Office Policies & Fees

New Patient Visits

In-person and telemedicine visits for new patients can take up to 1½ hours. Depending on the patient’s needs and type of visit, the emphasis will either be on homeopathy or osteopathy together with appropriate life-style recommendations.

Please read the How To Report Symptoms page or the printed information which was sent to you by mail. Bring or send ahead of time copies of recent laboratory work and other relevant medical reports as well as a list of all medications and supplements.  New telemedicine patients can send this information via the patient portal.

The fees for a new patient visits are $495.  Initial visits for infants and children generally take less time and the fee is adjusted accordingly ($295- $385). These fees are for patients with no insurance or no out of network coverage. Three business days notice is required to cancel a new patient visit. Fees for return visits vary based on the number and kind of procedures performed, generally in the $195-$295 range.

Dr. Masiello’s practice is office-based and telemedicine based, so patients are urged to maintain contact with conventional physicians for emergencies requiring hospitalizations, specialty consultation, surgery, diagnostic testing, gynecological services and routine cancer screening. He practices an integration of classical homeopathy and traditional osteopathy. Although homeopathy has been around for over 200 years, it is now considered to be alternative or non-conventional. Voice mail messages can be left 24 hours a day and he is available to established patients with urgent medical problems by cell phone.

Health Insurance

Dr. Masiello  is not enrolled in private insurance networks. The practice is open to standard Medicare patients but not to Medicare Advantage HMO patients.  Some Medicare Advantage PPO plans may reimburse some of your fees. Please contact your plan for more information on out of network covereage.  Dr. Masiello does not accept Medicaid patients. Please note that some services provided by Dr. Masiello such as homeopathy are not covered by Medicare or private insurance plans and the patient is required to pay for those services at their office visit.

Dr. Masiello does not provide examinations or documentation for patients on disability


Your treatment usually includes a medical office visit and an osteopathic treatment. As a courtesy, your claim will be submitted electronically on your behalf.  If you do not have insurance, you will be given a receipt for tax purposes without insurance codes.


Charges for all components of your treatment are due at the time of your visit. Only credit cards or debit cards are accepted for payment. Patients are responsible for charges even if their deductible has not been met. There is no charge for a single dose of a remedy (pellets) dispensed at the time of the office visit. There is a fee for tinctures, liquid remedies and remedy tablets.  A separate receipt will be issued for medication charges. These homeopathic medications are not covered by your private health insurance or by Medicare.


There is a 15% discount for patients without health insurance or who have insurance coverage but can’t use it for services at our office. Discounted patients will receive a receipt  without insurance codes for tax purposes.


Receipts for tax purposes are provided for patients without insurance. As a courtesy, all claims for patients with insurance will be submitted electronically.

Cancelled or Missed Appointments

As a courtesy, electronic reminders are sent out 3 days before and again 24 hours before your appointment. Please select among the following options: confirm, cancel or reschedule. Cancellations must be made 3 days before your appointed time for a first time visit to avoid a missed office visit fee. Cancellations must be made 24 hours before your follow up visit to avoid a missed office visit fee.


The methods Dr. Masiello uses are labor-intensive and require the allotted time to complete so please maximize your experience by being on time. If you are late for your appointment and if the next patient has arrived early, the next patient may be seen during your appointment time in an effort to preserve the rest of the day’s schedule and not shortchange any one patient.

Phone/Telemedicine Consultations After hours

Phone/telemedicine consultations after hours are only for established patients who need homeopathic prescribing on weekends or after office hours.  There is a $195 fee for phone/telemedicine consultations. Payment by credit card is required for the consultation. If the remedy prescribed during the phone consultation has not worked, and the patient lives nearby, you will be asked to come to the office for treatment the next day the office is open.  The $195.00 fee will be deducted from the office visit fee so you will not pay twice for the same episode. Remedy kits for home prescribing are available via a link from this website.

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