How to Get Health Insurance to Cover Chiropractic Care
Chiropractic care entails diagnosing and adjusting back problems by manually manipulating the bones in the spine to ease pain and restore mobility. Years ago, chiropractic care and other forms of alternative medicine were considered unorthodox and often weren't covered by health insurance providers 12. Today, as more and more insurance carriers are looking for ways to promote wellness and good health, the rules have changed.
Will My Insurance Pay for a Chiropractor?
Start by finding out what is covered by your health insurance plan. Check to see if your chiropractic care team is listed among their approved providers for those services. It helps to determine if your insurance carrier is a Healthcare Management Organization or a Preferred Provider Organization. HMOs will generally only cover practitioners who are on their approved list. PPOs tend to pay for any chiropractic service, usually up to 80 percent of fees charged by providers not on their preferred list, as well as a prearranged fee to the provider if they are preferred.
- Start by finding out what is covered by your health insurance plan.
- PPOs tend to pay for any chiropractic service, usually up to 80 percent of fees charged by providers not on their preferred list, as well as a prearranged fee to the provider if they are preferred.
Will a Doctor Recommend a Chiropractor?
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Approach your insurance provider, even if you don't have chiropractor coverage, as many health insurance companies operate under the 'squeaky wheel' theory. If your medical doctor agrees with the need for chiropractic care, ask for a letter stating that for the insurance company 12. Be certain to thoroughly fill out your medical history form when you visit a chiropractor for the first time, paying special care to questions about prior injuries. If you were injured in an automobile accident or work-related injury, talk to your automobile insurance company or employer about possible coverage of chiropractic treatment 12.
What are the Alternatives?
Even with insurance coverage, chiropractic care usually comes with a moderately expensive price tag 12. You will want to receive an estimate from your chiropractor about the duration of treatment your condition requires. If insurance is not an option, get your chiropractor's office team to help you find alternatives to your health insurance if you can't get coverage for your visits 2. Many practitioners have special financing plans available. You might also look for more information about insurance coverage and rights of the insured online at the Insurance.com website 2.
Things to Consider
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Don't be discouraged if you have trouble getting coverage for your chiropractic visits 2. Keep the situation in perspective and remember how important pain relief is to your overall well being. Also, before you start any alternative medical technique, be aware that many have not been scientifically evaluated. Often, only limited information is available about their safety and effectiveness. Each state and discipline has its own rules about how alternative medicine practitioners are licensed. If you decide to visit one, choose one licensed by a recognized national organization. Consult your primary health care provider and keep your doctor informed about the alternative medical technique you undertake.
- Don't be discouraged if you have trouble getting coverage for your chiropractic visits 2.
- Consult your primary health care provider and keep your doctor informed about the alternative medical technique you undertake.
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References
- Blue Cross: Does Insurance Cover Chiropractic Care?
- New York Times: Insurance Coverage for Chiropractic
- Branney J, Breen AC. Does inter-vertebral range of motion increase after spinal manipulation? A prospective cohort study. Chiropr Man Therap. 2014;22:24. doi:10.1186/s12998-014-0024-9
- Haas M, Spegman A, Peterson D, Aickin M, Vavrek D. Dose response and efficacy of spinal manipulation for chronic cervicogenic headache: a pilot randomized controlled trial. Spine J. 2010;10(2):117-28. doi:10.1016/j.spinee.2009.09.002
- Digiorgi D. Spinal manipulation under anesthesia: a narrative review of the literature and commentary. Chiropr Man Therap. 2013;21(1):14. doi:10.1186/2045-709X-21-14
- American Chiropractic Association. American Board of Chiropractic Specialties (ABCS).
- Margach RW. Chiropractic functional neurology: An introduction. Integr Med (Encinitas). 2017;16(2):44-45.
- Bryans R, Descarreaux M, Duranleau M, et al. Evidence-based guidelines for the chiropractic treatment of adults with headache. J Manipulative Physiol Ther 2011; 34: 274-89. doi:10.1016/j.jmpt.2011.04.008
- Centers for Disease Control and Prevention. Use of yoga, meditation, and chiropractors among U.S. adults aged 18 and over.
- National Center for Complementary and Integrative Health. Chiropractic: in depth. Updated April 2019.
- National Health Statistics Report. Trends in the use of complementary health approaches among adults: United States, 2002–2012. Updated February 10, 2015.
- University of Minnesota. Taking Charge of Your Health & Wellbeing. How can I find a qualified chiropractor?
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