Private Insurance

Rivertree Osteopathic Health does not accept private insurance or MaineCare. Full payment is required at the time of the appointment. This is due to increasing challenges to small private practices including decreased reimbursement and high administrative costs. Our rates are below the average for Osteopathic Manipulation specialty practices in Maine. In most cases, insurance will reimburse you based on your policy, and we will provide you with a superbill to submit to them at the time of your visit. 

 

Medicare

As of January 1, 2025, Rivertree Osteopathic Health is “Non-participating” with Medicare. This means that, if you have traditional Medicare (not Medicare Advantage), we require full payment of no more than $196 – 176 per visit at the time of your appointment. This will be 110% of the expected participating Medicare rate, the allowable amount for non-participating providers. We will submit claims to Medicare on your behalf and Medicare will directly reimburse you for your visit. If you have secondary insurance, they may pay you part of any remaining balance. In most cases, we estimate that you will pay only $10 more per visit than you typically pay out of pocket.

Medicare Advantage

We require payment at the time of the visit and will provide a superbill that you can submit to your insurance if you want reimbursement. The rates for Advantage plans are the same for traditional Medicare, which is no more than $196 per visit. The average reimbursement rate is about 60% but can vary based on your plan.
All patients over 65 receive discounted rates as indicated below.

 

MaineCare

 MaineCare visits are discounted as MaineCare does not reimburse for care.

 

Appointment Types and Expected Costs

 

  • New Patient (60 minutes) $230
  • Established Patient (45 minutes) $190
  • New Patient Medicare/Medicare Advantage (60 minutes) $196
  • Established Patient Medicare/Medicare Advantage (45 minutes) $176
  • Child under 12 New Patient (45 minutes) $170
  • Child under 12 Established Patient (30 minutes) $130
  • MaineCare Discount New Patient (60 minutes) $180
  • MaineCare Discount Established Patient (45 minutes) $160
  • Quick Visit Established Patient (15 minutes) $70
  • MindBody Appointments (45 minutes) $170
We look forward to seeing you! Please contact us with any questions or concerns.
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