Terms of Service

Effective: March 24, 2026

These terms govern your use of the services provided by Flat Rate Nexus, operated by Kasky Online Health, PLLC ("we," "us," "our"). By submitting an intake form or using our service, you agree to these terms.

Service Description

Flat Rate Nexus provides independent medical opinion letters ("nexus letters") for use in VA disability claims. A board-certified physician reviews your medical records and, if the evidence supports a favorable opinion at the "at least as likely as not" threshold (50% or greater probability), prepares a signed medical opinion letter.

This service is limited to record-based medical opinion letters. We do not perform examinations, provide telehealth visits, prescribe medications, or offer treatment of any kind.

No Physician-Patient Relationship

Use of this service does not establish a physician-patient relationship. The reviewing physician provides an independent medical opinion based on your submitted records. No ongoing care, follow-up, or treatment relationship is created or implied.

No Guarantee of Outcome

A nexus letter is one piece of evidence in a VA disability claim. We do not guarantee that your claim will be approved, that a particular disability rating will be assigned, or that the VA will adopt the opinion expressed in your letter. Claim outcomes depend on the totality of evidence the VA reviews, including C&P examinations, prior decisions, and other factors outside our control.

Pricing and Payment

Our current introductory pricing is $400 per condition, structured as follows: a $50 record review fee paid at the time of intake submission, and a $350 letter fee paid only if a supportive opinion letter can be written.

If we determine that your case does not meet the threshold for a supportive opinion, the $350 letter fee is not charged. The $50 record review fee will be refunded. You will receive a specific explanation of why your case was not supportable and actionable steps you can take.

Pricing is subject to change. The rate in effect at the time you submit your intake form applies to your case.

Refund Policy

If we cannot write a supportive opinion letter after reviewing your records, your $50 record review fee will be refunded to your original payment method within 5-7 business days. No letter fee is charged for unsupportable cases.

Once a completed letter has been delivered and the $350 letter fee has been paid, refunds of the letter fee are not available, as the service has been fully rendered. If you identify a factual error in your letter based on your records, we will revise the letter at no additional charge.

Your Responsibilities

You are responsible for providing complete and accurate records. The quality of the medical opinion depends on the completeness of the records you submit. If we need additional records to evaluate your case, we will notify you and provide specific guidance on what to obtain.

You represent that you are the veteran named in the submitted records, or that you are authorized to submit records on behalf of the named veteran.

You consent to the use of AI-assisted tools in the preparation of your letter, as described in our Privacy Policy. The physician reviews, edits, and signs every letter before delivery.

One Condition Per Letter

Each letter addresses one medical condition. If you are seeking opinions for multiple conditions, each condition is handled as a separate case at the same flat rate.

State Restrictions

We are currently unable to accept cases from veterans residing in Oregon or Utah. We serve veterans in all other 48 states and Washington, DC.

Record Handling

Your medical records and personal information are handled in accordance with our Privacy Policy and applicable HIPAA requirements. We do not share your records with third parties for marketing or any purpose unrelated to preparing your nexus letter.

Communication

All communication regarding your case is conducted via email at info@flatratenexus.com. We do not offer phone calls, video visits, or in-person consultations. We aim to respond to emails within 2 business days.

Revisions

If your completed letter contains a factual error based on your records, notify us and we will issue a corrected version at no additional charge. Revisions are limited to corrections of factual inaccuracies. We do not revise the medical opinion itself, as it reflects the physician's independent professional judgment.

Intellectual Property

The nexus letter prepared for you is for your personal use in connection with your VA disability claim. You may submit it to the VA, share it with a Veterans Service Organization (VSO) or claims agent, or provide it to an attorney representing you in your claim. You may not resell, redistribute, or publish the letter for any other purpose.

Limitation of Liability

To the maximum extent permitted by law, our total liability for any claim arising from or related to this service is limited to the amount you paid for the specific letter at issue. We are not liable for indirect, incidental, consequential, or punitive damages, including but not limited to lost benefits, claim denials, or delays in claim processing.

Governing Law

These terms are governed by the laws of the State of Nevada. Any disputes arising from these terms or your use of our service shall be resolved in the courts of the State of Nevada.

Changes to These Terms

We may update these terms from time to time. Changes will be posted on this page with an updated effective date. Your continued use of our service after changes are posted constitutes acceptance of the updated terms.

Contact

For questions about these terms, contact us at info@flatratenexus.com.