If you have Medicare, chiropractor visits are covered if you require treatment to fix what is know as a subluxation of the spine. A spinal subluxation is a common chiropractic issue. It means that the vertebrae in your spine are not in proper position. Subluxation can cause back, neck, and shoulder pain, as well as joint problems, nerve problems, and muscle pain. It can result in increased inflammation, fibrosis, muscle atrophy, and more. However, the condition is easily treated by regular spinal adjustments. With Medicare, chiropractic treatment can be extremely beneficial in managing the pain that many patients experience.
ChiroCare of Florida accepts Medicare. If you are experiencing pain you believe results from a problem with your neck or back, including frequent headaches or migraines or digestive issues, it may be a sign of spinal subluxation. Seek the advice of a chiropractor. We accept Original Medicare, Medicare Part C, and Medigap Part F plans. Call us today at 977-216-6206. With eleven locations across South Florida and extended weekday hours, you can begin your chiropractic treatment plan today.
Does Medicare Cover Chiropractor Visits?
Original Medicare (or Medicare Part B) does cover some chiropractic services, though not all. According to the Official U.S. Government Site for Medicare, the plan does cover spinal manipulation if a chiropractor deems it medically necessary. If you are experiencing back pain, it is likely that chiropractic treatment is the correct form of treatment and Medicare will cover the expense.
Often, chiropractors request X-rays to diagnose issues with the spine. It is important to note that Medicare will not cover these costs unless a physician orders the test. If a chiropractor orders the X-ray, Medicare will not cover the cost. Be aware before your visit that Medicare does not require an X-ray to prove you require treatment for a spinal subluxation. You can still receive covered Medicare chiropractor visits without one.
Medicare Part C
Medicare Part C, or Medicare Advantage Plans, may provide more coverage for chiropractic treatment, as private insurance companies offer the plans. To see if Part C Medicare chiropractic treatment is covered, contact your insurance company and inquire about the benefits of your plan. Medicare Part C may offer more treatment options than Original Medicare, and may cover more of the cost. Some Medicare Part C plans cover not only your entire deductible, but also your 20% co-pay.
Medigap Plan F
Medigap Plan F is a supplemental Medicare coverage plan that helps bridge the gap between payments not covered by Plan A. With Medigap Plan F, you most likely will not have to pay a thing for Medicare chiropractor visits.
Your Financial Responsibility
Your financial responsibility regarding chiropractic payments will depend on your Medicare plan. Generally, Original Medicare covers 80% of the approved rate for office visits. You are responsible for paying your deductible and the remaining 20%. With Medicare Part C, your insurance company determines your co-pays. Chiropractic care is typically considered a specialist visit, and that co-pay amount may apply.
For How Long Does Medicare Cover Chiropractor Visits?
A main concern among patients is that Medicare will cover some chiropractic visits, but not all. However, this is not the case. With Medicare there is no limit on the number of chiropractic treatments you may receive, as long as you cover your deductible, continue paying the 20% fee, and a provider deems the treatment medically necessary.
Ancillary Chiropractic Services Covered by Medicare
Many chiropractors offer ancillary services that aid in traditional spinal manipulations, or treat medical issues that do not involve the spine. Original Medicare may cover some of these services. Services such as physical therapy and rehabilitation are likely covered if a physician orders them.
Additionally, Original Medicare may cover services to treat pre-existing health conditions, such as rheumatoid or osteoarthritis, fibromyalgia, diabetic peripheral neuropathy, or sciatica. In these cases, it is common for Medicare to require physician authorization.
If you have Medicare Part C or Medigap Plan F, there is a greater chance that the services will be covered. It is important to contact your provider prior to a visit to prepare for any payments you may be responsible for.
Chiropractic Services Not Covered by Medicare
If you have Original Medicare, chiropractor visits for ancillary services are generally not covered. These services include acupuncture, massage therapy, and other treatment options the plan deems”not medically necessary.” With Medicare Part C or Medigap Plan F coverage, these services may be covered.
Additionally, many chiropractors offer services such as cupping therapy, laser treatments, and general wellness programs. It is not likely that Original Medicare will cover these treatment methods. Medicare typically requires that you take advantage of wellness programs from your primary care physician, and elective procedures such as laser treatments are not covered by the plans.
However, if you do have a Medigap Plan F, contact your provider. There may be provisions that allow you to seek additional treatment. Medicare Part C and Medigap Part F offer greater flexibility in terms of treatment and cover a wider range of services. Of course, if you discuss a health concern with your doctor and they advise you to seek treatment from a chiropractor, call your benefit administrator to discuss your options.
Finding a Medicare Chiropractor
One of the most important things to note is that any healthcare provider that accepts Medicare must hold a special licensure that allows them to receive reimbursement from the plan. Not all chiropractors or offices have the necessary license. For this reason, it is important that you find a chiropractor that Medicare does cover.
ChiroCare of Florida does accept Medicare. We are proud to serve those in the South Florida community with Orginal Medicare Part B plans, as well as Advantage Medicare Part C plans and Medigap Part F Plans. If you are struggling with back, neck, shoulder, or muscle pain, know that it is possible to find relief.
Seeking a Consultation
To see if you are covered for Medicare chiropractor visits, give us a call. We will review your benefits and seek authorization, if necessary, from your provider before we begin treatment. That way, you won’t end up with a bill you aren’t expecting. Our chiropractors will provide a comprehensive evaluation of your spinal health in office to determine if you are suffering from a subluxation and develop a personalized treatment plan to help alleviate your symptoms.
Contact ChiroCare of Florida today.