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Understanding Who You Are Paying and Your Payment Obligations
AA Health Solutions, LLC DBA Evolve Your Bod
Effective Date: March 2026
Evolve Your Bod (AA Health Solutions, LLC) coordinates healthcare services across multiple care models, each involving different entities that may bill you for services. This Financial Responsibility Disclosure is provided to ensure that you understand who you are paying, for what services, and what your financial obligations are before you receive care.
Because Evolve operates as a Management Services Organization (MSO) that coordinates care with independent medical groups, partner clinics, pharmacies, and other providers, your charges may come from more than one entity depending on your care model. This document explains the billing structure so there are no surprises.
This Disclosure supplements the Terms of Service (evolveyourbod.com/terms-of-service) and the Returns, Refunds, and Cancellations policy (evolveyourbod.com/returns-and-refunds).
The following table summarizes who bills you, whether insurance applies, and what you are responsible for under each care model:
Care Model | Who Bills You | Insurance? | Your Financial Responsibility |
Telehealth (TH) | Evolve Your Bod | No — Cash-pay only | You pay the full consultation fee and medication costs out of pocket. No insurance claims are submitted. You are solely responsible for all charges. |
In-Person Visit (IPV) | Partner clinic, rendering Medical Group, or Evolve as billing agent | Yes — Insurance may apply | If insured: copays, deductibles, coinsurance, and balances not covered by your plan. If uninsured or service not covered: payment in full. |
Hybrid (Consult + IV) | Rendering Medical Group, partner clinic, or Evolve as billing agent | Yes — Insurance may apply | If insured: copays, deductibles, coinsurance, and balances not covered by your plan. If uninsured or service not covered: payment in full. |
Mobile IV | Rendering Medical Group or Evolve as billing agent | Yes — Insurance may apply | If insured: copays, deductibles, coinsurance, and balances not covered by your plan. If uninsured or service not covered: payment in full. |
Prescriptions (all models) | Evolve or dispensing pharmacy | Varies | Telehealth Rx: cash-pay. IPV/Hybrid/Mobile IV Rx: may be covered by insurance depending on your plan and pharmacy. You are responsible for any uncovered costs. |
Lab / Diagnostics | Laboratory or included in service fee | Varies | May be billed to insurance by the lab directly or included in the encounter fee. You are responsible for any patient-responsibility balance. |
For In-Person Visit, Hybrid, and Mobile IV services, Evolve Your Bod may act as a billing agent on behalf of the rendering medical group or partner clinic. When Evolve acts as a billing agent:
– Insurance claims are submitted under the rendering provider’s credentials (NPI, Tax ID), not under Evolve’s credentials.
– The rendering provider or partner clinic remains the entity of record for the insurance claim.
– Evolve handles the administrative aspects of claim submission, eligibility verification, pre-authorization, and payment posting on behalf of the provider under a Management Services Agreement (MSA).
– Any patient-responsibility balances (copays, deductibles, coinsurance) will be collected by Evolve on behalf of the rendering provider, or by the rendering provider directly, depending on the arrangement.
If you have questions about a charge on your statement, contact us and we will identify which entity the charge relates to and help resolve any issues.
For In-Person Visit, Hybrid, and Mobile IV services, we or the rendering provider will make reasonable efforts to verify your insurance eligibility and coverage before your appointment. However, you should be aware of the following:
– Insurance verification is not a guarantee of coverage or payment. Your insurance carrier makes the final determination of coverage after the claim is submitted.
– Estimated copays, deductibles, and coinsurance provided at the time of scheduling are estimates only and may differ from the final amount determined by your insurance carrier.
– Pre-authorization may be required for certain services. If pre-authorization is required and not obtained, your insurance may deny the claim, in which case you are responsible for the full cost of the service.
– If your insurance denies a claim for any reason (including lack of medical necessity, exclusion from your plan, pre-authorization failure, or out-of-network status), you are responsible for the full cost of the service.
– It is your responsibility to understand your insurance plan’s coverage, limitations, exclusions, and requirements. We encourage you to contact your insurance carrier directly if you have questions about your coverage before receiving services.
Telehealth Services
All telehealth services coordinated through the Evolve platform are provided on a cash-pay, self-pay basis. Insurance is not accepted for telehealth-only consultations. By using Evolve telehealth services, you are making a deliberate decision to pay for medical services out of pocket.
– No insurance claims will be submitted for telehealth consultations.
– You will not be reimbursed by Evolve for telehealth service fees, even if your insurance plan offers out-of-network reimbursement. You may choose to submit your own claim to your insurer if your plan allows, but Evolve does not facilitate this process.
– Telehealth consultation fees, membership fees, and medication costs are your sole financial responsibility.
Services Not Covered by Insurance
For IPV, Hybrid, and Mobile IV services, certain treatments may not be covered by your insurance plan. Examples may include elective wellness services, certain IV therapy formulations, cosmetic treatments, and compounded medications not on your plan’s formulary. If a service is not covered by your insurance, you are responsible for payment in full at the time of service or as agreed upon before treatment begins.
– We accept major credit cards, debit cards, and other payment methods as indicated on the platform at the time of purchase.
– For cash-pay services: Payment is due at the time of service or at the time of purchase.
– For insurance-covered services: Your patient-responsibility portion (copay, deductible, coinsurance) may be collected at the time of service or billed to you after your insurance has processed the claim.
– For subscription services: Your payment method will be charged automatically at the intervals specified during enrollment.
– If your payment method is declined, we will attempt to contact you to arrange an alternative payment method. Services may be suspended until payment is received.
– Outstanding balances that remain unpaid after reasonable collection efforts may be referred to a third-party collections agency. We will notify you before any account is referred to collections.
Under the federal No Surprises Act, patients who are uninsured or who choose to self-pay for services have the right to receive a Good Faith Estimate of expected charges before receiving non-emergency services.
Your rights under the No Surprises Act:
– You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare service.
– If you receive a bill that is at least $400 more than your Good Faith Estimate, you may dispute the bill through the federal patient-provider dispute resolution process.
– You may request a Good Faith Estimate before scheduling a service by contacting us at info@evolveyourbod.com or 866-301-3141.
For more information about your rights under the No Surprises Act, visit www.cms.gov/nosurprises or call 1-800-985-3059.
We understand that healthcare costs can be a concern. Evolve Your Bod is committed to working with patients to find solutions that fit their budget:
– If you are experiencing financial hardship, please contact us to discuss available options. We evaluate financial assistance requests on a case-by-case basis.
– Payment plans may be available for certain services. Terms will be discussed and agreed upon before services are rendered.
– We offer transparent pricing and will provide cost information before you commit to a service whenever possible.
If you have a question about a charge, do not understand a bill, or believe there is a billing error, please contact us:
Email: info@evolveyourbod.com (Subject: Billing Question)
Phone: 866-301-3141
We will investigate your concern and work with the applicable entity (Evolve, partner clinic, rendering provider, pharmacy, or insurance carrier) to resolve the issue. For insurance billing disputes, please also refer to Section 7 of our Returns, Refunds, and Cancellations policy.
By signing below, electronically accepting this Disclosure through the Evolve Your Bod platform, clicking ‘I Agree,’ checking the associated consent box, or proceeding with services after being presented with this Disclosure, you acknowledge that:
– I have read and understand this Financial Responsibility Disclosure.
– I understand that Evolve Your Bod is a technology and care coordination platform (MSO) and that clinical services are rendered by independent medical groups, partner clinics, and affiliated providers.
– I understand that the entity billing me may differ depending on my care model (Telehealth, In-Person Visit, Hybrid, or Mobile IV) as described in Section 2.
– I understand that Telehealth services are cash-pay only and that insurance is not accepted for telehealth consultations.
– I understand that for In-Person Visit, Hybrid, and Mobile IV services, insurance may apply and that I am responsible for any copays, deductibles, coinsurance, or balances not covered by my insurance plan.
– I understand that insurance verification is not a guarantee of coverage or payment, and that I am ultimately responsible for all charges if my insurance denies a claim.
– I understand that Evolve may act as a billing agent on behalf of the rendering provider or partner clinic, and that claims are submitted under the rendering provider’s credentials.
– I understand my rights under the No Surprises Act to receive a Good Faith Estimate for non-emergency services.
– I agree to be financially responsible for the services I receive as described in this Disclosure.
– I have had the opportunity to ask questions about my financial responsibilities and have received satisfactory answers.
Patient Signature (or Electronic Acceptance) | Date |
Patient Printed Name |
Evolve Your Bod (AA Health Solutions, LLC)
5521 Bellaire Drive South, Suite 200, Fort Worth, TX 76109
Email: info@evolveyourbod.com | Phone: 866-301-3141