Acupuncture | Insurance and Costs

By October 4, 2014 No Comments

ForestOur office will accept and submit billing to in-network or out-of-network primary insurance policies that provide coverage for acupuncture and massage therapy.

Auto accidents: Injuries related to motor vehicle accidents are generally covered in full by the auto insurance policy’s P.I.P. component.  Call your auto insurance agent to verify what your personal injury protection coverage is. No referral is required from your primary care physician.

Health insurance: No referral is required from your primary care physician for acupuncture services.  Referals are sometimes required for HMA for massage therapy from your primary care physician.

2014: All health insurance plans purchased in Washington will provide acupuncture coverage in 2014. Call the customer service number on the back of your insurance card to get the details.  Ask them if you have acupuncture coverage, if you have to meet your deductible before coverage starts, or if you just have a co-pay per visit.  Many plans have a flat rate co-pay ranging from $20 to $30 per visit.  Some plans have co-insurance ranging from 70% to 90% coverage after you meet your yearly deductible.  Several insurance providers including Asuris Northwest and Regence Blue Shield of Washington may require pre-approval for acupuncture and other benefits.

Medicare: Medicare does not cover acupuncture or massage therapy.  Secondary policies to Medicare do not cover acupuncture, unless they specifically list acupuncture coverage in the policy.  Call your secondary policy provider if you are unsure.

Medicaid: Medicaid does not cover acupuncture.  Our office has special rates for those who qualify.

Tricare: Tricare does not cover acupuncture, however with proof of military status special rates are available.

V.A.: The V.A. medical center may cover up to 6 acupuncture visits per year with a referral from a primary care physician through their fee basis system.
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Shannon Freeman

Author Shannon Freeman

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