Insurance: Many insurance policies do cover acupuncture but please be informed that insurance policies do vary greatly in terms of deductibles, co-pays, and percentage of coverage. This office makes no representation that your policy does provide for acupuncture treatments.
We can assist you in the verification of your insurance coverage, and this service is offered as a COURTESY. Obtaining accurate information regarding your particular insurance plan’s coverage is ultimately your responsibility. Upon verification of your insurance benefits, we can discuss your billing options. We are currently in-network with Anthem Blue Cross, Blue Shield of California, Cigna, TriWest, United Healthcare and HealthNet. For Kaiser and Kaiser ASH plans, please contact us for more information.
In most situations, it will be possible for us to bill your insurance directly – you will be responsible for paying any co-pay/co-insurance amounts at the time of service. If you have not met your deductible, you will be responsible for paying out of pocket until you meet your deductible, and we can submit claims towards your deductible.
For in-network claims, payment in full for any modalities or diagnoses that your insurance does not cover is your responsibility.
For out-of-network claims, payment in full for insurance denials for any reason is your responsibility. If we do not receive reimbursement from your insurance within 90-days of the treatment date, you will be responsible for any unpaid balance within 14 days of our notice to you.
In some situations, it will not be possible for our office to bill your insurance directly. In such cases, payment in full will be due at each office visit; however, we can provide you with a Superbill that you may submit to your insurance company for reimbursement. Any reimbursements that you may be entitled to are determined by the rules of your particular insurance plan. Your insurance company will reimburse you directly for your Superbill submission. A Superbill is not a guarantee for reimbursement, and we reserve the right to not be involved in any claim disputes.
If we are billing your insurance directly, and if for any reason your insurance company sends payments directly to you for services performed in this office, you agree to inform the office of any payments received and pay forward these amounts to the office immediately upon receipt. If the office has been informed that you received payment for services performed in this office, and you have not notified the office or paid forward the amounts paid by your insurance to the office within 30 days of the payment’s issue date, lack of communication on your part will result in the claims being turned over to collections.
Release of Information: If your insurance company requires medical reports or records to document your treatment or progress, you authorize this office to release the medical information necessary to process your claim.