Fee Schedule

What this document is

This Schedule is the only Gale document that states a fee in numbers. Every other Gale legal document and agreement states fees by reference to this Schedule and repeats no digits; a page in the product that names the price reads it from one source that is kept equal to this Schedule. Where an older document or page still recites a number, the number here governs, and the older text receives a dated supersession note — never a silent edit.

This Schedule is incorporated by reference into Gale's Terms of Service. Gale's privacy documents state no fees.

The fee is charged to the clinician's practice — under federal health-privacy law the covered entity — by Gale Care Inc., its business associate. And the commitment that binds every Gale document binds here without a narrower version: Gale will never use your personal or health information for advertising or marketing, and will never sell it. Gale's compensation is the fee on this page, and nothing else.

The schedule at a glance

The fee

Gale's fee is $1.99 per completed visit, billed to the practice once a month. There is no monthly software fee, no setup fee, no seat fee and no percentage of anything the practice collects. The practice pays Stripe directly for Stripe's own card-processing fees, on its own Stripe account; Gale takes nothing from a card payment and nothing from a payer's payment. The fee is never charged as a subscription, never with per-feature line items. There are no other Gale fees. Changes take effect no sooner than 30 days after notice, and never retroactively.

That paragraph is the canonical statement. What follows explains it; if an explanation and the paragraph could ever be read differently, the paragraph governs.

• The fee is charged to the practice, never to the patient.
• A visit is completed when the clinician signs its note or the practice marks its appointment completed, whichever comes first. It is counted once. A group session counts once for each attendee's note. The fee applies to visits completed on or after 28 October 2026.
• Every completed visit counts, whatever the route and whatever the patient pays: a card payment Gale's software takes for the practice, an insurance claim, a self-pay visit the practice collects itself, a visit with the patient's charge set to $0, a free consult, and a visit the practice marks "not charged or charged elsewhere". A demonstration patient's visit is not counted.
• What a patient pays the practice is the practice's to set, including $0. A practice may ask a patient for nothing before a visit, for one client or for one visit. That setting changes what the patient pays the practice. It does not change Gale's fee for the completed visit, which is the same $1.99.
• A visit that did not happen is not billed. A no-show, a cancellation or a reschedule is not a completed visit. If a completed visit is corrected to one of them before it is invoiced, it is removed from the count; if it has been invoiced, it is credited on the next invoice.
• Gale takes nothing from a payment. The payer pays the practice, and the patient pays the practice, through the practice's own Stripe account. Stripe charges the practice its own processing fees, at Stripe's published rates; Gale sets none of them and keeps none of them.
• The same fee in every state, New York and Texas included.
• Usage, not a subscription. The monthly invoice is a bill for the visits the practice completed in the month before, at the price above. There is no minimum and no base charge: a month with no completed visits costs nothing. A month whose total is under 50 cents is carried into the next invoice.

How the fee is billed

• Once a month, in arrears. Gale counts the visits the practice completed in a calendar month (UTC) and invoices them in the first days of the next. The invoice states the month, the number of visits and the total, and carries no patient's name.
• On Gale's own Stripe account, not the practice's. At sign-up the practice authorizes a bank debit (ACH) on Stripe's own page, with a card as the fallback. A practice that adds neither is sent the invoice by email, with a page to pay it and 15 days to do so.
• A late invoice never switches anything off. Gale reminds the practice. It does not suspend the practice's account, hold a visit or touch a patient.

Practices that joined before 28 October 2026

A practice that joined Gale before 28 October 2026 joined under the earlier fee: a percentage of each card payment Gale took, or a fixed fee for each claim the practice collected on its own. That fee is retired for every visit from 28 October 2026, and Gale takes no fee from any card payment.

Because this Schedule promises 30 days' notice, the new fee reaches such a practice no sooner than 30 days after Gale's written notice to it. Until then, a visit the practice completes is not billed. For the 12 months after that, each completed visit costs the lower of $1.99 and what the earlier fee would have charged for that visit, and after that it costs $1.99. The earlier fee is used only to make that comparison; it is never collected.

Memberships the practice sells

A practice on Gale may sell a membership — a monthly plan for ongoing care, on the practice's own terms. When it does:

• The membership is the practice's, not Gale's. The patient's contract is with the practice. Gale mandates no uniform benefits; the practice writes its own terms, starting from editable templates.
• Gale is the practice's billing and servicing agent — an agent of the payee. A payment made to Gale discharges the patient's obligation to the practice for that payment. Funds settle to the practice's account.
• Gale takes nothing from a membership payment, and a membership payment is not a visit. It is never a retained spread between what the patient pays and what the practice is owed. A visit a member attends is a completed visit like any other, at the same fee.
• Price rails, enforced in the product. The practice sets its own membership price, up to $150 per month for an individual and $300 per month for a family — the Internal Revenue Code's bright line for HSA-compatible direct primary care arrangements (26 U.S.C. § 223(c)(1)(E)). The software blocks a price above the rail and explains why; it never silently accepts one.
• A monthly membership cancels at the patient's request, honored immediately.
• The funding source never changes the fee or the rails. Whether the patient pays out of pocket, spends an employer stipend, or draws on an ICHRA allowance, the price is the practice's price, the rails are the same rails, and Gale's fee is the same fee. Funds follow the patient; Gale sells nothing to employers.

Membership enrollment is not open. This section describes the terms that govern from commercialization onward. No membership is offered or sold today, and the software's selling switch is off by default and fails closed.

What this Schedule does not cover

This Schedule prices a practice's use of Gale. A school-linked claim billed through a school district's own enrollment is priced under that district's agreement with Gale, which is a different arrangement; the Terms of Service say how that money moves.

What this Schedule supersedes

Four older fee statements survive in print, and this Schedule supersedes all four wherever an older document still recites them:

• Versions 1.1 and 1.2 of this Schedule (29 September 2026): 3.5% of a card payment Gale took, card fees included, or a flat $10 for each claim a practice collected on its own, with $1.00 for each paid transaction plus passthrough costs in New York and Texas. Retired for every visit from 28 October 2026 by the ruling named above.
• The origination-tiered cash schedule ratified 10 July 2026 — 8% / 3.5% / 6% of a self-pay transaction depending on who brought the patient. One flat rate replaced it (founder-ratified 18 July 2026); origination no longer changes the price.
• The built-in insurance default of $2.50 per paid transaction plus 15% of the amount paid, as a statement of Gale's fee. The software no longer prices anything that way.
• The flat 3.5% on every rail, card and insurance alike (founder-ratified 18 July 2026).

Gale's Privacy Policy and the Notice of Privacy Practices no longer recite a fee: since 28 October 2026 each says that Gale charges a flat fee for each completed visit and points here for the amount.

Changes

Changes to this Schedule take effect no sooner than 30 days after notice, and never retroactively. Every change increments the version above and carries its date; a fee the practice was charged under an older version is never restated under a newer one.

Owner

This Schedule is owned by Gale Care Inc., which is accountable for keeping it true against the code that computes the fee. The fee the software actually charges is served from the billing service's fee configuration; this document and that configuration are kept in agreement, and a divergence between them is a defect in whichever one is wrong. A check run on every build refuses to ship this Schedule if its fee statement is missing. Questions about the fee go to legal@gale.care.