River Valley Travel Medicine is a practice that advises travel patients, and we do not contract with any health insurance companies including Medicare. Payment for vaccines will be at time of service by cash or credit card. A detailed receipt with all of the necessary codes and information will be provided to every patient to submit to their insurance company. Depending on your plan, the office visit and vaccinations may or may not be a reimbursable expense to you. Patients are advised to contact their insurance companies to find out if preventative travel vaccinations for travel outside the U.S. are covered, and what the reimbursement process is.