One of the biggest questions potential patients have is Do you take insurance?
We do take insurance for acupuncture patients. We need to verify benefits at least 48 hours BEFORE you come in so you can be informed what your policy will cover for acupuncture.
The good news is some policies cover acupuncture services. Some policies cover it for only certain issues such as low back pain, and others limit the number of visits. Policies may cover only acupuncture, while some cover acupressure and other therapies. The only way to know what your insurance will cover is to check.
Does Medicare cover acupuncture?
At this time, MEDICARE policies DO NOT COVER ACUPUNCTURE done by an acupuncturist. Only a few MEDICARE SUPPLEMENT policies do cover acupuncture done by an an acupuncturist.
THERE IS A BILL IN COMMITTEE, H.R. 4803, the Acupuncture for Our Seniors Act, introduced in 2021, to include acupuncturists as Medicare providers, giving almost 70 million seniors access to acupuncture services. Please reach out to your representatives to let them know you support this bill.
Verify Your Insurance Benefits
Click the button below, which will take you to a secure website to submit your policy information. This normally takes up to 2 business days.
After your benefits are verified, we will be in contact to let you know what they are. If you do not hear back within 3 days, please call 561-285-8562.
Verifying benefits in no way guarantees that your insurance will cover the cost of the visit. Verification and requesting payment on your behalf is a service we offer. The patient is ultimately responsible for payment of services.
“In-network” insurance companies:
We are in-network with some companies. Florida Blue and Medicare does not cover acupuncture done by acupuncturists at this time. It is still necessary to verify insurance benefits before the visit using the button above:
- United Healthcare/UMR/Optum/Optum for Veterans
- Cigna with benefits through ASH
“OUT-of-network” insurance companies:
Some insurance policies offer out of network benefits, while others don’t. Please check with your policy to see if you have out of network benefits.
- BCBS, Florida Blue, Simplyblue
- Oscar, Molina
- Aetna
- Humana
What kinds of issues do insurance usually cover?
At this time, insurance companies only cover acupuncture for PAIN, pregnancy or chemo nausea, and a few other conditions. The US Government has made acupuncture a top recommendation as an alternative for opiate medication.
While acupuncture is a complete system of medicine that can help MANY problems, insurance companies will not cover treatments for mental health, digestion, fertility, allergies, etc…. The World Health Organization (WHO) has a list of over 100 recognized conditions acupuncture can help (you can read the complete 87 page report HERE).
Insurance Definitions
Insurance wording can be confusing, so here are some quick definitions to help:
- Co-insurance: this is a percentage of the amount allowed for the visit/treatments. The percentage varies from 10% to 50% depending on the policy. The amount of co-insurance may also change depending on what therapies are used during the visit.
- Co-pay: a set amount the patient pays the practitioner for the visit. This amount doesn’t vary visit to visit.
- Deductible: the amount that the patient pays before the insurance will pay for visits. Some patients have no deductible, and some have huge deductibles.
Natural Wellness starts with a click on the “Verify Benefits” button above. Please call 561-285-8562 with any questions or click on Appointments.