Insurance FAQs

  • We are in-network with some insurance providers and can bill out-of-network plans if your coverage allows acupuncture.

    If your plan doesn’t cover a treatment type, you’re welcome to use our direct-pay fee scale.

  • We do our best to help you navigate insurance coverage, but ultimately it is your responsibility to understand your benefits.

    We recommend calling the Member Benefits number on your card to ask the following questions. Always ask the representative for a reference number for the call.

    • Do I have coverage for acupuncture? (CPT codes 97810, 97811)

    • Do I need a referral from an MD or Primary Care Provider in order to be covered?

    • What is my deductible? Have I met it? 

    • What is my copay or co-insurance?

    • How many visits am I allowed?

    • Does my insurance only cover certain diagnosis codes for acupuncture?

    Knowing this information will help you understand the insurance billing process a little better.

    You are responsible for understanding your insurance benefits and will be responsible for paying for any services that are not covered by your insurance.

  • Heidi is currently an In Network provider with the following insurance companies:

    Blue Cross Blue Shield, Aetna, Pacific Source, Cigna and Allegiance.

    For all other insurance plans she is considered an Out of Network (OON) provider.

    If you have coverage and we’re able to bill your plan, we’ll submit the claims directly on your behalf. If not, we can provide a superbill for you to submit to your insurance for potential reimbursement.

  • Yes! Acupuncture is generally considered an eligible expense under most Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). Be sure to keep your receipts in case your plan requires documentation.

  • We are contracted in-network with insurance companies so that you can use your insurance benefits with us, and with that contract comes a legal obligation for us to not only bill your insurance but to charge you at a rate that the insurance carrier has determined. Different insurance companies and plans reimburse at different amounts. The rate that you pay is determined by your insurance company based on the standard codes that we bill.

A gentle reminder…

If we decide to bill your insurance and your insurance ends up denying your claims, the cost will end up being much higher than if you paid on the day of your visit and received a “time of service" discount, which we can only give at the time of service. This is why we ask that you verify benefits before you start treatment.

We bill your insurance as a courtesy, but it is ultimately up to you to know your benefits and to keep track of how many visits you've had so that you know when you have run out of benefits for your "benefit year" (which may not be the calendar year).