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Payment Policy
 

Payment at the Time of Service

Payment is due at the time services are rendered for all appointments.

Exception: Patients receiving care through the Veterans Administration (VA) or Community Care Network (CCN) with a current, valid referral are not required to pay at the time of service for covered services.

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Appointment Cancellation & Missed Visit Policy

Your appointment time is reserved exclusively for you. When an appointment is missed or cancelled without sufficient notice, it prevents another patient from receiving care during that time.

To help us provide the best service to all patients, we kindly ask that you provide at least 24 hours' notice if you need to cancel or reschedule your appointment.

  • Appointments cancelled with less than 24 hours' notice are subject to a $50 late cancellation fee.

  • Missed appointments ("no-shows") are also subject to a $50 fee.

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Thank you for your understanding and cooperation. Your consideration allows us to better serve all patients who are seeking care.

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Flexible Spending Accounts (FSA) & Health Savings Accounts (HSA)

We gladly accept Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA) as forms of payment for eligible services.

Please note that eligibility for reimbursement is determined by your individual FSA or HSA plan. We recommend contacting your plan administrator before your appointment to verify:

  • That acupuncture is an eligible expense under your plan.

  • Whether any documentation or a Letter of Medical Necessity is required for reimbursement.

  • Any limitations or restrictions that may apply to your benefits.

Patients are responsible for verifying their own FSA/HSA eligibility and coverage.

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Insurance Information

 

In-Network Insurance

We are currently in-network with:

  • UnitedHealthcare

    • Please note: Insurance benefits vary by plan. We encourage you to contact your insurance provider before your appointment to verify the following:

      • Whether your plan includes acupuncture benefits.

      • How many acupuncture treatments are covered per calendar year or benefit period.

      • Whether you must meet your deductible before coverage begins.

      • Your co-payment and/or co-insurance responsibilities.

      • Which treatments, procedures, and diagnosis codes are covered under your plan.

  • Veterans Administration (VA)/Community Care Network (CCN)

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For patients using in-network insurance, payment is required at the time of service until your claim has been processed and we receive your Explanation of Benefits (EOB).

Once your insurance claim has been processed:

  • Any patient responsibility (such as co-payments, co-insurance, or deductible amounts) will be applied to your account.

  • If an overpayment has been made, a refund will be issued when appropriate.

Exception: VA/CCN patients receiving authorized services under a current referral.

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Patient Responsibility

Patients are ultimately responsible for all charges not covered by their insurance plan.

While we are happy to assist with insurance billing, we cannot guarantee coverage or payment. We are not responsible for benefit determinations, claim denials, or errors made by your insurance carrier.

If you have questions regarding your benefits or coverage, please contact your insurance company directly.

 

Auto Insurance & Workers' Compensation

We do not bill auto insurance or workers' compensation claims directly.

Payment is required at the time of service. Upon request, we will provide detailed receipts (superbills) that you may submit to your insurance carrier, attorney, or employer for possible reimbursement.

 

Services Typically Not Covered by Insurance

Most insurance plans—including VA plans, except where specifically authorized—do not cover the following therapies or products. These services are generally considered out-of-pocket expenses:

  • Perineural Injection Therapy (PIT)

  • Prolotherapy

  • Ozone Therapy

  • Intramuscular (IM) vitamin and mineral injections

  • Homeopathic remedies

  • Trigger point injections

  • Herbal supplements

  • Nutritional supplements

  • Frequency Treatments

If you have questions about coverage for any of these services, please contact our office before your appointment.

 

Insurance Plans We Do Not Accept

We are not in-network with:

  • Cigna

  • ASH (American Specialty Health)

  • Blue Cross Blue Shield (BCBS)

  • Any other ASH-affiliated plans

We are also not enrolled as providers for:

  • Medicare Part A or Part B 

  • Medicaid

  • Tricare

  • Tricare for Life

If your insurance plan accepts superbills for out-of-network reimbursement, we are happy to provide one upon request.

 

Secondary & Supplemental Insurance

If you have secondary or supplemental insurance coverage, including certain Medicare Part C (Medicare Advantage) plans, you may be eligible for reimbursement depending on your policy.

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Superbills

Upon request, we are happy to provide a superbill for services rendered.

A superbill is an itemized receipt that you may submit directly to your insurance company for possible out-of-network reimbursement. Reimbursement is determined solely by your insurance plan and is not guaranteed.

We encourage you to contact your insurance provider before your appointment to verify:

  • Whether your plan includes out-of-network acupuncture benefits.

  • Whether a superbill is accepted for reimbursement.

  • What documentation is required for reimbursement.

  • Your deductible, co-insurance, or other out-of-pocket responsibilities.

Patients are responsible for submitting superbills to their insurance company and for any balances not reimbursed by their insurance.

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Please contact our office if you have questions about your coverage or reimbursement options.

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