Sage Wellness Center Inc.

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Reason for visit

Patient name

Email address

Phone number

Available times

Tue, Sep 21

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Wed, Sep 22

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Thu, Sep 23

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Fri, Sep 24

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Sat, Sep 25

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Insurance verification

Insurance Information

We are currently in network with most Cigna HMO and PPO, UMR, Sutter Select and United Health Care plans. We also accept many Aetna plans as well. Since each plan is different we need to get confirmation of benefits BEFORE your appointment. Please fill out our insurance verification form so we can see if your plan covers acupuncture sessions. We also accept most Flex-Spending, FSA and HSA accounts. In addition we can provide an end of year summary of visits/costs for your medical tax deduction purposes as well. Finally, if you do have acupuncture coverage from a plan that we can not bill in-house, we will happily give you a superbill, and you can get reimbursed directly by your insurance.

If you want to use insurance for your visit please fill out the fields below so that we can verify your coverage

Name of Primary Insurance (Blue Cross, Aetna, Anthem etc.)

Insurance Type (HMO, PPO etc.)

ID # on insurance card The ID number on your insurance card

Group number

Insurance Provider Phone Number Located on back of insurance card

Claim address Located on the back of insurance card

City

ZipCode

State

Covered under someone else's insurance plan? Select "yes" if you are covered under someone else's insurance

Patient relationship to insured

First Name of Insured Party First Name of the primary policy holder

Middle Name of Insured Party Middle Name of the primary policy holder

Last Name of Insured Party Last Name of the primary policy holder

Insured Party Date of Birth Date of birth of the primary policy holder

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