The agreement establishes that all products and services are provided on a cash-pay basis outside of Medicare, Medicaid, and commercial insurance, and that no claims will be submitted to any payer for reimbursement. Users bear sole financial responsibility for all costs.
This analysis describes what Hims & Hers's agreement states, permits, or reserves. It does not constitute a legal determination about enforceability. Regulatory applicability and practical outcomes may vary by jurisdiction, enforcement context, and individual circumstances. Read our methodology
This provision explicitly establishes the out-of-network, cash-pay structure of the platform and requires users to acknowledge in advance that no insurance or government program reimbursement will be sought. This affects users who may have assumed coverage eligibility and may have implications under federal healthcare program exclusion and anti-kickback frameworks depending on how affiliated providers are structured.
The updated terms revise when subscription cancellations become effective for pre-paid multi-month medication plans. Under the previous language, cancellation could occur at least two days before the billing date following the end of the currently shipped supply. The revised policy now states that cancellation must occur at least two days before the next billing date but will not take effect until the end of the medication supply period. This means that if you request cancellation after a billing date but before your current medication shipment is fully consumed, your subscription will continue through the end of that supply period before the cancellation takes effect. You should review the specific timing of your medication shipments and billing dates to understand when a cancellation request will fully process.
View change record →The updated terms now authorize Hims & Hers to bill for Weight Loss Membership at 'monthly or multi-month intervals' rather than on a fixed monthly basis, expanding the company's discretion over billing frequency. Additionally, the agreement establishes that refunds for partially used membership or medication plan periods 'may be provided in our sole and absolute discretion' instead of guaranteeing refunds under specific conditions. The first-month membership fee is explicitly non-refundable, and medication refunds remain available only if cancelled within 48 hours of initial order or two days before renewal. The practical effect is that subscribers cannot predict billing intervals with certainty, and refund eligibility now depends on company discretion rather than contractual terms alone.
View change record →Under this clause, all telehealth consultations, prescription products, laboratory services, and weight loss membership fees are the user's sole financial responsibility, with no reimbursement submitted to Medicare, Medicaid, or commercial insurance plans. The agreement requires users to affirmatively acknowledge this cash-pay structure as a condition of using the service.
Cross-platform context
See how other platforms handle Sole Financial Responsibility and No Insurance Reimbursement and similar clauses.
Compare across platforms →"By choosing to use the Service, you are specifically choosing to obtain products and services on a cash basis outside of any federal or state healthcare program or commercial payer. Thus, you are solely responsible for the costs of any service or product provided to you. By agreeing to use the Service, you acknowledge and agree that (1) you are explicitly choosing to obtain products and services on a cash basis outside of any federal or state healthcare program or commercial payer program and you have sole financial responsibility for all services or products provided to you by or through the Service; and (2) neither you nor Hims & Hers, the Labs, the Pharmacies, the Medical Groups or the Providers will submit a claim for reimbursement to any federal or state healthcare program or commercial payer for the costs of the services and products provided to you through the Service.Excerpt from Hims & Hers's Terms and Conditions
REGULATORY LANDSCAPE: The explicit exclusion of Medicare and Medicaid billing engages the federal anti-kickback statute and civil monetary penalty provisions applicable to healthcare providers who are enrolled in federal programs, to the extent any affiliated …
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This provision explicitly establishes the out-of-network, cash-pay structure of the platform and requires users to acknowledge in advance that no insurance or government program reimbursement will be sought. This affects users who may have assumed coverage eligibility and may have implications under federal healthcare program exclusion and anti-kickback frameworks depending on how affiliated providers are structured.
Under this clause, all telehealth consultations, prescription products, laboratory services, and weight loss membership fees are the user's sole financial responsibility, with no reimbursement submitted to Medicare, Medicaid, or commercial insurance plans. The agreement requires users to affirmatively acknowledge this cash-pay structure as a condition of using the service.
No. ConductAtlas is an independent monitoring service. We are not affiliated with, endorsed by, or sponsored by Hims & Hers.