INSURANCE/MEDICARE/MEDICAID

INSURANCE: We are participating with most major insurance companies i.e. United Healthcare, Cigna HMO/PPO, Aetna HMO/PPO, BCBS NC plans, Medicare and Medicaid. Following are guidelines for insurance:

• HMO's  require prior approval and authorization from your primary care physician for your initial visit. Your copay dollar amount will be listed as a specialist copay.
• PPO's  do not require any prior approval. Some plans require the "PCP" copay amount per visit and some plans require the "specialist" copay per visit. Most plans allow between 12 and 30 visits per year to a chiropractor, combined with a physical therapist or occupational therapist. Please check with your specific plan and and about your "chiropractic benefits".
• Medicare  covers unlimited spinal manipulations as long as they are "medically necessary" and your condition falls under those Medicare guidelines of medical necessity. They DO NOT cover office visits, x-rays taken in a chiropractic office, maintenance spinal adjustments or therapy treatments. Most secondary insurance plans will not cover these items as Medicare does not cover them.They are typically the patients responsibility.
• Medicaid  requires a $3 patient copay. Standard Medicaid does not require primary care physician approval. Carolina Access Medicaid DOES require the prior approval from the primary care physician or facility listed on the front of your Medicaid card before your first visit to our office.