FREQUENTLY ASKED QUESTIONS

 

ARE YOU IN-NETWORK WITH MY INSURANCE?

We are in-network/participating with the following:

  • Anthem Blue Cross Blue Shield

  • Piedmont Community Health Plan

  • United

  • Medicare (Part B)

  • Optima Health

  • Clients of MultiPlan/Private Health Care Solutions

  • Most clients of Optum

  • Most clients of American Specialty Health 

If you do not see your payor or plan listed, please call to ask as this list is not exhaustive.

not in-network with your insurance, we require patients to follow our cash fee schedule and take a receipt (a.k.a. superbill) to their insurance company for reimbursement.

DO I NEED A DOCTOR’S REFERRAL?

You do not. Chiropractors are direct access providers. If you are referred by another doctor, kindly share this with us and we will incorporate them in your care, as appropriate.

WHAT DO YOU TREAT?

We treat various disorders and dysfunctions of the nervous, muscular, and skeletal systems including the connective tissues between them. Common issues include non-specific low back and neck pain, disc bulge, disc herniation, spinal arthritis, spinal stenosis, and sciatica.

HOW DOES MEDICARE WORK WITH CHIROPRACTIC CARE?

Medicare covers chiropractic manipulative therapy (CMT, a.k.a. spinal manipulation/adjustments) for active conditions involving the spine, as demonstrated by a physical exam or x-ray and necessitating treatment. An active condition is one that is either a new (acute) injury or a chronic condition expected to be improved with continued therapy. Once healing or stability has be achieved, further CMT is considered maintenance therapy and is not covered.

Other than CMT, diagnostic and/or therapeutic services furnished by a chiropractor or under the chiropractor's order are not covered by Medicare. The financial responsibility falls to either the patient or a supplementary insurance policy.

Reference: CMS Medical Policy Article A57889, January 1 2020