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:
American Specialty Health (ASH)
Healthways WholeHealth Network
HealthNet of Oregon
LifeWise Health Plan of Oregon
Regence BlueCross/BlueShield of Oregon
United Health Allies
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.