Insurance billing costs:
Initial visit: $105- 180
Follow-up visits: $45- 100 per session
CANCELLATION POLICY: Cancellation less than 24 hours before appointment time will be charged a $20 fee
- I bill insurance for services that are determined to be medically necessary and are covered under your insurance plan.
- If services are not deemed medically necessary, I bill a flat rate for WELLNESS CARE under a Self-Pay financial agreement.
- A discount is available to seniors who do not have acupuncture benefits through secondary insurance or Medicare Advantage plans.
- I offer a package discount for multiple visits in groups of three or five for Wellness Care, Self-Pay agreements, and senior discount-eligible appointments.
Cash, checks, and all credit cards are accepted.
I am a provider with:
- Cigna
- United Healthcare
- VA Community Care – via referral from your VA provider
- Aetna Medicare Advantage PPO & POS
If you have benefits, but I am out-of-network with your particular insurance plan I will provide you with a CMS1500 form or Superbill to submit to your insurance if you have out-of-network coverage so you can be reimbursed after you pay for your care if your treatment is determined to be medically necessary. Otherwise, you will be set up as a Self-Pay patient.
If you do have benefits, please obtain the following information – each plan is different, so it is very important to get this information:
- What does your plan cover? What is considered medically necessary by your plan?
- Generally, this revolves around pain issues, although some insurance will cover many conditions. It is your responsibility to find out what your insurance company considers medically necessary.
- Number of treatments per year?
- Are these combined with other kinds of therapy?
- Often, acupuncture and chiropractic are bundled together in that number of visits per year.
- Are you subject to paying a co-pay or co-insurance?
- * A co-pay is the flat amount you will pay at each visit.
- * A co-insurance is the percentage you will owe after the insurance company pays the provider (me), AFTER YOUR DEDUCTIBLE HAS BEEN MET.
- What is your deductible, and how much of it have you met?
- Submitting acupuncture claims that are then applied to your deductible can help you out, but you will have to pay for treatment until it is met. If you have a Health Savings Account, you may be reimbursed this way, or the provider (me) may be paid this way.
- Can a Licensed Acupuncturist provide treatment? I am a Licensed Acupuncturist.
- Some plans only allow treatment by an MD. This discrimination is not allowed, per the Affordable Care Act, but some self-funded plans still make this distinction.
I heard Medicare covers acupuncture!
Yes – in January 2020, Medicare determined that acupuncture treatment services for chronic low back pain would be covered. These acupuncture services need to be billed by a Medical Doctor/Doctor of Osteopathy, Nurse Practitioner, or Physicians Assistant with a Medicare Provider number, and the provider needs to be immediately accessible for direct supervision and treatment decisions. Acupuncturists are not recognized as Medicare-approved service providers and therefore cannot bill Medicare directly. There are a few Medicare Advantage plans that cover acupuncture, and many licensed acupuncturists are in-network providers with these plans, so it is up to you to find out if your Medicare Advantage plan covers acupuncture and how they cover it – can a licensed acupuncturist bill for these services, or must it be billed by an MD, DO, NP, PA? As of now, acupuncturists are not allowed to bill Medicare directly for any services and I do not work under the direct supervision of any medical care provider with a Medicare provider I.D.
This information should be helpful in figuring out what is best for you. If you have questions
Please feel free to contact me at 307-213-9778 for more details.



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