Insurance

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Some insurance plans cover acupuncture and it is best to first check with your carrier about whether you have acupuncture benefits as a part of your particular plan. Andrea and Daniel are both in-network providers for CDPHP (except for The Essential Plan) and MVP. Additionally, Andrea is in network with Aetna, United Healthcare, and the VA under their Community Care plan. We can provide an insurance friendly receipt (called a “superbill”) for out of network plans.

Please note that the practice is out of network with all Blue Cross Blue Shield plans as well as the NYSHIP Empire plan. As stated above, we can provide a superbill to submit to your insurance company for reimbursement if you have out of network acupuncture benefits as a part of your plan.

Although Medicaid and Medicare may cover acupuncture treatments where performed or supervised by an MD, they do not currently cover treatments with a licensed acupuncturist with the exception of some Medicare Advantage plans. If you are on Medicare, secondary insurance may cover acupuncture. We do not accept No Fault or Workers Compensation.

Also know that acupuncture is a covered service under a flexible spending account (FSA) and that you are also able to pay for acupuncture out of a health savings account (HSA).

If you are interested in using insurance for your acupuncture treatments, please provide the following information by email or phone so we can verify benefits:

 

  • Full name
  • Date of birth
  • Phone number
  • Insurance carrier
  • Subscriber/member ID
  • Provider services phone number (usually on the back of the card)
  • Condition/s for which you are seeking treatment

 

Keep in mind that deductibles, co-insurance or co-payments may apply to your acupuncture coverage. Also note that your plan may only cover treatment for certain conditions or with certain types of providers, i.e. some plans are M.D. only. We are “licensed acupuncturists”. There may also be a limit on the number of visits. It is ultimately your responsibility to understand your acupuncture benefits and to be aware that benefit details given over the phone are not a guarantee of coverage. You are responsible for all charges not covered by insurance. All that said, we do our best to work with insurance and our experiences working with insurance companies so far have generally been positive.