Insurance Verification

We are out-of-network provider for most major PPO Insurance Plans.

If you have out-of-network benefits and they extend to acupuncture, we contract out with a medical biller to submit, bill, and follow up with the insurance company.

Please note that this is not a guarantee of payment by your insurance company. Large deductibles and intentionally narrow and/or obtuse scopes of coverage may minimize actual insurance coverage.

Medicare in NY does not cover acupuncture with an acupuncturist unless they are also a licensed Medical Doctor (MD), Registered Nurse (RN), or Physicians Assistant (PA).

The patient is responsible for any co-payments and any amounts for which your insurance does not reimburse us.

If you would like to find out the extent to which your insurance plan covers our services, we would be happy to verify your acupuncture benefits for you by filling out and submitting the form below.

Patient's Name

First Name

Last Name

Address

If your address on file is different from your current residence, please put down the address that the insurance company has on file

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Patient's Date of Birth

YYYY

Primary Policy Holder's Name and Birthdate

only required if different from the patient's

Insurance Name

Group Number

Policy Number

Insurance Phone Number

this is the provider number on the back of the card

Insurance Verification

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