PlushCare
Weighted across nine legal categories. Lower is worse.
Executive summary
PlushCare is now part of Transcarent, and these terms cover the whole Transcarent family of health services, not just PlushCare. The single biggest issue is the dispute section: you agree to binding individual arbitration for everything, including medical malpractice claims, and that agreement is written to bind your spouse, children, parents, heirs, and anyone bringing a wrongful death claim about your care. You can escape it, but only by mailing a physical opt-out letter to Denver within 30 days of accepting the terms, since email alone does not count. Transcarent also caps its total liability at whatever you paid in the last 12 months or $100, whichever is greater, disclaims all warranties, and can close your account at any time for any reason or no reason. On the money side, all fees are non-refundable, membership cancellation runs through an email address rather than a button in the app, and any information you send that is not protected health data becomes Transcarent's property. The better parts are real: your protected health information is carved out and handled under HIPAA, disputes are judged under the version of the terms in force when the dispute arose, small claims court stays open, and you get notice and a chance to cancel before any membership fee increase.
Category breakdown
Acceptance of Terms & Scope
Contract formation and service boundaries
Acceptance is a clear clickwrap with an all-caps warning about arbitration and the class action waiver right at the top, which is better than most health platforms. Age rules are unusually detailed for a telehealth service, with an 18+ default, supervised use for ages 12 to 17, and guardian-only access below 12. The weak points are scope: one agreement covers Transcarent, PlushCare, 2nd.MD, Accolade, 98point6 and unnamed future products, unspecified supplemental terms are pulled in by reference, and continued use alone counts as acceptance.
Key findings
- Clickwrap acceptance, but merely downloading, accessing, or continuing to use the Service also binds you
- A prominent capitalized notice flags binding arbitration and the class action waiver before the terms begin
- Age framework is detailed: 18+ by default, ages 12 to 17 with guardian supervision, under 12 only through a guardian
- Scope covers every Transcarent brand plus unnamed other products and services, so you are bound for services you may never touch
- Supplemental terms, additional terms, and third-party agreements such as Stripe are incorporated by reference without being shown to you
- If you use the service through an employer plan, the plan contract can override these terms
Evidence from the document
IMPORTANT NOTICE: PLEASE REVIEW THIS AGREEMENT CAREFULLY. THESE TERMS OF SERVICE ARE SUBJECT TO BINDING ARBITRATION AND A CLASS ACTION WAIVER AS DESCRIBED IN SECTION 15.
OR BY DOWNLOADING, INSTALLING, ACCESSING, OR CONTINUING TO USE THE SERVICE
YOU AGREE THAT YOU HAVE READ, UNDERSTOOD, AND AGREE TO BE BOUND BY AND COMPLY WITH THESE TERMS.
A minor aged 12-17 may use the Service under the supervision and with the consent of a parent or legal guardian
Certain Services may be subject to supplemental terms, service-specific disclaimers, or end-user license agreements. Where supplemental terms apply, those terms are incorporated by reference and form part of these Terms.
Recommendations
- Read Section 14 for the PlushCare-specific rules, since the general sections apply to a much larger platform
- Ask your employer or plan administrator for the plan service benefit brochure, because it can control over these terms
- If you are signing up a child aged 12 to 17, review the pediatric rules in Section 3 before booking a visit
- Save a dated copy of the terms you accepted, since the document is versioned only by a last updated line
User Accounts
Registration, suspension, and termination
Transcarent reserves the right to terminate or suspend your account at any time for any reason or no reason, with or without notice, and any violation of the terms terminates your access automatically. There is no appeal process, no cure period, and no data export right described anywhere in the document. Real mitigations exist: you can delete your account yourself in the app, losing plan eligibility triggers a 10 business day grace period, PlushCare keeps your medical records as your primary care provider under medical records law, and termination for reasons other than your breach earns a pro rata refund.
Key findings
- Termination at sole discretion, for any reason or no reason, with or without notice, and no appeal path is described
- Any violation of any provision terminates your authorization automatically, with no notice or opportunity to fix it
- You accept responsibility for everything done under your account, even though the document sets password rules rather than offering account security tools
- Self-service account deletion is available inside the Transcarent app, which is a genuine positive
- Losing health plan eligibility suspends access, and the account is terminated if eligibility is not restored within 10 business days
- Your medical records are retained by PlushCare and the Care Providers under medical records law, so clinical history is not wiped with the account
Evidence from the document
Transcarent may, at its sole discretion, terminate these Terms or your account on the Service, or suspend or terminate your access to the Service or Healthcare Services, at any time for any reason or no reason
If you violate any provision of these Terms, your authorization to access the Service and any applicable Healthcare Services, and these Terms automatically terminate.
you accept responsibility for all activities that occur under your account
You may terminate your account and these Terms at any time directly in the Transcarent mobile application
If you lose eligibility for the Service as a result of your coverage under your health plan terminating, Transcarent will suspend your access to the Services
Recommendations
- Download or request copies of your visit summaries and prescriptions from PlushCare before you close the account
- Keep your contact and billing details current, since a lapse can trigger suspension and then termination after 10 business days
- If your account is closed while you have an active paid membership, ask in writing whether the pro rata refund in Section 14 applies
- Report any suspected account compromise immediately to the published security address rather than waiting
Intellectual Property & UGC
Content ownership and licensing
This is not a license grant, it is a transfer of ownership. Anything you submit that is not protected health information or HIPAA-covered identifying information becomes Transcarent's property outright and can be reproduced, published, broadcast, and used in solicitations. Feedback and suggestions are treated the same way, with no credit and no compensation. The HIPAA carve-out matters a great deal for a telehealth service, since your clinical messages are the bulk of what you send, and the document does provide a proper DMCA takedown process and a clear limited license for the app.
Key findings
- Non-health information you submit becomes the property of Transcarent, not a license, which is the most aggressive pattern in this category
- That information may be reproduced, disclosed, published, broadcast, and used in solicitations, to the extent your plan allows
- Feedback and suggestions become the sole and exclusive property of Transcarent with no acknowledgement or compensation
- Protected health information and HIPAA-covered identifiers are carved out and handled under the Privacy Notice, which limits the real-world damage
- Your license to the app is limited, non-transferable, revocable, and personal and non-commercial only
- A standard DMCA notice procedure with a named designated agent is provided
Evidence from the document
will be treated as non-confidential and non-proprietary and will become the property of Transcarent.
Such information may be used for any purpose to the extent allowed by your plan, which may (depending on your plan) include, without limitation, reproduction, solicitations, disclosure, transmission, publication, broadcast, and posting.
the Feedback is not Confidential Information, shall become the sole and exclusive property of Transcarent, and Transcarent is entitled to the unrestricted use and dissemination of the same for any purpose
or protected health information (as defined under HIPAA or related state-specific privacy laws and regulations) you submit maintained in accordance with our Privacy Policy
Recommendations
- Treat non-clinical messages, forum posts, and product suggestions as public property once sent, and keep original copies of anything you value
- Do not send business ideas, creative work, or proprietary material through the app, chat, or support email
- Keep sensitive detail inside the clinical visit channels, where the HIPAA carve-out applies, rather than general support or social channels
- Check whether your employer plan narrows how submitted information may be used, since the clause is limited by what your plan allows
Data Privacy
Data collection, usage, and protection
The terms defer almost all privacy detail to an external Privacy Notice and to Notices of Privacy Practices, so this document alone cannot confirm collection limits, retention periods, or your access and deletion rights. What it does say is mixed: calls, video sessions and chats may be recorded and processed with AI for quality assurance and training, text messages containing health information travel unencrypted and the interception risk is placed on you, and non-health submissions become company property. On the positive side, HIPAA framing is explicit, consent for SMS and calls is opt-in with STOP and unsubscribe paths, push and email preferences are adjustable, and sensitive health information for minors can be shielded from parental access.
Key findings
- Calls, video sessions and chats may be recorded and used for training, quality assurance and research, including processing via AI technologies
- Text messages may contain protected health information, are unencrypted, and the document states you take that risk yourself
- The document leans on an external Privacy Notice and provider Notices of Privacy Practices that are not reproduced here, so retention and deletion rights cannot be verified from this text
- SMS, promotional email, push notifications and phone calls are all opt-in or opt-out with named controls, and SMS consent is not a condition of using the service
- Sensitive health information belonging to minors aged 12 to 17 can be withheld from parental access where the law requires
- You are told not to send medical records to Transcarent for storage, and clinical records stay with PlushCare and the Care Providers
- A dedicated security contact and a privacy contact address are published
Evidence from the document
When we speak to you via telephone, you consent to your call being recorded and used for quality assurance purposes, including processing via AI technologies.
Text messages may include protected health information (PHI). Since text messaging is unencrypted, there is a risk that this PHI could be intercepted or viewed by third parties, including others who look at your device.
Transcarent may monitor interactions between you and individuals that you interact with using the Services and may record telephone calls, video calls, chat communications, and other similar interactions.
Transcarent may restrict parental access to certain categories of sensitive health information in accordance with the applicable law
your agreement to receive text messages is not a condition of any purchase or use of the Service.
Recommendations
- Read the separate Privacy Notice and the PlushCare Notice of Privacy Practices before your first visit, since the real rules live there
- Decline SMS for anything clinical if others can see your phone, because the document warns those messages are unencrypted
- Say at the start of a call if you do not want it recorded, which the terms allow you to request
- Use the in-app notification settings to switch off marketing contact while keeping appointment messages
Payment & Subscriptions
Billing and subscription management
All fees are declared non-refundable up front, and the only stated way to cancel a PlushCare membership is by emailing an address, which falls short of the one-click online cancellation that California and several other states now expect for online signups. You also authorize automatic charging of unpaid balances. Offsetting that, price changes only take effect at your next billing cycle after notice, you can cancel before renewal, a cancelled membership runs to the end of the paid term, and termination that is not your fault triggers a pro rata refund.
Key findings
- All fees are stated as non-refundable, with refunds only where the law or your account terms require them
- Membership cancellation is directed to an email address rather than a self-service control in the app
- You authorize automatic charging of unpaid balances to your saved payment method, with at least two notices first
- Membership fee changes take effect at the next billing cycle after notice by email or in-app message, and you can cancel before renewal
- Cancelling leaves the membership active until the end of the current term with no further renewal
- Termination by the company for reasons other than your breach earns a pro rata refund, but termination for breach earns nothing
- The membership fee covers non-medical features only and is expressly not required to receive medical care
- Third-party clinician and partner charges may apply on top, under those third parties' own terms
Evidence from the document
All fees are in U.S. Dollars and are non-refundable.
YOU CAN CANCEL YOUR MEMBERSHIP AT ANY TIME BY CONTACTING INFO@PLUSHCARE.COM.
By providing payment credentials, you authorize PlushCare to automatically charge for unpaid balances, with at least two notices prior to charging.
Any change in Membership Fee will become effective at the start of your next billing cycle following notice provided by email, in-app message, or other reasonable means.
If we terminate for breach, no refunds will be issued; if we terminate for reasons other than your breach, you will receive a pro rata refund of fees paid.
Recommendations
- Cancel by email to the published address and keep the confirmation, since there is no described in-app cancellation for membership
- Set a calendar reminder before each renewal date, because the terms describe no advance renewal reminder
- Check whether you actually need the membership fee, since the document says it is not required to receive medical services
- Review the fee screen before every visit, and ask which charges come from the clinician or a third party rather than PlushCare
Limitation of Liability
Risk allocation and legal protection
Total liability for all claims is capped at the greater of what you paid in the previous 12 months or $100, which is close to meaningless for a service that routes people to medical care. Everything is provided as is, with all faults, and every implied warranty is disclaimed, including for the accuracy of health information and provider credentials. Indirect and consequential damages are excluded outright, the company disclaims liability for any change, suspension or termination of the service, and you release it from claims arising out of disputes with third parties including a California Civil Code 1542 waiver. The one meaningful safeguard is the statement that nothing is disclaimed which the law forbids disclaiming.
Key findings
- Aggregate liability is capped at the greater of 12 months of fees paid or $100
- The service, healthcare services, and all content are provided as is, where is, with all faults, and on an as available basis
- Indirect, incidental, special, consequential and punitive damages are excluded entirely
- The company disclaims liability for any change to, suspension of, or termination of the service, and can discontinue it without notice
- You release the company from claims arising out of disputes with other users or third parties, and waive California Civil Code 1542
- The limitations are stated to apply even if a limited remedy fails of its essential purpose
- A savings clause preserves warranties and rights that cannot lawfully be disclaimed, which is the main protection left standing
Evidence from the document
IN NO EVENT WILL THE TRANSCARENT ENTITIES BE LIABLE TO YOU FOR ANY INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, OR PUNITIVE DAMAGES (INCLUDING DAMAGES FOR LOSS OF PROFITS, GOODWILL, OR ANY OTHER INTANGIBLE LOSS)
IS LIMITED TO THE GREATER OF: (A) THE AMOUNT YOU HAVE PAID TO TRANSCARENT FOR ACCESS TO AND USE OF
THE SERVICE IN THE 12 MONTHS PRIOR TO THE EVENT OR CIRCUMSTANCE GIVING RISE TO CLAIM; OR (B) $100.
We reserve the right to modify or discontinue the Service and Healthcare Services at any time (including by limiting or discontinuing certain features of the Service and Healthcare Services), temporarily or permanently, without notice to you.
Transcarent does not disclaim any warranty or other right that Transcarent is prohibited from disclaiming under applicable law.
Recommendations
- Do not rely on this platform as your only route to care, since the terms disclaim service availability, accuracy, and continuity
- Understand that claims about the medical care itself run against the treating provider and its professional entity, not against the platform
- If you suffer real harm, get legal advice before accepting that the $100 cap applies, because consumer and health laws limit what can be disclaimed
- Keep your own records of visits, prescriptions and messages, since the terms disclaim responsibility for any loss of data
Indemnification
Legal responsibility allocation
The indemnity is one way, with no matching promise from the company, and the list of protected parties stretches to owners, officers, consultants, affiliates, subsidiaries, contractors and agents. It is better drafted than most, though: it is limited to claims brought by third parties, the triggers are fault based rather than mere use of the service, attorney fees carry a reasonableness qualifier, and the company pays for its own defense when it takes control of a case. The weak spot is the final catch-all covering any dispute or issue between you and any third party, which requires no wrongdoing by you at all.
Key findings
- The indemnity runs only from you to the company, with no reciprocal protection offered anywhere in the document
- Triggers are fault based: misuse of the service, breach of the terms, violation of third-party rights, negligence, fraud, or intentional misconduct
- A catch-all covering any dispute or issue between you and any third party has no fault requirement
- Covered claims are limited to claims brought by third parties rather than the company's own losses
- Attorney fees are limited to reasonable fees and costs, which is better than the common unlimited version
- The company may take exclusive control of the defense at its own expense, so you are not funding a case you cannot direct
- The protected party list is long and includes affiliates, contractors, consultants and agents
Evidence from the document
you will defend and indemnify Transcarent (including Accolade and its subsidiaries) and its owners, officers, directors, employees, consultants, affiliates, subsidiaries, contractors, and agents
from and against every claim brought by a third party, and any related liability, damage, loss, and expense, including reasonable attorneys’ fees and costs, arising out of or connected with: (a) your unauthorized use of, or misuse of, the Service
your negligence, intentional misrepresentation, fraud, or intentional misconduct, or (d) any dispute or issue between you and any third
We reserve the right, at our own expense, to assume the exclusive defense and control of any matter otherwise subject to indemnification by you
Recommendations
- Give accurate identity, location and medical information, since misrepresentation is an express indemnity trigger
- Keep disputes with pharmacies, insurers or other third parties documented, because the catch-all clause can reach them
- If you ever receive an indemnity demand, get legal advice rather than paying, since these clauses face real enforceability limits against consumers
- Do not use the service in a state where the providers are not licensed, which would count as misuse
Modification of Terms
How agreements can be changed
The company can change the terms at any time and puts the burden on you to check the page periodically, with continued use counting as acceptance. Notice is promised only for material adverse changes, and even that promise has broad exceptions for legal, regulatory, privacy, security and force majeure situations. Two provisions lift this above the usual pattern: disputes are judged under the version of the terms in force when the dispute arose, which blocks retroactive rewriting, and any future change to the arbitration section can be rejected in writing within 30 days.
Key findings
- You are told to check the terms periodically for changes, and continued use signals acceptance
- Prior notice is promised only for material adverse changes, subject to broad exceptions
- No specific notice period, no changelog, and no archive of prior versions are offered
- Disputes are expressly resolved under the version of the terms in effect when the dispute arose, which prevents retroactive application
- The company may require affirmative acceptance of modified terms, though it is not obliged to
- Changes to the arbitration provision can be rejected by written notice within 30 days
- Membership fee changes take effect only at the next billing cycle after notice, and you may cancel instead
- The service itself can be modified or discontinued at any time without notice and without liability
Evidence from the document
Please check these Terms periodically for changes. If we make a material adverse change to these Terms, we will provide you with prior notice unless providing such notice would not be reasonable
Disputes arising under these Terms will be resolved in accordance with the version of these Terms that was in effect at the time the dispute arose.
We may require that you affirmatively accept the modified Terms in order to continue to use the Service and Healthcare Services.
If Transcarent makes any future change to this arbitration provision, other than a change to Transcarent’s address for Notice of Arbitration, you may reject the change by sending us written notice within 30 days of the change
Continued use of the Services after the effective date of a fee change constitutes your acceptance of the new Membership Fee.
Recommendations
- Save a dated copy of the terms when you sign up, since no version archive is offered
- Watch for any email announcing a change to the arbitration section and send a written rejection within the 30 day window if you want to keep your options
- Re-read Section 14 before each renewal, because fee and membership rules can change with only next-cycle notice
- Treat the absence of a notice period as a reason to check the terms page before any significant use, such as an ongoing treatment plan
Governing Law & Disputes
Jurisdiction and conflict resolution
This is the most damaging part of the agreement. Every dispute goes to binding individual arbitration, and the clause is written to cover medical malpractice claims and to bind people who never signed anything, including your spouse, children, parents, heirs, and anyone bringing a wrongful death claim about your care. Class, collective and representative actions are waived, jury trial is waived, arbitration is confidential and seated in Denver County, Colorado, a 60 day informal resolution period gates any filing, and a mass arbitration clause forces groups of 25 or more claims into batches of up to 100 handled by a single arbitrator. Anything left over goes to courts in New Castle County, Delaware, under Delaware law. Genuine mitigations exist, including a 30 day opt-out, a small claims carve-out, agency complaint rights, and company payment of arbitration fees where the law requires, but the opt-out only counts if sent by physical mail and email alone is expressly rejected.
Key findings
- Binding individual arbitration covers all disputes, expressly including alleged medical malpractice by the company or affiliated Care Providers
- The clause purports to bind non-signatories including spouses, children, parents, heirs and wrongful death claimants
- Class, collective and representative actions are waived, along with the right to a jury trial and even the right to receive notice of a class action
- A mass arbitration provision batches 25 or more similar demands into groups of up to 100 claims before a single arbitrator, all seated in Denver
- Arbitration is confidential, is seated in Denver County, Colorado by default, and survives termination of your relationship with the company
- A 60 day informal resolution period must pass after a certified mail notice before arbitration can begin
- The 30 day opt-out is real but must be mailed to a Denver address by letter or courier, and email alone is expressly insufficient
- Small claims court, agency enforcement complaints, injunctive relief in aid of arbitration, and IP suits are carved out
- Governing law is Delaware, with exclusive court jurisdiction in New Castle County, Delaware, with no savings clause for your home state protections
Evidence from the document
ANY DISPUTES BETWEEN THE PARTIES WILL BE RESOLVED EXCLUSIVELY THROUGH BINDING ARBITRATION.
THAT, BY ENTERING INTO THESE TERMS, YOU AND COMPANY ARE EACH WAIVING THE RIGHT TO A TRIAL BY JURY IN ANY COURT OR PROCEEDING OR TO PARTICIPATE IN A CLASS ACTION.
including any spouse, child, parent, executor, administrator, personal representative, heir, or survivor, as well as anyone entitled to bring a wrongful death claim relating to the Patient.
if 25 or more similar arbitration demands are filed by or with the same law firm, organization, or coordinated group of attorneys against Company, the Parties agree that such demands shall be administered in batches of up to 100 claims per batch.
These Terms are governed by the laws of the State of Delaware without regard to conflict of law principles.
Recommendations
- If you want to keep your right to sue, mail the arbitration opt-out letter to the Denver address within 30 days of accepting the terms, and send it certified so you have proof
- Tell family members that the clause claims to bind them too, since it reaches heirs and wrongful death claims about your care
- Use small claims court for small billing disputes, which the terms expressly leave open
- For any serious injury claim, consult a lawyer before assuming arbitration blocks you, because clauses covering malpractice and non-signatories are frequently challenged
Ex-TerCo provides automated analysis of legal documents for informational purposes. This is not legal advice. Terms can change at any time.