INSURANCE AND PAYMENTS
I will gladly provide you a coded Superbill for you to turn into your insurance carrier for reimbursement. Coverage for acupuncture varies from plan to plan, so it is best to call your carrier to find out what benefits you have before we meet.
I am currently a contracted acupuncture provider only for Aetna and perform and bill acupuncture only. For any other insurance company, I am “Out-of-Network.” You may be reimbursed if you have “Out-of-Network” coverage.
It is possible for me to bill your insurance company “Out-of-Network” and then “balance bill” you for your responsibility. In the end it can be more expensive. Please consult your insurance company. In order to bill your insurance I require your credit card information to be kept on file in case you do not have coverage or for whatever reason your insurance does not pay.
If you’ve been in an auto accident, please check with your insurance to see if you have PIP coverage benefits for acupuncture or massage. Please obtain a referral from your physician before scheduling.
Payment by cash or personal checks is preferred. Credit and debit cards accepted: Visa, MasterCard, American Express, and HSA. There will be a $40 service charge for any returned checks.
REGARDING INSURANCE COVERAGE
To avoid surprises regarding your insurance coverage, please contact your insurance company to learn about your plan’s acupuncture benefits prior to your first visit. To determine your coverage, here are some important questions to ask:
• Is acupuncture covered by your plan?
• Is a referral required from my Primary Care Provider?
• Is pre-authorization required?
• Am I limited to specific diagnosis codes?
• Is there a deductible? If yes, what is the deductible? How much has been met?
• Is there a maximum yearly benefit for Acupuncture; a maximum number of visits; a specific dollar amount per visit?
• What percentage is of cost is covered?
• Are chiropractic, physical therapy, or other forms of alternative health care benefits taken from the same pool as acupuncture?
• It’s also helpful to record the date and time you called, as well as with whom you spoke. Keep a log.