How Much Does It Cost to Visit a Naturopathic Doctor?
Insurance coverage for naturopathic doctors can be difficult. Naturopathic doctors are controversial in many states with most insurance companies refusing to provide coverage. Insurance companies that do accept naturopathic doctors may offer limited coverage. Furthermore, costs will vary significantly from one provider to the next. There are states where coverage is mandatory but does not apply to Medicare.
Naturopathic Medicine Controversy
Naturopathy does not have legal status in all states. In South Carolina, for example, the practice of naturopathy is illegal. Some states like Kansas and Connecticut prohibit naturopathic doctors, or NDs, from performing tasks such as surgeries. Other states openly embrace naturopathic practices. It is for reasons such as these that insurance companies have mixed policies about providing coverage.
- Naturopathy does not have legal status in all states.
- Some states like Kansas and Connecticut prohibit naturopathic doctors, or NDs, from performing tasks such as surgeries.
Naturopathic Insurance Coverage Costs
Dental Implants & Medicaid
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Insurance coverage costs will vary tremendously. The major factors include whether naturopathy is legally recognized by state law and if the insurance company accepts the naturopathic doctor as an out-of-network or in-network care provider. Some insurance companies choose to reimburse costs versus covering them initially. Alternatively, you may be able to use your health savings account to cover costs. Insurance costs are set by each medical plan provider so check with your provider for a detailed quote.
- Insurance coverage costs will vary tremendously.
- The major factors include whether naturopathy is legally recognized by state law and if the insurance company accepts the naturopathic doctor as an out-of-network or in-network care provider.
Full Coverage States
States like Washington and Vermont make it mandatory for insurance companies to provide coverage for alternative care. For example, in Vermont insurance companies must reimburse naturopathic services in the same way they cover a traditional doctor. Similar to other medical plans co-pays and deductibles still apply. Additionally, a referral from your primary care physician may also be required. Out-of-pocket costs may be higher if the naturopathic doctor is not part of the plan's referral network.
- States like Washington and Vermont make it mandatory for insurance companies to provide coverage for alternative care.
- Out-of-pocket costs may be higher if the naturopathic doctor is not part of the plan's referral network.
Other Cost Considerations
Difference Between Basic Insurance & Major Medical Insurance
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There are exceptions to plan coverage even if state law accepts naturopathy. Medicare, out-of-state medical plans and certain small business plans may not provide any coverage for alternative care whatsoever. In other cases, out-of-pocket costs to naturopathic treatments may be less expensive than fully insured conventional medical equivalents when pharmaceutical drugs are involved, according to Naturopathyworks.com, at the time of publication 1. This is due to the price disparity between expensive traditional prescription drugs and cheaper natural alternatives.
- There are exceptions to plan coverage even if state law accepts naturopathy.
Related Articles
References
- Naturopathyworks.com: An Introduction to Naturopathic Medicine
- Vermont Association of Naturopathic Physicians: Insurance Reimbursement
- U.S.Census. Health Insurance Coverage in the United States: 2017. Published September 12, 2018.
- Internal Revenue Service. Individual Shared Responsibility Provision - Minimum Essential Coverage. Updated February 18, 2020.
- Healthinsurance.org. A state-by-state guide to Medicaid expansion, eligibility, enrollment and benefits. Published January 14, 2020.
- Healthinsurance.org. Plans offer options for millions caught in the coverage gap, with incomes too high for subsidies, or who missed open enrollment. Published January 14, 2020.
- Healthinsurance.org. Planning a trip abroad? Or just to another state? Here's what you need to know about staying covered while you're trotting the globe. Published August 29, 2019.
- Healthinsurance.org. Cost-sharing subsidies reduce out-of-pocket spending on Silver plans. Despite lack of federal funding, these benefits remain available to eligible enrollees. Published September 23, 2019.
- U.S. Centers for Medicare & Medicaid Services. Hardship exemptions, forms & how to apply.
- U.S. Department of Labor. FAQs on COBRA Continuation Health Coverage. Published November 2015.
- 115th Congress. H.R. 1: An Act to proved for reconciliation pursuant to titles II and V of the concurrent resolution on the budget for fiscal year 2018. Published December 22, 2017.
- Peace Corps. Insurance Through the Affordable Care Act.
- AmeriCorps. AmeriCorps Healthcare Benefit Plans and the Affordable Care Act.
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Marty Aquino is a venture capitalist who has helped start-up companies raise millions of dollars. He has been a passionate writer on green energy, technology and entrepreneurial topics since 2009. Aquino specializes in helping start-ups create the necessary look and feel to secure large funding. He holds a Bachelor of Business Administration from the University of Puget Sound.