This company takes full advantage of well to do elderly patients. Billing is out of control unethical and they make up hours , add on so many extra minutes and hours of nonsense. For example if you text them one question during the day time hour question they intentionally text you back after hours and bill you double or triple their daily hourly rate . They want to call you and check in and bs with you and in the meantime you are getting billed . It is elder abuse at its finest especially when the patient is ill and out of it .