Chiro Care and Coverage

Chiropractic care is covered by your health insurance plan if it is for acute (short-term) care such as for a recent injury, or for a condition where treatment offers lasting benefit or curative value.

For most plans, the amount or length of treatment thats covered by insurance is not necessary denied by the number of visits or type of treatment. Rather, the treatment is covered as long as it demonstrates significant, lasting, or progressive improvement to your condition.

Chiropractic care is NOT covered by your health insurance plan when you reach a point in treatment when chronic symptoms remain stable or when you no longer so progress in reducing these chronic symptoms through chiropractic care. At this point, you have reached what is called “maintenance” care. Note: Medicare and Medicaid cover ONLY spinal. they do not Cover extremities such as knees, wrist, etc.

Your chiropractic provider or insurance company will let you know when you have reached a point of “maintenance” care and will discuss further care options.

You may continue maintenance treatment, you must pay for it completely out of pocket. If you choose to receive chiropractic care beyond acute care, it is a cash service where you will be responsible for the payment.

Prior to receiving maintenance care, your provider will have you sign a Financial Discloser Form, letting you know in advance the costs of the elected services.

If you sustain a future incident or injury, you chiropractic care would again meet the criteria for acute care and would be covered by your health plan, until that condition has reached a plateau level and does not provide any more lasting, curative value.

Please contact the billing office for any specific questions regarding your benefit coverage.