insurance f.a.q. clinic

I treat many patients who have insurance with Acupuncture coverage. There are two ways to go about billing correctly. One is called In-Network, the other is called Out-of-Network. I also accept Personal Injury Protection (PIP) claims from car accidents. I am a preferred provider for the following insurance networks:

Aetna
American Specialty Health (ASH)
Cigna
GreatWest
Healthways WholeHealth Network
HealthNet of Oregon
LifeWise Health Plan of Oregon
ODS
Pacific Source
Pacific Care
Providence/Providence Preferred
Regence BlueCross/BlueShield of Oregon
United Health Allies
United HealthCare

Evolution Healthcare & Fitness will submit the claim to your insurance company. Co-pays are due at the time of service.

If you have a plan that covers “out of network” practitioners, Evolution will provide a receipt (called a Superbill) that you can fax/mail to your insurance company for reimbursement. Here are the questions we ask your insurance company before coming in and you can too:

• Ask if your plan includes treatment with acupuncture.
• Ask if you need a referral.
• Find out what your co-pay is.
• Find out what your deductible is and whether it has been met.
• Find out what your yearly acupuncture allowance is or how many visits per calendar year you are allowed.

Most acupuncture allowances range from $500 – $1,500 per year or 10 – 24 visits per year.