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What makes us different?
We Put Our Patients Above Profits

As a direct care provider, we offer expert, personalized dermatology care, without the long wait to book an appointment, referral hurdles, or limitations of insurance contracts.

Easy Access to Expert Care

Do you have a skin or hair issue you’re concerned about, but have been told the next available appointment with an insurance-based practice is 6 or even 9 months out? We believe you deserve expert care in a timely manner, so we reserve blocks for same-day and same-week appointments. What’s more, every patient gets direct, personalized attention from Dr. Goddard, a board-certified dermatologist who cares about your entire experience from booking the appointment to the completion of therapy.

Telehealth Services
Do you live in an area of Maine, New Hampshire, or Massachusetts where access to a board-certified dermatologist is not available? We also offer secure and easy online consults for many skin conditions.
A patient having the skin on their back examined

Unrushed, Personalized Attention

Are you tired of feeling rushed through by your doctor or not feeling heard about your concerns? Due to financial pressure, insurance-based practices typically need to do a high volume of appointments every day by nudging their patients along for quick turnarounds. This is usually not the doctor’s fault (or preference)! And many of them are feeling burnt out by this model being driven by the traditional healthcare system.
At Maine Direct Dermatology, we don’t work for the insurance companies. We work directly for you! So we have the privilege of focusing our full attention on your needs. We built this practice to create the time and space in each appointment to actually listen and hear you, your concerns, your overall health and lifestyle details so we can provide accurate, personalized care.
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Whole-person approach

During the visit, you’ll receive clear and thorough explanations about your skin or hair condition, and a treatment plan that is personalized for your individual needs. And if you’re interested in going deeper to assess the root causes of issues rather than just symptoms of skin conditions, Dr. Goddard offers integrative medicine expertise to help optimize your nutrition, gut health, hormone analysis, lifestyle modifications, and prescriptions to transform your skincare journey.
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Direct Care = Easier Access Without Insurance Hassles

More Attentive Care
Most insurance-based practices have to churn through patients to make a profit. Not us.
Easy Appointments
With same-week or even same-day booking, you won’t be waiting months for the care and attention you deserve!
No Insurance Hassles
No referral hurdles or limits based on insurance contracts. Get expert care with direct, transparent pricing.

Common Questions

What is a direct care practice?

Direct care is a progressive medical care model that focuses on the patient-doctor relationship rather than the insurance-payor-to-doctor relationship. We do not participate with any insurance or government healthcare programs. This model takes the middleman out of patient care, cuts through the layers of bureaucratic complexity, and allows us to provide good, old-fashioned medicine in modern times. 

Doctors have more time to spend with patients because we are no longer feeling the rising pressure from dwindling insurance reimbursement, frustrating denied insurance claims for standard practices, or private equity firms dictating the time we spend with patients to keep our revenue machine trending up and staffing costs down. 

In direct care, patients pay a reasonable fee, in full, for their care at the time of their visit and there are no surprise bills after the visit because we are not depending on insurance companies to approve the visit. All of this leads to a better experience for the patient and the doctor.

Are you out-of-network?

Yes. Dr. Goddard is considered an out-of-network provider for ALL insurance plans. This doesn’t mean that you cannot be seen by Dr Goddard, it only means that our office will not submit your visit to your insurance company for reimbursement. 

  • For those of you with private payer insurance (not government-supported), we can provide you with a superbill with the necessary codes for your visit, which you can submit to your insurance. This will allow your visit expense with Dr Goddard to count toward your deductible or may result in reimbursement to you if you have met your deductible
  • You can also use a HSA or FSA card to pay for your visit with Dr Goddard. These types of pre-tax funds are perfect for out-of-network medical expenses such as direct care medicine. 

Certain patients who have government insurance policies, such as Medicaid, are not permitted to be seen for non-cosmetic services due to government regulations.

What if I need a biopsy or blood work done?

We have options for you! 

  • You can use your insurance for most pathology (biopsy) lab fees and blood work that is typically covered by your plan. We can submit a copy of your insurance card alone with the lab specimen. We cannot know ahead of time how much they will cover or what your responsibility of the bill will be. 
  • We have negotiated drastically lower “cash based” prices with our pathology lab and certain labs for bloodwork (such as Quest) that we can pass along to you, should you choose not to use your insurance, or if you do not have insurance. These reduced rates are 75-90% lower than what insurance is billed for the same test! That just goes to show how much insurance inflates prices of services!
What’s the benefit of Direct Pay for patients?

We keep it simple. Without third party payors, we remove the extreme regulations, administrative costs, and labor associated with contracting with insurance companies and government plans. That means we can pass that savings and extra time on to your care.  

With skyrocketing healthcare costs, patients pay expensive insurance premiums yet still can’t afford care due to high deductibles and co-pays. To make matters worse, patients have no idea what their out-of-pocket costs are until they receive a surprise bill months later. With direct care, there are no surprise bills or statements that show up after the visit.

Patients with high deductibles or no insurance will likely find that our fees are significantly lower than what they are currently paying out-of-pocket. 

Maine Direct Dermatology offers savings on prescription medications by getting creative. We can use a compounded medication formulary, direct medication dispensing in the office at wholesale prices, and other cost-saving options to get you the most affordable pricing on prescription medications.

Will my insurance help cover any of your costs?
  • If you have private insurance such as BCBS, Aetna, etc., we can provide you with a superbill that includes visit codes. You can submit this to your insurance, yourself, and they will evaluate if your office visit fees from MD Derm can be used toward your deductible or you may even get reimbursed if you have met your deductible for the year.
  • If you have a government based insurance plan such as Medicare or Medicaid, we can not provide you with a superbill and they do not allow you to be reimbursed for visit with MD Derm. 
  • For private insurance and Medicare patients, you can chose to use your insurance for lab fees, imaging (radiology), pathologist fees, and prescriptions.