Private Insurance

As of May 1st, 2023, Rivertree Osteopathic Health no longer accepts private insurance or MaineCare. Full payment is required at scheduling or 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 at the time of your visit.

 

Medicare and Medicare Advantage

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 will require full payment of $176 – $185 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 – $20 more per visit than you typically pay out of pocket.

 

For patients with Medicare Advantage, we require payment at the time of visit and provide a superbill that you can submit to your insurance. The rates for Advantage plans are the same for traditional Medicare, which is $176 – $185 per visit. The average reimbursement rate is about 60% but can vary based on your plan.
Our rate for Medicare is less than what we charge for non-Medicare patients, thus providing a small discount to all of our patients who are over 65.

 

MaineCare

 

MaineCare visits are discounted as MaineCare does not reimburse for care.
  • New Patient (60 minutes) $230
  • Established Patient (45 minutes) $190
  • New Patient Medicare/Medicare Advantage (60 minutes) $196 – $206
  • Established Patient Medicare/Medicare Advantage (45 minutes) $176 – $185
  • 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
We look forward to seeing you! Please contact us with any questions or concerns.