Is Acupuncture Covered by My Health Insurance?

Is Acupuncture Covered by My Health Insurance?

In the state of Oregon, many health insurance plans have benefits that do cover acupuncture. However, whether or not acupuncture is covered by your insurance depends on the details of your coverage like deductibles, co-pays, and benefit limits.

Call the Insurance Company

One way you can find out whether or not acupuncture is covered by your insurance is by giving them a call at the customer service number on the back of your insurance card. But before calling them, gather up the following information to get a more accurate answer:

  • Which clinic do you want to go to?
  • Which provider do you want to see?
  • What condition do you want treated?

Once you have those answers, here is a list of questions to ask your insurance company to find out the details of your insurance policy and whether or not acupuncture is covered by your insurance:

  1. Is the provider at the clinic I want to go to in-network?
  2. What is my deductible?
  3. How much of my deductible has been met?
  4. Is my deductible waived for acupuncture?
  5. Is acupuncture a covered benefit for my condition?
  6. What is my co-pay or co-insurance?
  7. What is my treatment limit?
  8. How much of my treatment limit has been used?
  9. Are there any limitations and exclusions?
  10. Is pre-authorization required?
  11. Is a doctors referral required?
  12. What is my out-of-pocket maximum?
  13. How much of my out-of-pocket maximum has been met?

Before you end your call, be sure to ask for your representative's name, a reference number, and note down the date and time of the call. This information can be very useful if you ever need to negotiate with the insurance company regarding your coverage.

Let Us Help You Find Out

If all of this is overwhelming, we completely agree. Insurance coverage can be complicated and the insurance company who sets these policies do not make it easy.

But we can help! If you provide us with your insurance information we can help you find out if acupuncture is covered by your insurance at our clinic. Give us a call, or fill out the form below and we'll get back to you as soon as we can with your insurance benefit information.