2026–2027 Service Policies, Terms and Conditions

These policies apply to all services contracted from January 1, 2026 through December 31, 2027.

Complimentary Consultation

We offer up to 2 hours of complimentary consultation and patient/family greeting time.

Securing Service

• A form of payment acceptable to us must be on file before service begins.
• Before service begins, we reserve the right to pre-authorize up to $5,000.00 on the client’s credit card or request a $5,000.00 deposit by wire transfer.

Engagement and Onboarding

State governing bodies require us to maintain the following records for each patient before service begins:

• Patient Intake
• Emergency Contact
• Engagement Agreement Letter with itemized services and rates
• Credit Card Authorization
• Wire Transfer Information
• Financial Guarantor Agreement (see Fees and Billing)
• Health Care Proxy, MOLST/POLST, DNR/DNI/DNH, General POA, Durable POA, Medical POA and Living Will, if applicable
• Access to the original patient notes

Acceptance of service. In emergencies, service may begin before a formal written contract or engagement letter is signed. Client acknowledges responsibility to pay for such care.

Client initials:

Disclosures and Patient Rights

We have provided you with the following materials:

• Home Care Rights
• Patient Rights
• Patient Responsibilities
• Advance Care Planning: Health Care Proxy, MOLST/POLST, DNR/DNI/DNH, Advance Directive, POA

Client acknowledges receipt of the aforesaid materials.

Client initials:

Fees and Billing

• Credit card convenience fee of 3.5% on all credit card transactions.
• An advance retainer of at least $5,000.00 is required for long-term care (service of 30 days or more) and hospice care.
• In addition to the retainer, a security deposit of up to 4 weeks of service may be required for long-term care.
• Emergency services may carry additional charges at our discretion.
• Staffing, Care Planning and Care Coordination: $400.00 per hour.
• Clinical/Skilled positions (RN, LPN, NP, PT, OT, ST): $145.00 to $200.00 per hour, depending on case complexity.
• Non-Skilled positions (VIP Home Health Aide, Personal Care Aide, Certified Nurse Assistant): from $45.00 per hour days and $47.00 per hour nights and weekends.
• Night (7pm–7am) and weekend (Sat/Sun) shifts bill higher than weekday day shifts.
• All rates bill at 1.5 times the disclosed rate on US holidays, including holiday day rates for flat-rate and live-in services.
• Long-term care rates increase annually by a minimum of $2.00 per hour.
• Call for fees: Housekeeping, Home Making, Butler and Maid Services; Overseas Travel Care and Staffing; Domestic Travel and Staffing; VIP Care Management.
• Additional billable services: Durable Medical Equipment (ordering, coordination, setup, delivery); Nutritional Therapies; Clinician Transportation; Travel Booking and Planning; caregiver scheduling overlap.
• Late fees: 1% per month. Wire transfer fee: $30.00 per transaction. Returned check fee: $50.00 per check.
• Holding fees of 50% of the day or hourly rate apply when we hold personnel before or during service due to extended hospital stays or uncertain discharge dates. This keeps the exact staff the patient requested and requires. Staff may support hospital staff so service continues in the hospital.

Notwithstanding the foregoing, all fees are subject to change based on demand, complexity of need, risk and environmental conditions.

Client acknowledges receipt of and agrees to the foregoing fees and billing policies.

Client initials:    Financial Guarantor initials:

Invoicing

• Invoices are sent biweekly by email through QuickBooks.
• Payment is due within 72 hours of receipt.

Participation in Long-Term Care

Subject to HIPAA, we will provide our home care license, invoices and patient care notes to a family member designated by the patient. That family member and the Financial Guarantor are responsible for managing all long-term care reimbursements.

No private insurance, Medicare or Medicaid accepted.

Payment Methods

• No caregiver may accept any form of payment.
• Major credit card (multiple cards required on file).
• ACH.
• Wire transfer.
• Cash, in person, only to administrative personnel and arranged in advance.
• Overnight check by FedEx to: VIPrivate Care, 10 Herrick Drive, Old Tappan, NJ 07675.

Setting Appointments

The family must arrange clinical appointments and service visits with our staff in advance. All parties are expected to honor these appointments, and we may charge for them if cancellation times are not honored.

Exclusive Patient Service — No Commingling of Services

The contracted patient is the only person our caregiver serves.

• No relative, spouse, partner, friend, household member or guest may receive care, assistance or services from our caregiver.
• The only exception is a Good Samaritan situation: in a genuine emergency, our caregiver may render emergency aid and call 911 for another person. The caregiver will report any such event to VIPrivate Care immediately.
• Care for any additional person requires a separate engagement, intake and caregiver.

Scope of Service and Patient Safety

No caregiver may be asked to do anything outside the scope of their profession, license or these policies, or anything that places the patient in danger.

• Caregivers will never leave the patient unattended. For example, a Home Health Aide cannot leave the patient to do food shopping or run errands.
• Errands may be done only with the patient accompanying the caregiver, when the plan of care permits, or by separately contracted staff.
• Caregivers will decline any request outside their scope. Repeated requests may result in termination of service.

Authorized Decision-Makers and Non-Interference with Care

No person may interfere with the care contracted for the patient. Only the patient, or a legally authorized representative, may direct care, receive medical information or make service and financial decisions.

• Health Care Proxy. A Health Care Proxy must be legally in effect for anyone to act on the patient’s behalf. A proxy takes effect only after the patient’s physician determines in writing that the patient cannot make their own decisions. While it is in effect, we may take direct orders for care and service changes from the proxy.
• Other vital documents. Documents that protect the wishes and needs of the patient include, but are not limited to, MOLST/POLST, Durable POA, Medical POA, Living Will, Advance Directive, and revocable or irrevocable trusts that contain medical directives. All such documents must be disclosed to us. We can and will only follow what we are informed of.
• Purpose. These rules prevent anyone without legal authority from influencing the patient’s care.
• Fiduciary responsibility. We will not share medical or personal information with, or take orders from, anyone not authorized to receive or give them on the patient’s behalf. Where required by law, we will report suspected interference, neglect or exploitation to the appropriate authorities.

Caregiver Respect and Zero Tolerance for Abuse

No patient, family member or visitor may interfere with the professional and emotional needs of our caregivers, including scheduled breaks, meals, rest and a safe working environment.

We do not tolerate any form of emotional, mental, verbal, physical or sexual abuse, harassment, threats or discrimination toward our staff. If it occurs, we reserve the right to:

• Remove the caregiver immediately.
• Suspend or terminate care, with notice to the responsible party and, where required, the patient’s physician.
• Receive full payment for all services obligated by the patient under this agreement, including any unused services and the applicable notice period.

Client acknowledges receipt of and agrees to the exclusive service, scope, non-interference and zero-tolerance policies.

Client initials:

VIP Service: Assurance, Equality and Etiquette

VIPrivate Care caregivers are hired through nondiscriminatory practices and deliver nondiscriminatory service. They are trained to respect ethnic, religious and cultural differences, and they are to be treated with equanimity and respect. We go above and beyond to make the experience exceptional without creating negligence or patient risk.

Our caregivers are trained to observe and practice boundaries, do’s and don’ts, attention to detail, continental etiquette and communication.

Timely Shifts, Appearance and Dress Code

• Staff may dress as you wish for anonymity and privacy. Normally they wear a logo scrub top with a name tag; it is your choice.
• To have a caregiver stay later or arrive earlier or later, the contracted party must ask or inform us in advance. Excess time and caregiver schedule overlap are billed.
• All caregivers arrive in advance and prepared.

Tipping and Gifting

• Tipping is permitted, but please disclose to us to whom, how much and why.
• Tips cannot be used as a form of payment.
• Gifts to our employees must be disclosed.

Communication

Patients and families may contact VIPrivate Care staff for scheduling and administrative matters. We can only discuss protected health information with individuals the client has authorized under HIPAA.

Insurance and Bonding

VIPrivate Care is insured and bonded. We ask families to secure their valuables.

Incident Reporting

Patients or managing family members must notify us of any incident involving injury, illness, privacy breach, service quality, safety or clinical practice by calling 201.906.8987 and emailing patientservices@viprivatecare.com.

Changes and Termination

All requests to change or terminate service must be sent by email to patientservices@viprivatecare.com.

• Death of the patient completes the contract. All charges are due through the date of death.
• Long-term care (30 days or more): a 14-day advance email notice of intent to terminate is required. We will provide service for the next 14 days; if you choose not to maintain service, you remain responsible for full payment of each day of that period.
• Service of less than 30 days: a 3-day advance email notice is required. We will provide service for the next 3 days; if you choose not to maintain service, you remain responsible for full payment of each day of that period.
• Pre-booked greetings or visits require 24 hours’ notice of cancellation.
• We may apply all or part of retainers or deposits to any charges or cancellation fees due. Unused retainers or deposits are returned within 14 days of the end of service.

Client acknowledges receipt of and agrees to the change and termination policies set forth herein.

Client initials:

Privacy, Confidentiality, Non-Solicitation and Non-Compete

• Neither the clinician, the contracted party, nor anyone associated with the patient or party may approach or ask for services to be rendered privately outside this agreement.
• Neither party may discuss fees, rates or anything personal in nature with third parties.
• Neither party may discuss VIPrivate Care’s systems or methods with third parties.
• Neither party may undermine VIPrivate Care’s interests, disclose confidential information or trade secrets, or violate HIPAA.
• Neither party may defame or use social media to undermine VIPrivate Care’s reputation.
• All parties must follow privacy and nondisclosure practices.
• VIPrivate Care will take every legal measure to protect its accounts receivable, intellectual property, systems, reputation, patient safety and privacy, family privacy, and its employees and contractors.
• In the event of a breach, we reserve the right to sue for all damages. Client agrees to pay all of VIPrivate Care’s costs and expenses, including legal fees, to enforce these policies and this agreement.

Quality Control

We reserve the right to observe, or arrange to observe, our caregivers at work and to ask patients and families for service evaluations or reports.

Referrals

We provide a referral fee to any patient or party for each new patient who contracts our services.

Patient Services

For service and billing questions: patientservices@viprivatecare.com · 866-863-6800 (toll free) · NYC 646-926-3113 · NJ 201-353-1847

Terence Kerrigan, CEO — terry@viprivatecare.com
Tiffany Italiano, RN, BSN, CCRN, DON — tiffany@viprivatecare.com