Common Office Questions

Do you take my insurance?

Yes, we take all insurance! We are an out of network practice, so we will bill towards your out of network benefits.

Are you in network with my insurance?

We are an out of network practice, so we will bill towards your out of network benefits.

What is the difference between active vs wellness care?

Active care, or acute care, is focused on treating specific injuries or conditions, while wellness care aims to maintain overall health and prevent future issues.

Why isn’t wellness care covered?

Wellness or maintenance care is considered preventive and not medically necessary, which is decided by insurance companies. Insurance only covers active/acute chiropractic care.

How much do I pay per visit if you are billing my Medicare insurance?

$40

If Medicare is covering my visits, how will I get reimbursed?

Medicare should reimburse you through a check in the mail. Typically, it gets mailed directly to you. There are some instances where we will receive the check in the office, in which case we will hold onto it for you and give it to you at your next visit!

I have Medicare supplemental insurance too; will this cover any of my visits?

Yes! Medicare typically covers around 80% of your visit’s cost, and your supplemental policy will usually pick up the rest on the back end.

What percentage of my visits does Medicare cover?

Typically around 80%

Does my Medicare insurance cover dry needling/shockwave/cupping/myo?

No, these services are not billable to Medicare. If you receive any of these additional services, you will be charged our office fee of $____ for that service.

What is the cost of my first initial visit?

Our new patient exam cost is $150 dollars. If the doctor decides to take any x-rays, which they can take up to 3 total sets, each set of x-rays is an additional $60.

What is included in my first initial visit?

Your first visit includes your consultation, exam & any necessary x-rays.

Is my follow-up visit covered under the NP exam cost?

Yes, your follow up visit is included in the $150 exam cost. However, if the doctor treats you at your follow-up visit, you will owe of whatever services were provided at that visit.

What services does your office offer?

Our office offers chiropractic adjustments, dry needling, shockwave therapy, cupping, myofascial release (or scraping), spinal decompression, & functional medicine.

Can you check into my insurance benefits before I come in so I know what’s covered?

We are not able to check into your policy’s benefits until you are an established patient in our office.

Am I obligated to use every visit & complete my entire care plan package?

No, care plan packages are flexible and based on estimated care visit needs. You or the doctor may stop or change your care package at any time. This is an estimation of recommended care, created specifically for you, by the doctor. This package allows you to receive a time of service savings in the office. However, the plan can be discontinued at any time by either party.

I did not come last month but my monthly payment was still charged, why?

When you begin a care plan package you are buying a particular amount of visits that can be used over time. This is how we offer a time of service savings to reduce your out of pocket cost. Your monthly payment is going towards the amount of visits you are purchasing within a package. These visits are yours to use according to the recommended care schedule that the doctor has created for you. If you miss a visit, that visit is still yours to use at a later date

My care schedule is every 6 weeks, but I am getting charged monthly, why?

Your care plan may differ throughout the year. It is often different than your payment schedule.Your monthly payment is applied towards the amount of visits you are purchasing in a package. These visits are yours to use according to the recommended care schedule the doctor has created for you. Payment schedules are monthly, but visit use may vary throughout a year. Some months you may come in more often and others you may come less. Visits do not expire.

What are the benefits of doing a care plan?

Practice members who are on a care plan tend to get well quicker. They are typically engaged in the entire wellness lifestyle and they tend to keep their care schedule. This saves them time and energy with planning and healing.

Plan packages offer a 10-15% time of services savings off of the original visit cost. You also receive 10% off services such as dry needling, cupping, myofascial release, shockwave therapy, and functional medicine or functional movement visits.

what does it mean to be an out of network practice?