56 Winthrop Street

Concord, MA 01742

978 369 2266

Dr. Robichaud is a participating provider in the Medicare Part B program, and is enrolled in the Blue Cross Blue Shield and Harvard Pilgrim Health Plan Medicare Advantage Plans. These plans typically carry a certain annual deductible and co-payment, which will be collected at the time services are rendered.

Many other insurance companies offer Medicare Advantage plans. Dr Robichaud would be an out-of-net network provider for these plans. The Tufts Medicare Advantage Plans do not allow us to charge you the difference between our normal submitted charge and the allowed amount set for in-network providers. As such, we cannot submit your claims to a Tufts Medicare Advantage plan. We will, as a courtesy, submit your claims to other Advantage plans for processing and payment. You would be responsible for paying the difference between our submitted charge and whatever the plan pays us (if anything).

We have a system in place to keep a form of payment on file in a secure platform to pay for any remainder balances that might be due after processing. You will be sent a receipt for any payments made to this stored card. If you prefer to receive a paper bill in the mail rather than have the remainder balance charged to a card, please let us know.

The Medicare Part B plan has a chiropractic benefit that pays for spinal manipulation to correct a spinal subluxation. Period.

Spinal manipulation (routine office visit) will be covered for a certain amount of visits per year as determined by your specific plan. You can check with your plan to find out how many visits per year are covered. Medicare and the Medicare Advantage Plans do not cover the other services we provide here. Keep in mind that Dr. Robichaud is required by law to perform an initial physical examination on any new patient entering the practice to establish a diagnosis and plan of care.

The 2026 fee schedule is as follows:

New patient physical examination: $200.00

Established patient re-examination: $125.00

Spinal Manipulation (office visit): $60.00

Manual soft tissue therapy: $5.00

Applied Physiotherapy: $5.00

Kinesiotaping: $5.00

I have read the waiver form and understand that I am responsible for payment of any remainder balances on my account.