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Here, we address common questions related to chiropractic care and insurance coverage. Our goal is to help you better understand how insurance works in conjunction with chiropractic services, as well as providing definitions for commonly used terms. If you have any specific questions not covered here, please don’t hesitate to contact our team for assistance.
Chiropractic care is a healthcare discipline that focuses on diagnosing and treating musculoskeletal conditions. Chiropractors use an array of techniques and treatment to treat these ailments and injuries with the aim to alleviate pain, improve mobility, and promote overall health.
Generally, yes! Insurance coverage for chiropractic care varies depending on the insurance plan you have. Many health insurance policies provide coverage for chiropractic services, but the extent of coverage, copayments, deductibles, and limitations may differ. Additionally, your insurance company and/or individual plan may not cover all the different techniques a chiropractor is trained and legally allowed to perform. For example, Medicare will cover spinal manipulations but does not cover manual therapies such as graston or dry needling. It’s essential you review your specific insurance policy or contact your insurance provider to understand your coverage.
A copayment (or copay) is a fixed amount you pay out-of-pocket for each visit or service covered by your insurance plan. For chiropractic care, your insurance policy might require you to pay a copayment at the time of your appointment. The copayment amount can vary between insurance plans and may not cover the complete cost of the services provided at each visit.
A deductible is the amount you must pay for covered services before your insurance starts contributing to the costs. For instance, if your insurance policy has a $500 deductible and your chiropractic services cost $300, you would pay the full $300. However, once you meet your $500 deductible, your insurance will then share the cost with you based on your plan’s coverage.
Coinsurance is the percentage of the cost of a covered service that you are responsible for paying after you’ve met your deductible. For example, if your coinsurance is 20% for chiropractic care, and the total cost of a session is $100, you would pay $20, and your insurance would cover the remaining $80.
In most cases, referrals are not required to see a chiropractor. Chiropractors are considered primary care providers for neuromusculoskeletal conditions, meaning you can schedule an appointment directly without needing a referral from a primary care physician. However, it’s best to check with your insurance provider to verify their specific requirements.
Yes, in most cases, you can use your HSA or FSA to cover chiropractic expenses. Both HSA and FSA funds can be used for qualified medical expenses, including chiropractic treatments. Be sure to retain your receipts and documentation for tax purposes.
We hope this FAQ page has been helpful in addressing your questions regarding chiropractic care and insurance coverage. Remember to review your insurance policy or contact your provider directly for the most accurate and up-to-date information on your coverage. If you have any additional inquiries or would like to schedule a chiropractic appointment, please reach out to our team for assistance.