Service Agreement — Oncology Care Coordination

1. Nature of the Service

MedBridge (Chengdu Meijiakang Medical Management Co., Ltd.) provides medical facilitation and coordination services. We are not a hospital, not a clinic, and not a provider of telemedicine. We do not diagnose, prescribe, operate, administer anaesthesia, or deliver nursing care.

Every clinical act — examination, imaging, pathology review, surgery, radiotherapy, systemic therapy, CAR-T infusion, proton or heavy-ion therapy, intensive care — is performed by the treating hospital and its licensed professionals, who carry sole clinical and legal responsibility for it.

Our role is to shorten the distance between a patient abroad and a Chinese oncology department: collecting records into a usable package, matching to a named department and a named physician, booking, escorting, interpreting, and following up after discharge.

2. Scope of Services

The scope for a given case is fixed in the signed service contract. It is drawn from the following menu and nothing outside it is included by implication.

• Record packaging: structuring diagnostic reports, imaging, pathology and treatment history into a Chinese-hospital-readable case file, including translation into Chinese where required;
• Department and physician matching: proposing a named hospital department and a named physician for the patient’s specific tumour type and stage, with the basis for the match stated in writing;
• Appointment coordination: securing the outpatient, MDT or admission slot, and confirming the date, the department, and what the patient must bring;
• On-site escort and interpretation: a coordinator present for first consultation and key procedures, plus medical interpretation in the language pair stated in the contract;
• Itinerary and logistics: visa invitation letter support, airport and hospital transfers, accommodation guidance, and a day-by-day plan;
• Post-visit continuity: discharge summary translation, follow-up scheduling, and a written handover for the patient’s home-country physician.

3. What Is Excluded

Exclusions are stated here so that no one assumes otherwise. A hospital may arrange some of these directly; MedBridge does not arrange them as part of the coordination service.

• Making a diagnosis, giving a treatment recommendation, or replacing a second opinion from a licensed physician;
• Guaranteeing a specific clinical outcome, survival period, complication rate, or that a given therapy will be offered;
• Purchasing, carrying, mailing, or customs-clearing any medicine, including unapproved or investigational drugs;
• Enrolling a patient in a clinical trial, negotiating trial terms, or acting as a recruitment intermediary between a patient and a trial sponsor;
• Organ transplantation brokerage, gamete or embryo arrangements, gestational surrogacy, or sex-selective procedures;
• Paying hospital bills on the patient’s behalf, extending credit, or acting as a guarantor of payment;
• Arranging any service prohibited by the law of the patient’s country of residence or of the People’s Republic of China.

4. Case Review and Record Use

A case review is a pre-contract assessment, not a medical consultation. On the basis of the records supplied, we state which departments are plausible, what is missing from the file, an indicative cost range and an indicative timeline. That assessment is a good-faith professional view formed at a point in time; it is not a diagnosis and it can be overtaken by the hospital’s own findings.

Records are used for three purposes only: matching, hospital pre-assessment, and the coordination of the visit. They are shared with the target hospital and, where the contract says so, with a named second-opinion physician. They are not used for advertising, model training, or any commercial purpose.

Where the records are incomplete, the hospital may require additional slides, blocks, or imaging before it will confirm a plan. MedBridge will say what is missing; obtaining it remains the patient’s responsibility, and the timeline moves accordingly.

5. Fees and Payment

There are three separate money flows and they are never mixed. Medical fees go from the patient to the hospital. Service fees go from the patient to MedBridge. Third-party costs go to the provider that incurs them.

• Medical fees: charged directly by the hospital at its published rates, with official itemised bills and fapiao issued by the hospital. MedBridge never collects, holds, or marks up these amounts.
• Service fee: the package amount stated in the contract (Essential USD 999 / All-Inclusive USD 3,999), invoiced by MedBridge and confirmed in writing before signature.
• Deposit: USD 199, covering registration and airport/hospital transfer costs, and triggering the matching and booking work; the balance is staged as the contract sets out.
• Third-party costs (visa, flights, accommodation, insurance, additional interpretation): reimbursed at actual cost against receipts, with no service margin added.
• Currency and tax: amounts are quoted in USD; where settlement is in RMB the exchange rate applied is stated on the invoice, and any withholding tax is grossed up so the contracted amount is what arrives.
• No commission: MedBridge does not accept, and its contracts prohibit, any payment from a hospital or physician calculated by referral volume, case count, or revenue share.

6. Cancellation and Refunds

Cancellation is handled in tiers, measured against what has actually been spent rather than against a penalty schedule.

• Before the hospital confirms an appointment: the deposit is refunded in full;
• After confirmation and before travel begins: the deposit is refunded less registration and transfer costs already incurred, evidenced by receipts;
• After travel begins: settled under the staged rules in the contract, with unused service days refunded;
• Where the hospital cannot provide the booked service: all service fees received are refunded in full;
• Where the patient is found on arrival to be unfit for the planned treatment: the unused service portion is refunded, and medical costs already incurred at the hospital are governed by the hospital’s own rules;
• Refunds are paid by the original route within fifteen working days of the written cancellation taking effect.

7. Appointments, Physicians, and Changes

A named department and a named physician are proposed in writing, with the reason for the proposal. Once an appointment is confirmed, the hospital is expected to keep it. If the physician becomes unavailable — illness, emergency surgery, travel — the hospital will substitute a physician of comparable subspecialty and seniority, and the patient will be told before the consultation rather than after it.

A confirmed appointment is not a promise that a particular therapy will be given. Whether a patient is a candidate for surgery, radiotherapy, CAR-T, proton or heavy-ion therapy, or a particular drug regimen is decided by the hospital after its own work-up. A pre-assessment that suggested a therapy is an indication of where to look, not an undertaking that the therapy will be ordered.

If the hospital’s work-up reaches a materially different conclusion from the pre-assessment, MedBridge will present the hospital’s reasoning and the available alternatives, and the patient decides whether to continue.

8. Medicines, Trials, and Investigational Therapy

Cancer care raises questions that general medical travel does not, and the boundaries here are strict.

• MedBridge does not purchase, carry, courier, or customs-clear medicines for patients. Carrying a medicine across a border is governed by the exporting and importing country’s rules, and a prescription issued in China does not by itself make an import lawful.
• Off-label use, unapproved products, and investigational agents may be discussed by the treating hospital within its own regulatory framework. MedBridge does not source them, does not price them, and does not present them as an available package.
• Clinical trial participation is decided by the trial’s sponsor and the site’s investigator against the protocol’s eligibility criteria. MedBridge may tell a patient that a trial exists and how to approach the site; it does not screen, enrol, negotiate, or receive payment for enrolment.
• Where a patient asks about a therapy that is not available in China, or not available at the matched hospital, the answer will be that it is not available — not a workaround.

9. Obligations of the Patient and Family

• Provide complete and truthful records, including prior treatments, complications, allergies, current medication, and any condition that affects fitness for anaesthesia or imaging;
• Do not alter, redact, or substitute records, and disclose if a record is a translation rather than an original;
• Comply with the visa, entry, and stay conditions of the People’s Republic of China, and leave before the permitted stay expires;
• Follow the hospital’s rules on visiting, escort numbers, photography, and infection control;
• Pay medical fees to the hospital and service fees to MedBridge on the schedule agreed, and keep receipts;
• Tell the coordinator promptly if the patient’s condition changes, if a scheduled appointment will be missed, or if the family decides to stop treatment.

10. Personal Information and Medical Records

Health data is the most sensitive category we handle. Records are transferred encrypted, access is limited to the coordinator and the clinical reviewer assigned to the case, and every access is logged.

The patient, or the guardian of a patient under eighteen, gives explicit consent before records are shared with a hospital. Consent for a minor cannot be implied and cannot be given by a travelling companion who is not the guardian.

Where the patient comes from a jurisdiction with its own transfer rules, cross-border transfer is documented, and the receiving hospital is identified by name before the transfer happens.

Retention follows the contract: coordination records for twenty-four months after the last service, clinical correspondence for five years where the hospital requires it, and access logs for six months. Deletion can be requested in writing, subject to records the hospital must keep by law.

The full position, including rights of access, correction, and withdrawal, is in the Privacy Policy, which forms part of this agreement.

11. Liability, Force Majeure, Term, and Termination

MedBridge is liable for its own coordination failures — a mis-booked appointment, a lost record package, a missed transfer — up to the service fees actually received for that case. We are not liable for clinical outcomes, for a hospital’s decision to admit or decline, for visa decisions, for airline disruption, or for costs incurred outside the contracted scope.

Neither party is liable for failure caused by events beyond reasonable control: epidemic control measures, border closures, natural disaster, civil disruption, or a hospital’s emergency diversion of capacity. Where such an event occurs, the affected service is rescheduled or refunded under clause 6, and the parties act in good faith on what has already been spent.

The agreement runs from signature until the last contracted service is delivered, and ends on the earlier of completion, written termination by either party on fifteen days’ notice, or a material breach that is not cured within ten working days of notice. Termination does not affect fees already earned or costs already incurred.

This agreement is personal to the patient named in it and may not be assigned. MedBridge may use a vetted local partner for on-the-ground logistics, and remains responsible to the patient for that partner’s performance.

12. Governing Law and Disputes

This agreement is governed by the laws of the People’s Republic of China. Medical care itself is governed by the law and the internal rules that apply to the treating hospital.

A dispute is first raised in writing to the other party, who has ten working days to answer. If it is not resolved within thirty days of that first written notice, either party may bring proceedings in the people’s court with jurisdiction at MedBridge’s domicile in Chengdu.

Complaints about the clinical care received are handled through the hospital’s own patient-complaint procedure; MedBridge will help a patient file one and will translate the response, but does not adjudicate it.

Nothing in this agreement limits a right that the patient has under mandatory consumer-protection law and that cannot be waived by contract.