members, office visit fees will be paid at the time of your visit. Available Membership Payment Plans: GOLD Payment Options Under 30 30-64 65+ Annual Fee $1,300 $1,400 $1,600 Semi Annual Fee: 1st Payment $650 $700 $800 2nd Payment $675 $725 $825 Quarterly Fee: Quarter 1 $325 $350 $400 Quarter 2, 3 & 4 $350 $375 $425 Monthly Fee $115 $125 $140 SILVER Payment Options Under 00 00-00 00+ Annual Fee $800 $1,000 $1,100 Semi Annual Fee: 1st Payment $400 $500 $550 2nd Payment $425 $525 $575 Quarterly Fee: Quarter 1 $200 $250 $275 Quarter 2, 3 & 4 $225 $275 $300 Monthly Fee $69 $89 $99 All Silver Members will pay an office visit fee at the time of their visit. Fees are detailed on page 1. **Please note that all monthly (Gold and Silver) payments must be billed automatically using a credit or debit card on the 15th of every month. Possible Discounts: Corporate Membership Discounts: Please contact our office for special corporate rates Select Your Membership Type: Silver Gold

Gold Membership. Retainer covers the cost of a complete physical, flu shot and office visits • In most cases, no need to pay additional out-of-pocket fees for your visits • A bundled fee that allows you to see the doctor more frequently, without the need to pay for each visit Membership Features: Silver Gold Unhurried Visits Same or next-day appointments More time w/doctor, less time waiting 24/7 Phone & email access to physician Annual Physical (included) Nearly unlimited office visits2 OFFICE VISIT FEES: Plan3 Annual Physical Complex/ Extended Visit Acute/ Routine Visit Injections/ Immunizations SILVER $100 $50 $25 Varies GOLD $0 $0 $0 Varies 1 Medicare patients will be prohibited from submitting any bills from Your Private MD, LLC to Medicare for reimbursement. 2 For the Gold Membership, after the 10th office visit (excluding annual physical) patients will pay a fee of $25 for each visit. 3 For Silver Members, office visit fees will be paid at the time of your visit. Available Membership Payment Plans: GOLD Payment Options Under 30 30-64 65+ Annual Fee $1,300 $1,400 $1,600 Semi Annual Fee: 1st Payment $650 $700 $800 2nd Payment $675 $725 $825 Quarterly Fee: Quarter 1 $325 $350 $400 Quarter 2, 3 & 4 $350 $375 $425 Monthly Fee $115 $125 $140 SILVER Payment Options Under 00 00-00 00+ Annual Fee $800 $1,000 $1,100 Semi Annual Fee: 1st Payment $400 $500 $550 2nd Payment $425 $525 $575 Quarterly Fee: Quarter 1 $200 $250 $275 Quarter 2, 3 & 4 $225 $275 $300 Monthly Fee $69 $89 $99 All Silver Members will pay an office visit fee at the time of their visit. Fees are detailed on page 1. **Please note that all monthly (Gold and Silver) payments must be billed automatically using a credit or debit card on the 15th of every month. Possible Discounts: Corporate Membership Discounts: Please contact our office for special corporate rates Select Your Membership Type: o Silver o Gold

Gold Membership.  Retainer covers the cost of a complete physical, flu shot (starting 2014), and office visits •  In most cases, no need to pay additional out-of-pocket fees for your visits •  A bundled fee that allows you to see the doctor more frequently, without the need to pay for each visit Membership Features: Silver Gold Unhurried Visits Same or next-day appointments More time w/doctor, less time waiting 24/7 Phone & email access to physician Annual Physical (included) Nearly unlimited office visits2 OFFICE VISIT FEES: Plan3 Annual Physical Complex/ Extended Visit Acute/ Routine Visit Injections/ Immunizations SILVER $100 $50 $25 Varies GOLD $0 $0 $0 Varies 1 Medicare patients will be prohibited from submitting any bills from Your Private MD, LLC to Medicare for reimbursement. 2 For the Gold Membership, after the 10th 8th office visit (excluding annual physical) patients will pay a fee of $25 for each visit. 3 For Silver Members, office visit fees will be paid at the time of your visit. Available Membership Payment Plans: GOLD Payment Options Under 30 30-64 65+ Annual Fee $1,300 $1,400 $1,600 Semi Annual Fee: 1st Payment $650 $700 $800 2nd Payment $675 $725 $825 Quarterly Fee: Quarter 1 $325 $350 $400 Quarter 2, 3 & 4 $350 $375 $425 Monthly Fee $115 $125 $140 SILVER Payment Options Under 00 00-00 00+ Annual Fee $800 $1,000 $1,100 Semi Annual Fee: 1st Payment $400 $500 $550 2nd Payment $425 $525 $575 Quarterly Fee: Quarter 1 $200 $250 $275 Quarter 2, 3 & 4 $225 $275 $300 Monthly Fee $69 $89 $99 All Silver Members will pay an office visit fee at the time of their visit. Fees are detailed on page 1. **Please note that all monthly (Gold and Silver) payments must be billed automatically using a credit or debit card on the 15th of every month. Possible Discounts: Corporate Membership Discounts: Please contact our office for special corporate rates Select Your Membership Type: Silver Goldcard.

Gold Membership.  Retainer covers the cost of a complete physical, flu shot (starting 2014), and office visits •  In most cases, no need to pay additional out-of-pocket fees for your visits •  A bundled fee that allows you to see the doctor more frequently, without the need to pay for each visit Membership Features: Silver Gold Unhurried Visits Same or next-day appointments More time w/doctor, less time waiting 24/7 Phone & email access to physician Annual Physical (included) Nearly unlimited office visits2 OFFICE VISIT FEES: Plan3 Annual Physical Complex/ Extended Visit Acute/ Routine Visit Injections/ Immunizations SILVER $100 $50 $25 Varies GOLD $0 $0 $0 Varies 1 Medicare patients will be prohibited from submitting any bills from Your Private MD, LLC to Medicare for reimbursement. 2 For the Gold Membership, after the 10th office visit (excluding annual physical) patients will pay a fee of $25 for each visit. 3 For Silver Members, office visit fees will be paid at the time of your visit. Available Membership Payment Plans: GOLD Payment Options Under 30 30-64 65+ Annual Fee $1,300 $1,400 $1,600 Semi Annual Fee: 1st Payment $650 $700 $800 2nd Payment $675 $725 $825 Quarterly Fee: Quarter 1 $325 $350 $400 Quarter 2, 3 & 4 $350 $375 $425 Monthly Fee $115 $125 $140 SILVER Payment Options Under 00 00-00 00+ Annual Fee $800 $1,000 $1,100 Semi Annual Fee: 1st Payment $400 $500 $550 2nd Payment $425 $525 $575 Quarterly Fee: Quarter 1 $200 $250 $275 Quarter 2, 3 & 4 $225 $275 $300 Monthly Fee $69 $89 $99 All Silver Members will pay an office visit fee at the time of their visit. Fees are detailed on page 1. **Please note that all monthly (Gold and Silver) payments must be billed automatically using a credit or debit card on the 15th of every month. Possible Discounts: Corporate Membership Discounts: Please contact our office for special corporate rates Select Your Membership Type: Silver Goldcard.