Acupuncture Insurance and Fees


Typical Acupuncture Treatment

My treatments incorporate more than just acupuncture as I am most interested in empowering my patients to get well quickly.  Because of the comprehensive nature of treatments patients usually come in only about 1x/week for acute conditions.

My acupuncture sessions consists of 2 rounds of needles. Patients receive a treatments while supine (face up) and a treatment while prone (face down). Your private room acupuncture sessions last about 1- 1.25 hours. In addition other therapies are often employed to support the acupuncture sessions for better outcomes:

  • Soft tissue massage (neck, shoulders, back) if appropriate
  • Mild TENS stimulation if appropriate
  • Moxabustion if appropriate
  • Brief review of blood chemistry to uncover potential nutrition imbalances
  • Supplement or herbal suggestions
  • Lifestyle suggestions

The initial session is typically 1.5 hours depending on complexity of your case.Your initial Acupuncture session includes a shorter treatment and a review of current medical condition and medical history.

 

Health Insurance Coverage

Massachusetts Insurance plans:  A few insurance plans do reimburse for acupuncture.  I am a preferred acupuncture provider for Aetna, Cigna, UnitedHealth Care, Harvard Pilgrim and Mass Health (Celtic, Fallon, NHP)  so I will submit a claim directly to your insurance carrier if your policy covers your condition. (mostly pain conditions).

You are financially responsible for copayments and deductibles imposed by your insurance carrier.

 

It is your responsibility to call your insurance company and ask if acupuncture is covered as well as acceptable conditions for coverage. Some insurance plans impose treatment restrictions such as limiting the number of treatments and/or the conditions treated. Please be sure to check on them.

 

Out of State BCBS:

Many out of state BCBS plans cover acupuncture. Examples of out of state plans that cover: BCBS Federal, Anthem BCBS. Again it is your responsibility to call the insurance company to find out if you have coverage as well as conditions for coverage. BCBS of Massachusetts does not credential acupuncturists so we cannot bill BCBS directly.  You are requited to pay in full out of pocket and then submit to BCBS for reimbursement.
Fee for Service Cost:   For those without acupuncture insurance coverage we offer a prompt pay discount as well as insurance company discounts.  For these the fee is typically $75/treatment in the Stow office and $85/treatment in the Cambridge office. Package of 10 treatments are also offered for an 18% discount

Flex spending HSA Cards:

Your pre-tax health Flex Spending Account (FSA) can be used to pay for acupuncture sessions. If your employer issued a an FSA Debit card we take those for your convenience. If you do not have a flex spending card we will provide you with a Superbill you can submit to your plan administrator.

Workman’s Compensation and Automobile PIP Insurance:

We will bill the auto insurance company or Workman’s Compensation and send them appropriate documentation.

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