About | People Tree Osteopathy | Dr. Levy

Visit Types and Fees

Please note:

We do not participate with any insurance companies.
Payment is due at the time of visit and pricing is based on the scheduled length of the appointment.
- If you know you have a complex history or areas that need a lot of help, you can book a longer appointment type to ensure you have enough time to cover your concerns.
- Alternatively, if there is nobody scheduled after you, you may be able to extend your appointment time if needed, with the associated cost of the extended visit.
As we set time aside for each person and aim to stay on time for our patients, please be aware that arriving late will shorten your useable scheduled visit time, and a late cancellation or missed appointment will result in a fee that will require payment before rescheduling.
Read more in the sections below about visit types and fees, payment options, what to ask your insurance company about possible reimbursement, and our cancellation policy.

Initial Osteopathic Evaluation & Treatment

Includes comprehensive discussion of medical history, sometimes additional clinical examination, hands-on diagnostic evaluation and treatment.

$400 for patients age 19 years and over - visits are 70-85 minutes.
$350 for patients age 18 years and under - visits are 55-70 minutes.
$300 for infants under 1 year of age - visits are 40-55 minutes.

Established Patient Visit

Comprehensive hands-on evaluation and treatment.

$300 for patients age 19 years and over - visits are 40-55 minutes.
$250 for patients 18 and under - visits are 30-40 minutes.
- Teenage or complex pediatric patients may do better with an adult visit time slot, while healthy infants may only need a brief visit time slot. Time recommendations can be discussed at the initial appointment.
Established patients are those that have seen Dr. Levy for care within the past 3 years.
If you have not been to our office but have seen another osteopath for continuing care within the past 3 months and need coverage while they are out, this may be an option if a recent note can be sent to the office.

Brief Osteopathic Visit

$150-$200 for a 15-25 minute visit; price based on time and complexity (e.g. treatment vs discussion only).
Targeted hands-on evaluation and treatment; acute issues, quick tune-ups, or discussion only (eg dedicated time to do exercises, review information, fill out forms).
Best for patients who have been seen in the last 30 days.

Mom + Newborn Visit, or Individual Extended Time Visit

$500 for a 100-115 minute visit.
For postpartum moms & their babies to get treated in the same visit with cost savings.
- Established patients may opt for a shorter visit for mom + baby.
Also for new or established patients who require extra time for complex history discussion, questions, paperwork, medication compatibility review, vision assessment, lots of areas needing treatment, etc.

Home Visits

May be available on a case-by-case basis for established patients in Maryland. Prices start at $500 and are based on the time required for the visit plus travel.

Virtual / Telehealth Visits

Pricing is the same as in-person, but may be prorated if visits take much less time than expected.
Virtual visits may be done during or outside of standard office hours (assuming the timing works for both of us) and are typically more flexible to schedule than in-person visits.
Virtual visits can be helpful for discussion, obtaining part of an extended history, education, guided imagery, walking through stretches or exercises, or walking a family member through a simple home treatment when you are not able to come to the office.

Late Cancellations (Within 48 hours) and No Shows / Missed Appointments

No shows: full cost of the visit.
Late cancellations: 25-50% the cost of the visit. Charged to the card on file. See below.

Paperwork, Etc.

If forms, reports, or records are requested and require time to complete outside of your visit, you will be accordingly charged for time spent and any costs of supplies and postage. It is best to request and complete any forms during an appointment, if it something that is within the scope of the practice.
Paperwork sent to the office by insurance companies will not be replied to.
Dr. Levy will not participate in trials, testify, or do depositions for patients.

Book a visit in Columbia

Book a visit in Silver Spring

Payment

We are a fee-for-service practice which means that payment is due in full at the time of visit.

We accept cash, check (or Zelle), money order, HSA/FSA cards, credit cards (Visa, MasterCard, American Express, Discover), and debit cards (Visa and Mastercard). Gift cards are also available.

Do you take insurance?

Unfortunately, we are not able to accept insurance or other third-party payments as the time and resources required detract from our ability to spend the time we need with our patients. You will be given a superbill with all the codes needed for you to submit to your insurance company, including diagnosis codes, visit codes, and OMT procedure codes. If you can go out of network, we have been told that insurance companies have covered between 10%-90% of the bill, and the visit costs may go toward your out of pocket or deductible. If your insurance requires a referral to see a specialist, you may need a referral to be reimbursed (ask your PCP for a referral for Osteopathic Manipulative Medicine).

Medicare (including Medigap), Medicaid, and some specific insurances such as Kaiser Permanente will NOT provide reimbursement. Our practice has opted out of Medicare and therefore claims should not be submitted for reimbursement to Medicare. All patients with Medicare will be asked to sign a Medicare Opt-Out form which acknowledges that you understand that Dr. Levy has opted out and does not accept Medicare payment. A secondary insurance plan (though usually not Medicare Advantage plans) may accept a superbill and a copy of a signed Medicare Opt-Out form for possible partial reimbursement, but this varies between plans.

If you have any questions about reimbursement or requirements for reimbursement, please ask your insurance company first! We do not know how or IF your specific insurance plan will reimburse. If your insurance company requires our office to fill out forms for you to get reimbursed, please note that we cannot do this as it requires administrative resources beyond our capacity. Paperwork from insurance companies will not be responded to if sent to the office. If your insurance company requires an office visit note or something simple that you can provide to them directly, please let us know at your visit so we can try and help you if possible.

Specific questions to ask your insurance company

If you would like to check with your insurance company about coverage prior to scheduling, you can ask them:

Do they cover out-of-network physician office visits?
- If you have Medicare and are submitting to a secondary insurance, you may want to ask more specifically if they cover visits with out-of-network physicians who have opted out of Medicare.
- If you want to ask how much is covered, you can give an example of a CPT code for an office visit is 99205 (typical new adult), 99204 (typical new child), 99214 (typical adult follow up), or 99213 (typical child follow up).
Do they cover osteopathic manipulative treatment or OMT?
- An example of a typical CPT code used for OMT is 98928.
Will they cover an office visit ("E&M code") + OMT on the same day?
- Some insurances such as Cigna, United, and BCBS have been denying this combination.
How many visits do they cover in a calendar year?
- Note: OMT is NOT the same as chiropractic or physical therapy and should not be confused for it.

Cancellations and Missed Appointments

We only see a few people each day in order to provide as much time as is necessary to give you true quality visits. When someone cancels with short notice, it is often difficult to fill that time slot that was set aside specifically for that person. When someone misses their appointment, there is no opportunity to give that time to someone else.

As such, a missed appointment without prior notification (or cancellation after the start of your appointment time) will result in full charge of the appointment fee.

A cancellation within 24 hours of the appointment will result in a charge of 50% the appointment fee.

A cancellation within 24-48 hours of the appointment will result in a charge of 25% of the appointment fee.

These fees will be charged to the card on file.

Future appointments will not be made until the late cancellation or no show charge has been paid in full.

If you have extenuating circumstances, consideration will be given. However, all late cancellations and no shows are noted in the patient record, and patients with excessive late cancellations may be asked to find another office for their care. In case of illness, urgent situations, or unforeseen circumstances, we ask that you notify us as soon as possible so that the time may be used to help another patient.

Patients who miss their first appointment without giving reasonable notice ahead of time will be asked to find care elsewhere.

Inclement Weather/Emergencies

If your appointment needs to be rescheduled due to physician illness or emergency, unforeseen office issues, or due to inclement weather, you will be notified as soon as possible by email or phone. In case of inclement weather, we will try to follow government and school late opening and cancellation procedures.