Robichaud Chiropractic
56 Winthrop Street
Concord, MA 01742
(978)3692266
(978)3695205- Fax
www.drrobichaud.com

Dr. Robichaud is a provider in the BCBS Network. As a participating provider, he agrees to bill you the allowed rates approved by BCBS. You would be responsible for paying the difference between the allowed rate and the paid amount by BCBS. When services are provided that are not covered by BCBS, Dr. Robichaud can charge you his normal amount.

We will submit all your claims and all your charges to BCBS for processing and payment. Your policy may have a deductible and co-payments. These would show up as remainder balances once BCBS adjudicates your claims. We have a secure system in place to store a form of payment and pay these remainder balances, should you have them. You would receive an email anytime your card is charged. If you would prefer to receive a paper remainder statement in the mail, please let us know.

The standard BCBS Chiropractic Benefit covers 12 visits a year. Your employer may provide additional benefits beyond the standard plan. You should check to see what your coverage is. BCBS does not cover ongoing "wellness" or "maintenance" care.

The 2026 fee schedule is as follows:
New patient examination: $200.00
Established patient re-examination: $125.00
Spinal Manipulation (office visit): $60.00
Attended Ultrasound: $20.00
Stretching Instruction: $20.00
Exercise Instruction: $20.00
Unattended Muscle Stimulation: $5.00*
Manual Soft Tissue Therapy: $5.00*
Kinesiotaping: $5.00*

*- not covered by BCBS

I have read the waiver policy and understand I am responsible for payment of any remainder balances.