Hope Acupuncture
&Integrative Medicine
Acceptable Insurance(in-network)
Accept most insurance policies, currently participating with:
Optum Health Physical Health
California Schools VEBA
Sutter Health Plus
UnitedHealthcare
WellCare of California, Inc.
American Specialty Health
Aetna Health of California, Inc
Alignment Healthcare
Blue Shield of California
Blue Shield 65 PLUS
Blue Shield of California Promise Health Plan (Medi-Cal)
Brand New Day
Cigna Healthcare
Health Net
Health Net Life Insurance Company
Humana
Kaiser Permanente
Providence Health Assurance
SCAN Health Plan
Scripps Health Plan
Sharp Health Plan
Wellcare by Health Net
*Covered Conditions are limited to musculoskeletal conditions, pain syndromes and nausea under this Member Benefit Plan as described below:
Musculoskeletal Pain Syndrome defined: Conditions with associated musculoskeletal signs and symptoms related to a sensation of hurting or strong discomfort caused by an injury, illness, disease, functional disorder, or condition. Musculoskeletal Pain disorders are typically categorized as structural, degenerative or inflammatory disorders, or biomechanical dysfunction of the joints of the body and/or related components of the neuromusculoskeletal system (muscles, tendons, fascia, nerves, ligaments/capsules, discs, and synovial structures) and related neurological manifestations or conditions.
Nausea defined: Nausea is a condition with associated signs and symptoms related to an unpleasant sensation in the abdominal region associated with the desire to vomit that may be appropriately treated by a Contracted Practitioner in accordance with professionally recognized standards of practice. This includes nausea/vomiting only related to cancer chemotherapy, pregnancy and the post-operative period.
Abdominal/Pelvic Pain: For some benefit plans, pain management for abdominal and pelvic pain may be a covered benefit. This includes pain related to abdominal/pelvic conditions but does not apply to treatment of internal or systemic causes of the pain.
*Manual therapy such as Cupping, Gua Sha offer a range of therapeutic benefits, particularly in improving circulation, relieving pain, reducing inflammation, detox and promoting relaxation. They are often used together with acupuncture or as stand-alone treatments depending on the individual’s condition and health goals. However, Cupping is not covered by most insurance plans, patients can request Cupping manual therapy for $20 additional fee combine with Acupuncture session.
Out of Network FAQ
For insurance companies that we are not contracted with (out-of-network), our office will gladly submit billing to your insurance company for you 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.
What is a Healthcare Savings Account (HSA)?
An HSA is a tax-deductible health savings account which is set up by your employer. Usually you decide at the beginning of the year how much you think you are going to need for the year – this can include acupuncture – and then the amount comes off your paycheck. The benefit of this system is that the amount you choose to deduct from your pay reduces your taxable income. HSA accounts will cover the cost of acupuncture, and some will cover the cost of herbs.
How do I use my HSA?
You will be given a special HSA credit card that you may use to pay for your visits.
Individual Rate
Initial Wellness Consultation and Acupuncture
$180
By comprehensive medical history review, perform TCM examination, and acupuncture treatment combine with other healing modalities such as cupping, Gua Sha, Electro-stimulation, Infrared, Moxibustion depending on patient’s condition.
90 min Treatment
Follow Up Consultation and Acupuncture
$120
Follow Up Consultation and Acupuncture perform TCM examination, and acupuncture treatment combine with other healing modalities such as cupping, Gua Sha, Electro-stimulation, Infrared, Moxibustion depending on patient’s condition.
60 min Treatment
Herbal and/ or TCM Nutrition Consultation
$120
TCM Herbal & Nutrition emphasizing balance, harmony, and the medicinal properties of herbal and food. They are unique approach to health by considering not only the nutritional value of foods but also their energetic properties and effects on the body's overall balance. Incorporating these principles into one's diet can potentially support overall health and well-being.
Duration: 60 min
Package Rate
Packages are a better value set as a bundle of treatments for returning patients.
Single Session after Initial visit
$120
Follow Up Consultation and Acupuncture perform TCM examination, and acupuncture treatment combine with other healing modalities such as cupping, Gua Sha, Electro-stimulation, Infrared, Moxibustion depending on patient’s condition.
5 Sessions
$525($105/Session)
Follow Up Consultation and Acupuncture perform TCM examination, and acupuncture treatment combine with other healing modalities such as cupping, Gua Sha, Electro-stimulation, Infrared, Moxibustion depending on patient’s condition.
10 Sessions
$950($95/Session)
Follow Up Consultation and Acupuncture perform TCM examination, and acupuncture treatment combine with other healing modalities such as cupping, Gua Sha, Electro-stimulation, Infrared, Moxibustion depending on patient’s condition.
*Should you decide to end your Package rate care prematurely all pre-payments will be refunded(minus the regular undiscounted amount of the care you have received) with-in two weeks of your notification to us.