Caliber provides technology, program administration, billing support, and member services. Independent licensed clinicians—not Caliber—make every medical decision. A prescription is never guaranteed. Subscription price, term, renewal cadence, and amount due are shown before you enroll, and you can stop future renewals through your member portal or by contacting support.
1. Agreement and scope
These Terms of Service (“Terms”) are a binding agreement between you and NEXPANSE CORP., a Delaware corporation doing business as Caliber (“Caliber,” “we,” “us,” or “our”). They govern your use of startcaliber.com, the Caliber member portal, assessments, administrative and support services, purchases, subscriptions, and other services that link to these Terms (collectively, the “Caliber Services”).
By creating an account, submitting an intake, selecting “continue,” placing an order, starting a subscription, or otherwise using the Caliber Services, you agree to these Terms and our Privacy Policy. Clinical care is also subject to the Telehealth Informed Consent, the applicable medical practice’s Notice of Privacy Practices, and any consent or notice presented during your care. Pharmacy, laboratory, payment, and other third-party terms may also apply to services those parties provide.
If you do not agree, do not use the Caliber Services. If supplemental terms for a particular program conflict with these Terms, the supplemental terms control only for that program.
2. Who does what
Caliber is not a medical group, does not practice medicine, and does not direct or control clinical judgment. Caliber provides non-clinical technology, administrative coordination, member support, and related program services.
| Party | Role |
|---|---|
| Caliber / NEXPANSE CORP. | Website, member experience, non-clinical program services, support, coordination, and billing administration. |
| MDI Medical Group PC and affiliated professional entities | Independent clinical services through licensed healthcare professionals (“Providers”), including evaluation, diagnosis, prescribing, treatment, and follow-up when appropriate. |
| M&D Integrations, Inc. | Telehealth platform and related technology used by the clinical care team. |
| Independent pharmacies and laboratories | Prescription fulfillment, shipping, testing, and other services they separately provide. |
Providers exercise independent professional judgment. They alone decide whether telehealth is appropriate, whether an examination or testing is required, whether you qualify for treatment, which medication and dose are appropriate, and whether treatment should be changed, paused, or stopped. Caliber does not guarantee that a Provider will prescribe any medication or recommend any particular treatment.
3. Eligibility, location, and accounts
You must be at least 18 years old and legally able to enter into this agreement. Clinical services are available only where an appropriately licensed Provider is available and where the requested service is legally permitted. You must accurately report the U.S. state where you are physically located at the time of each clinical interaction and promptly update us if your location changes.
Review the current, service-specific jurisdiction and pharmacy fulfillment list on the Service Availability & Pharmacy page before beginning an intake.
You agree to provide current, complete, and truthful identity, contact, health, and payment information. Providers may rely on that information. Missing or inaccurate information can delay care, make treatment unsafe, or lead to cancellation. You may use only your own account, must keep your credentials confidential, and are responsible for activity under your account. Notify us promptly if you believe your account or payment method has been compromised.
4. Telehealth, informed consent, and emergencies
Telehealth may involve secure messages, questionnaires, photographs, audio or video, electronic records, laboratory data, and asynchronous review. Telehealth has important limits: a Provider may not have information available during an in-person examination, technology can fail, and an in-person visit or additional testing may be necessary. Your participation is voluntary, and you may withdraw consent for future telehealth care.
Caliber is not an emergency service. If you may be experiencing a medical emergency, call 911 or go to the nearest emergency department. If you or someone you know is in a mental-health crisis, call or text 988. Do not wait for a portal message, email, text, or Provider response.
Review the Telehealth Informed Consent before seeking care. A Provider may decline telehealth, require synchronous audio or video, or direct you to in-person or emergency care.
5. Prescriptions, compounded medications, and pharmacies
Completing an intake, paying a fee, or previously using a medication does not guarantee a prescription, refill, dose, or continued treatment. Prescribing is based on a Provider’s independent judgment, applicable law, your current condition, and the information available at the time of review.
Some programs may involve compounded medications. A compounded drug is not FDA-approved, and the FDA does not review compounded drugs for safety, effectiveness, or quality before marketing. Compounded medications may be prescribed only when a Provider determines they are appropriate for an identified patient. Product availability, formulation, concentration, packaging, price, and shipping may change based on clinical requirements, law, pharmacy operations, or supply.
Prescriptions are filled by independent licensed pharmacies. Once a prescription is transmitted or an order enters fulfillment, the pharmacy may be unable to change or cancel it. You agree to follow the label and Provider instructions, review all pharmacy materials, promptly report side effects or changes in your health, and never share medication.
6. Pricing, payment, and automatic renewal
The checkout or enrollment screen shows the price, what is included, the amount due, the initial term, the renewal cadence, and any minimum commitment before you authorize payment. Those transaction-specific disclosures are part of these Terms. Depending on the program, charges may include separate amounts for Caliber’s non-clinical services, professional clinical services collected on behalf of MDI Medical Group or an affiliated practice, and pharmacy, laboratory, shipping, or other items.
By enrolling in a recurring plan, you authorize Caliber and its payment processor to store your payment method and automatically charge the disclosed amount, plus applicable taxes and approved add-ons, at the disclosed cadence until you cancel. A monthly plan renews monthly. A multi-month plan renews for the same disclosed term unless the checkout specifically states otherwise. Longer commitments may be prepaid or billed in installments; installment billing does not turn a committed term into a month-to-month plan.
We may update prices or plan features prospectively. We will provide advance notice when required by law and give you a way to cancel before an increased renewal price applies. You authorize us to use updated card information supplied by your card network. Failed payments may pause fulfillment or access, and you remain responsible for valid amounts already due.
Caliber is generally cash-pay and does not promise insurance reimbursement. HSA or FSA eligibility depends on your plan and tax circumstances; acceptance of a card is not a determination that an expense is eligible.
7. Cancellation, refunds, returns, and guarantee terms
Canceling future renewals
You may cancel future renewals at any time through your member portal or by emailing [email protected]. Cancellation takes effect at the end of the current paid term and stops the next renewal. Submit the request before the next scheduled charge. We do not require a retention call or acceptance of an offer to cancel. A cancellation does not reverse a charge, shipment, or clinical service already completed or in process.
If you are not prescribed
If an initial Provider review concludes that you are not eligible for the medication program you selected, Caliber will refund the amount charged for that affected program enrollment. If no charge was created before review, there is nothing to refund. Separately purchased goods or services that were delivered or completed remain subject to the refund terms shown at purchase.
Medication and fulfilled orders
Dispensed prescription medication generally cannot be returned or restocked and is non-refundable once shipped, except when required by law or when the dispensing pharmacy or Caliber confirms an error, damage, recall, or failure to deliver. Contact support promptly and do not use medication that appears damaged, incorrect, or unsafe.
120-Day Weight-Loss Guarantee
The separate 120-Day Weight-Loss Guarantee Terms control guarantee eligibility and claims. The guarantee is an administrative refund promise, not a promise of a clinical outcome, and it does not limit a Provider’s judgment.
Nothing in this section limits refund, cancellation, cooling-off, or other non-waivable rights provided by applicable law.
8. Email, text messages, calls, and recordings
You authorize us and our service providers to send transactional communications about your account, intake, care coordination, orders, refills, shipping, security, and support using the contact information you provide. Standard email and SMS may not be end-to-end encrypted and may reveal information to anyone with access to your device or account. You may request a different reasonable communication method by contacting support.
Marketing texts require a separate opt-in and are not a condition of purchase or care. Message frequency varies; message and data rates may apply. Reply STOP to opt out and HELP for help. Opting out of marketing does not stop necessary transactional or safety messages.
We may monitor or record calls or video interactions for quality, training, security, documentation, or compliance only after giving notice and obtaining consent where required by law. If you do not consent to a recording, tell the participant before continuing so an alternative can be considered.
9. Acceptable use, content, and intellectual property
You may use the Caliber Services only for lawful, personal, non-commercial purposes. You may not misuse another person’s account; submit false or fraudulent information; interfere with security or service operation; scrape, reverse engineer, or copy the service except where law permits; introduce malware; infringe another person’s rights; harass others; or use the service to obtain, resell, transfer, or misuse prescription products.
Caliber and its licensors own the website, software, brand elements, and original content. We grant you a limited, revocable, non-transferable license to use the Caliber Services as these Terms allow. You retain ownership of content you submit. You grant Caliber and the parties providing requested services a limited license to host, transmit, reproduce, and use that content only as reasonably necessary to operate, support, secure, and improve the services, comply with law, and provide care you request.
10. Third-party services
The Caliber Services may link to or use services operated by MDI, Providers, pharmacies, laboratories, payment processors, identity-verification vendors, delivery carriers, or other parties. Their services may have separate terms and privacy notices. Caliber is not responsible for a third party’s independent professional judgment or for services outside Caliber’s control, but this does not limit any responsibility Caliber has under applicable law for its own acts or omissions.
11. Disclaimers and limitation of liability
Educational content is general information, not medical advice, diagnosis, or treatment. Except for express promises in these Terms or supplemental terms, the Caliber Services are provided “as is” and “as available.” To the fullest extent permitted by law, Caliber disclaims implied warranties of merchantability, fitness for a particular purpose, title, and non-infringement. We do not promise uninterrupted access, a particular Provider, medication, pharmacy, delivery date, result, or outcome.
To the fullest extent permitted by law, Caliber and its affiliates will not be liable for indirect, incidental, special, consequential, exemplary, or punitive damages, or for lost profits, lost data, or loss of goodwill arising from the Caliber Services. Caliber’s aggregate liability for claims arising from the Caliber Services will not exceed the greater of $100 or the amount you paid directly to Caliber during the 12 months before the event giving rise to the claim.
These limitations do not apply where prohibited by law and do not limit liability for fraud, gross negligence, willful misconduct, personal injury caused by Caliber, or any right that cannot lawfully be waived. Claims concerning professional clinical services remain subject to the rights and obligations applicable to the Provider or medical practice that furnished those services.
12. Governing law, individual arbitration, and opt-out
Please read this section carefully. It generally requires Caliber and you to resolve covered disputes through individual binding arbitration instead of a jury trial or class action. You may opt out as described below.
Before starting arbitration, the claimant must send a written notice describing the dispute and requested resolution. Send notices to [email protected] with the subject “Legal Notice.” The parties will try in good faith to resolve the dispute for 30 days.
If unresolved, any dispute arising from these Terms or the Caliber Services will be resolved by binding, individual arbitration administered by the American Arbitration Association under its Consumer Arbitration Rules. The Federal Arbitration Act governs this agreement to arbitrate. The arbitrator may award the same individual relief available in court. Claims may not be arbitrated on a class, collective, consolidated, or representative basis.
Either party may bring an eligible individual claim in small claims court. Either party may also seek temporary or injunctive relief in court to prevent unauthorized access, misuse, or infringement of intellectual property or protect data security. Nothing here prevents you from reporting concerns to a government agency.
You may opt out of arbitration within 30 days after first accepting these Terms by emailing [email protected] with the subject “Arbitration Opt-Out” and including your name, account email, and a clear statement that you opt out. Opting out will not affect access to Caliber Services.
For disputes not subject to arbitration, Delaware law applies without regard to conflict-of-law rules, except that mandatory consumer protections in your home state remain available. The state and federal courts located in Delaware have exclusive jurisdiction, unless applicable law requires another forum.
13. Changes, suspension, and general terms
We may update these Terms prospectively. If a change materially affects your rights or an active recurring plan, we will provide reasonable notice as required by law. The updated date will appear at the top. Changes do not retroactively alter an already-filed dispute.
We may limit or suspend access when reasonably necessary to address fraud, nonpayment, security, patient safety, legal requirements, or a material violation of these Terms. Ending Caliber Services does not eliminate a Provider’s independent legal and professional duties concerning medical records or continuity of care.
If any provision is unenforceable, it will be enforced to the greatest lawful extent and the remainder will continue. Our failure to enforce a provision is not a waiver. You may not transfer these Terms without our consent; we may transfer them as part of a merger, financing, reorganization, or sale, subject to applicable law. Provisions that by their nature should survive termination will survive.
14. Contact us
Questions about these Terms, cancellation, billing, or Caliber’s non-clinical services can be sent to: