Insurance
Major Medical. There is very little insurance coverage for acupuncture
in Pennsylvania. Because of this, I am not an "in-network" provider for any
insurance company and therefore do not take insurance for payment. If you
suspect that your insurance company may offer reimbursement, you should call
the number on the back of your insurance card and verify these benefits and
find out what types of information you must gather and submit. Gathering this
information up front will help increase your chances of prompt reimbursement.
Discount programs through your insurance, Other discounts. Many medical
plans advertise that they offer benefits for complimentary care, such as
acupuncture, through a discount program. I do not participate in any of these
discount programs. These types of programs typically ask the acupuncturist to
provide a discount of up to 25% to their cardmembers in exchange for being
listed in their complimentary provider directory. The insurance company does
not provide any type of reimbursement to the practitioner. The practitioner
must absorb the cost of the discount. Because almost all of my patients are
paying "out-of-pocket" for their acupuncture treatments, I try to keep my
prices as low as possible; everyone pays the same as anyone else.
Workers' Compensation. Acupuncture is covered under Pennsylvania's
workers' compensation as long as it is deemed "medically necessary". I cannot
determine medical necessity. If there is any question about this, your case may
be sent up for review by an independent third-party reviewing organization. I
am required to bill your worker's comp insurance company for you, however, you
are ultimately responsible for the charges. If your workers' comp claim
is denied for any reason, including lack of medical necessity, you will need to
pay me for the services rendered. It often takes several weeks for your first
bill to be processed, so you may accumulate many weeks worth of charges just to
find out that your claim has been denied, sent up for review (a lengthy
process) or otherwise delayed. So that this does not create a hardship for you,
I encourage my workers' comp patients to set aside their payment amount in
their own savings account. If your treatment coverage is denied, payment will
be due immediately. By having the funds set aside, it will keep you from
wasting any energy worrying about the outcome of your claim submission.
Flexible spending accounts. I can accept debit cards from flexible
spending accounts as long as they carry the mastercard or visa logo. I cannot
guarantee coverage under the rules of your flexible spending account. I can
typically process the payment without problem, but if a service such as
acupuncture is not included in the the program rules, they may ask you to
replace the funds or provide a letter of medical necessity. I recommend calling
the administrator of your account to find out what to expect.
Medical Credit Plans/Payment plans. I do not offer payment plans or
particiate in medical credit plans. I do however, accept both Mastercard and
Visa credit cards. You may find that most medical credit plans offer interest
rates comparable to many credit cards. Your own credit card may even offer a
better rate.
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Fee Schedule
These rates are effective as of January 1, 2017 and are subject to change.
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Acupuncture
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Acupuncture Treatment (Initial visit)
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$120.00
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Acupuncture Treatment (follow-ups)
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$95.00
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Herbal Consults and Herbal Prescription
Herbal consults are included for free (plus the cost of herbs) as part of an
acupuncture treatment. If you are not scheduling acupuncture treatments, then
you must pay for herbal consultation and follow-ups as listed below.
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Herbal Consult (Initial visit)
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$60.00
+ cost of herbs
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Herbal Consult (follow-up visits)
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$25.00
+ cost of herbs
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Herbal Prescription
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cost varies by prescription
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NAET (Nambudripad’s Allergy Elimination
Techniques)
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Each appointment
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$60.00
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