For insurance companies that we are not contracted with (out-of-network), We can gladly provide you medical receipts and documentation for your reimbursement if you have acupuncture benefits. Your insurance plan is a contract between you and your insurance company and any coverage credit will be sent directly to you from your insurance provider. We can also provide you with a superbill which you can send to your insurance provider to process per your benefit plan.

How do I know if acupuncture is covered by my insurance?

First, contact your insurance provider to see what your plan covers. We are currently contracted with United Healthcare and American Specialty Health. For all other insurance providers, your visits would be processed out-of-network. The next step would be to send a message or call our office at (858)588-7858. We can help answer any additional questions you may have, and set you up with an appointment.

Here’s a list of the questions to ask when you call your insurance company. They will help you get a better idea of whether you have coverage and if so, what coverage you have:

1. Does my insurance plan cover out-of-network acupuncture?

2. Is there a deductible? If so, how much?

3. How much treatment will be covered by my insurance plan?

4. How many acupuncture visits am I allowed each year?

If my insurance covers acupuncture, how much am I responsible for at each visit? 

For in network insurance, our office will collect the copay or coinsurance contracted by your plan at each visit. For out of network insurance companies, our office will collect the full amount of your visit, and your insurance company will reimburse you directly after the claim is processed. 

What’s a superbill?

A superbill is a receipt of services that includes diagnosis and procedure codes. It enables patients themselves to submit to insurance companies for direct reimbursement within the patient’s benefit plan.

How much treatment will be covered by my insurance?

It depends on which plan you have. PPOs typically cover from 20-80%. Because plans vary so much, however, it is essential that you call your provider and verify exact amounts so that you know what to expect.

How do I submit a superbill to get reimbursement for my treatments?

The easiest way is to go to the website of your insurance provider, print out the claim form, fill it out, attach the superbill and send it to your insurance company. After each treatment, we can email you the superbill that will make this process easier.