For those with insurance plans with which we do not directly contract (like CIGNA/Aetna/MVP or United Healthcare (without Harvard Pilgrim Rider), payment is received at the time of your visit. Our billing company will submit a claim to your insurer on your behalf for reimbursement, if allowed by your carrier. Please check with your carrier as to how much, if any, of this type of benefit you may have. Please understand that we are not able to sign insurance contracts with insurers who mandate onerous rules, deeply discount reimbursement, or in many cases (sadly) both. We do have many patients who elect to see us “outside” of their traditional insurance coverage, relying on us for their Primary Care, finding our model of care affords piece of mind, while also saving them time and money. High quality Primary Care costs can be quite reasonable. We are glad to quote representative fees for your consideration.