Answering the Question: Does my Insurance Cover Chiropractic Care?

by  Wyn Staheli, Director of Research
December 3rd, 2019

If I had a nickel for every time someone asked "Does my insurance cover chiropractic care?" I’d be able to retire early! This is a question that all healthcare providers have struggled with for years. Unfortunately, when it comes to insurance, coverage often varies between payers — even varying between plans for a single payer. The increase in high-deductible plans has only compounded the issue because even if it is covered, they might still have to meet their deductible.

The following Q/A, which is found in Appendix C of the ChiroCode DeskBook, provides some guidance:

Question: We are having trouble communicating insurance coverage details to patients. Do you have any suggestions?

Answer: First, you should make sure your insurance verification is complete and properly detailed on the Verification of Insurance Coverage Form (Resource 148). It can be helpful to provide the patient with either an Estimate of Medical Fees (Resource 147) or a completed copy of the Verification of Insurance Coverage Form.  It may also be helpful for them to contact their insurance company to obtain answers regarding coverage.

Another suggestion is to provide a patient financial consultation where a staff member goes through the Estimate of Medical Fees with them. It doesn’t have to take more than a few minutes, but should allow them the opportunity to ask questions so they understand their financial responsibility.  A consultation is an effective way to communicate the payer’s coverage verification disclaimer which typically states something like, “There is no guarantee of coverage as coverage and benefits are not determined until the claim is received and processed.” It is important for patients to understand that they are ultimately the ones responsible for the financial aspect of their healthcare.

This complex topic is covered in more detail in the “Establish Patient Financial Responsibility” segment found in Chapter 1.1 — Insurance & Reimbursement Essentials of the ChiroCode DeskBook.

Answering the Question: Does my Insurance Cover Chiropractic Care?. (2019, December 3). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/answering-the-question-does-my-insurance-cover-chiropractic-care-35856.html

© InnoviHealth Systems Inc

Article Tags  (click on a tag to see related articles)


Publish this Article on your Website, Blog or Newsletter

This article is available for publishing on websites, blogs, and newsletters. The article must be published in its entirety - all links must be active. If you would like to publish this article, please contact us and let us know where you will be publishing it. The easiest way to get the text of the article is to highlight and copy. Or use your browser's "View Source" option to capture the HTML formatted code.

If you would like a specific article written on a medical coding and billing topic, please Contact Us.


contact

innoviHealth Systems, Inc.
62 East 300 North
Spanish Fork, UT 84660
Phone: 801-770-4203 (9-5 Mountain)
Email:
free demo
request yours today
pricing
for any budget
sign IN
welcome back!

Thank you for choosing Find-A-Code, please Sign In to remove ads.