CGM Delivery + Coaching — Covered by Insurance

Terms of Service

Effective Date: Oct 20, 2025
Entity: My CGM Coach, Inc. ("My CGM Coach," "we," "our," "us")
Website: https://www.mycgmcoach.com (the "Site")
Scope: These Terms govern use of the Site, patient enrollment, diabetes self-management education and training (DSMT), health and wellness programs, CGM onboarding and support, related telehealth encounters, device support, supplies coordination, and all related services (collectively, the "Services").

1. Acceptance of Terms

By visiting the Site, creating an account, enrolling in any program, or receiving any Service, you ("you," "your," "Patient") agree to these Terms and our Privacy Policy and HIPAA Notice of Privacy Practices. If you do not agree, do not use the Services.

2. Eligibility & Patient Status

2.1 Age. Services are available only to individuals 18 years and older.

2.2 Residency & Licensing. You represent that you are physically located in a U.S. state where our clinicians are licensed at the time of care. We may decline or discontinue Services where licensing or payer rules prohibit care.

2.3 No Emergencies. The Services are not for emergencies. If you believe you are experiencing an emergency, call 911 or go to the nearest emergency department.

3. Nature of Services; No Guarantee of Results

3.1 Clinical Scope. We provide DSMT/diabetes education and related wellness support, which may include CGM device selection guidance, onboarding, training, and ongoing support. Care plans may involve coordination with your physicians and pharmacies.

3.2 No Medical Outcome Guarantees. You acknowledge that health outcomes vary and no specific results are promised. You remain responsible for seeking timely care from your own physician(s).

3.3 Non-Replacement of PCP/Specialists. Our Services complement but do not replace your ongoing relationships with your primary care provider or specialists. You authorize us to coordinate and share records as necessary.

4. Informed Consent (Clinical & Telehealth)

4.1 Clinical Consent. By receiving Services, you consent to DSMT and related support that may involve reviewing your data, discussing lifestyle and medication adherence, and providing device education and training.

4.2 Telehealth. Some Services may be provided via audio/video or asynchronous modalities. Telehealth involves risks (e.g., technical failures, limited examination). You consent to telehealth and agree to ensure private, safe settings for sessions.

4.3 Recording. We do not record sessions without your explicit written consent. You agree not to record sessions without our prior written consent.

5. CGM Devices & Supplies; Training; Assumption of Risk

5.1 Device Status. We support both over-the-counter and prescription CGM products. We may facilitate supply through third parties or direct distribution where permitted. We do not manufacture CGMs.

5.2 Training & Use. We provide education and training (including insertion technique, sensor site selection, app setup, alerts, calibration if applicable, and data uploads). You agree to follow device instructions and your clinician's guidance.

5.3 Known Risks. CGMs may present risks including—but not limited to—skin irritation, allergic reactions, sensor dislodgment, compression artifacts, inaccurate readings (e.g., during warm-up/rapid glucose change/dehydration), signal loss, app/firmware issues, battery failure, and network outages. You accept these risks and agree to confirm concerning readings via fingerstick if directed by labeling or your clinician.

5.4 Alarms & Data Delays. Alerts may be delayed, missed, or inaccurate. Do not rely solely on alarms for urgent medical decisions.

5.5 Medication & Dosing. Follow your prescriber's instructions and device labeling regarding insulin or medication dosing decisions.

5.6 Recalls & Safety Notices. Manufacturers may issue recalls or notices. We may assist with information but are not responsible for manufacturer actions or timelines.

5.7 Third-Party Apps & Integrations. You may choose to connect CGM data to third-party apps or wearables. Such integrations may fail or create discrepancies. You assume the risks of third-party use and agree those providers are solely responsible for their products.

6. Financial Authorization; Insurance; Patient Responsibility

6.1 Assignment of Benefits & Direct Billing. You authorize us to bill Medicare and other payors when applicable and assign benefits to us. Coverage verification is not a guarantee of payment.

6.2 Copays, Coinsurance, Deductibles, Non-Covered Services. You are financially responsible for all patient responsibility amounts and any non-covered Services or supplies.

6.3 Self-Pay. If you are uninsured or elect to self-pay, you agree to pay our cash rates. Where required, you may receive a Good Faith Estimate for eligible items/services.

6.4 ABNs/Notices. For Medicare and other payors, we may provide Advance Beneficiary Notices or similar notices when coverage is uncertain. You agree to sign and to be responsible for amounts not covered.

6.5 Coordination of Benefits & Appeals. You agree to cooperate with coordination of benefits and, if needed, to support appeals by supplying requested documentation.

6.6 Late/Declined Payments. Balances are due upon billing. We may charge lawful late fees on overdue amounts. We may suspend or terminate Services for non-payment.

7. Patient Duties & Conduct

7.1 Accurate Information. You agree to provide complete and accurate registration, clinical, and insurance information and to update promptly.

7.2 Adherence. You will follow care instructions, training, and device labeling; attend scheduled sessions; maintain sensors per guidance; and promptly report adverse events.

7.3 Cancellations/No-Shows. We may charge reasonable fees for late cancellations or no-shows consistent with law and payer contracts.

7.4 Respectful Conduct. We maintain zero tolerance for abusive, discriminatory, or unsafe behavior. We may discharge patients from Services for cause.

8. Communications, E-Sign & TCPA Consent

8.1 Consent to Contact. You consent to receive calls, texts, emails, and portal messages for care coordination, scheduling, billing, and education, including use of automated systems. Message and data rates may apply. You may opt out of non-essential texts/emails at any time; core clinical/billing communications may still occur as permitted by law.

8.2 Electronic Signatures & Disclosures. You consent to transact electronically, receive disclosures electronically, and sign documents digitally.

9. Privacy; HIPAA Authorization

9.1 HIPAA. We protect your Protected Health Information (PHI) as described in our HIPAA Notice of Privacy Practices (incorporated by reference).

9.2 Authorization to Share PHI. By using our Services, you authorize us to use and disclose PHI for treatment, payment, and health care operations, and to share PHI with our affiliates, associates, contractors, business associates, pharmacies, suppliers, and your other providers as reasonably necessary to deliver Services and bill payors. You may revoke in writing; revocation may limit our ability to continue Services.

10. Technology; Availability; Maintenance

10.1 No Uninterrupted Access. We do not guarantee continuous availability. Planned or unplanned downtime may occur.

10.2 Security Measures. We implement reasonable safeguards; however, no system is 100% secure.

10.3 Data Transmission Risks. You accept risks inherent to internet, mobile, and Bluetooth transmission.

11. Intellectual Property & License

11.1 Our IP. The Site and content (excluding your PHI) are owned by us or our licensors and protected by law.

11.2 Limited License. We grant you a personal, non-transferable license to use the Site and patient portal solely for lawful, personal use.

12. Third-Party Vendors & Links

We may reference or link to third-party products or services (e.g., CGM manufacturers, pharmacies). We do not control or endorse third-party offerings and are not responsible for their actions, content, warranties, recalls, or failures.

13. Disclaimers

EXCEPT AS EXPRESSLY REQUIRED BY LAW, THE SITE AND SERVICES ARE PROVIDED "AS IS." WE DISCLAIM ALL WARRANTIES (EXPRESS OR IMPLIED), INCLUDING MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE, AND NON-INFRINGEMENT. WE DO NOT WARRANT THAT THE SERVICES WILL BE ERROR-FREE OR MEET YOUR EXPECTATIONS.

14. Limitation of Liability

TO THE MAXIMUM EXTENT PERMITTED BY LAW, IN NO EVENT WILL WE OR OUR OWNERS, OFFICERS, EMPLOYEES, CONTRACTORS, OR AFFILIATES BE LIABLE FOR INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, EXEMPLARY, OR PUNITIVE DAMAGES; OR ANY LOSS OF DATA, PROFITS, OR GOODWILL. OUR TOTAL LIABILITY FOR ANY CLAIMS RELATING TO THE SERVICES WILL NOT EXCEED THE AMOUNTS PAID BY YOU TO US FOR THE SPECIFIC SERVICE GIVING RISE TO THE CLAIM IN THE 12 MONTHS PRECEDING THE EVENT.

15. Indemnification

You agree to defend, indemnify, and hold harmless My CGM Coach and its owners, officers, employees, contractors, and affiliates from and against claims, damages, penalties, and costs (including reasonable attorneys' fees) arising from your breach of these Terms, misuse of CGM devices contrary to labeling, unauthorized data sharing, or violation of law.

16. Regulatory Compliance; Non-Discrimination

We comply with applicable federal and state laws, including non-discrimination laws. We provide reasonable accommodations when requested and feasible.

17. Service Changes; Termination

We may add, modify, or discontinue any Service (including device support) consistent with law and payer rules. We may terminate or suspend your access for non-payment, safety, licensing, or legal reasons. You may discontinue Services at any time; financial obligations already incurred survive termination.

18. Dispute Resolution; Arbitration; Class-Action Waiver

18.1 Informal Resolution. Contact us first to resolve concerns.

18.2 Binding Arbitration. Except for claims that cannot be arbitrated under applicable law, disputes will be resolved by individual, binding arbitration administered by JAMS or AAA in the state of our principal office, under their healthcare rules.

18.3 Class-Action Waiver. You and we agree to no class actions or consolidated proceedings.

18.4 Injunctive Relief. A court may grant injunctive relief to protect confidential information or IP.

19. Governing Law; Venue

These Terms are governed by the law of the state where our principal office is located, without regard to conflicts rules, except where federal law or your state's mandatory patient rights require otherwise.

20. General

Severability; no waiver; assignment with notice; force majeure (including supply chain disruptions, recalls, epidemics, natural disasters); headings for convenience only; survival of Sections 6, 9, 13–20.

Contact

My CGM Coach, Inc.
PO Box 2565
Rockville, MD 20847
Ph: (301) 635-0103

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