RATES & INSURANCE

Rates & Insurance

Does Your Insurance Cover Acupuncture?

There are a few simple steps that you can take before your first visit to find out if your insurance covers acupuncture.

Acupuncture Treatment Rates 

Initial Treatment: 90 Minute Appointment
Rate: $125 
Payment due at the time of service

Follow-Up Treatment: 60 Minute Appointment
Rate: $85
Payment due at the time of service
​​
Cupping Treatments
Rate:$45
30 minutes long, these are only for return patients.

*billed rates may be higher than published time of service rates to cover the costs of
administrative time and insurance billing costs*

Insurance

Does Your Insurance Cover Acupuncture?

There are a few simple steps that you can take before your first visit to find out if your insurance covers acupuncture.

To find out if your insurance provider covers acupuncture:

  • Check your policy documents supplied by your insurance provider.

  • Check your policy online through your provider’s website.*

  • Call the number on the back of your insurance card and speak with a representative.

*Note that some insurance providers do not show policy details online.

We accept Personal Injury cases (car accidents) and Workers’ Compensation claims. All Workers’ Compensation claims must be pre-authorized by a physician before treatments can begin.

*MEDICAID does not cover acupuncture in Montana*

Questions to ask your provider include:

  • Do I have acupuncture coverage?

  • How many visits of each am I allowed per calendar year?

  • Do I have a copay?

  • Have I met my deductible?

Please be aware that some insurance companies are very specific on their treatment coverage and may cover some, but not all, forms of acupuncture. We work with a number of insurance companies including, but not limited to:

  • Blue Cross Blue Shield of Montana (Federal employees)

  • Allegiance (MMIA, Cigna)  (State of Montana & City of Great Falls are covered)

  • EBMS

  • Aetna

  • First Choice Health

  • VA Choice Program (need an authorization from GP) 

  • Montana Health Co-op

A note about Medicare

Medicare coverage for acupuncture; Medicare Secondary Insurance; Medicare Supplemental Insurance Medicare has approved acupuncture for low back pain but services must be provided in a primary care practice and submitted under an MDs license. At this time, an acupuncturist cannot submit claims directly to Medicare. This is because acupuncturists are not approved to be Medicare providers yet.
Secondary Medicare plans are different.  An acupuncturist can submit insurance claims to secondary Medicare plans. Secondary plans will cover what Medicare won’t cover. Blue Cross and Blue Shield are examples of this, but make sure that your card says Secondary.

Supplemental insurance plans do not cover acupuncture. Supplemental plans will only cover services that Medicare covers. Supplemental plans pay the remainder of the claim after Medicare pays for their portion. If Medicare doesn’t cover a service, supplemental insurance will also not cover the service. Humana is an example of this.

Your card will say Supplemental. Some Blue Cross Blue Shield plans have supplemental coverage instead of secondary coverage so make sure to check your card. If you have an additional Medicare insurance plan, take a look at your card and see if it says Secondary or Supplemental. If it says Secondary then call your insurance plan and ask if you
have acupuncture benefits.