We Accept Medicare
As of January 1st, 2023
Read this carefully as your possible reimbursement amounts will vary according to the Medicare program or secondary insurance you have.
Medicare insurance along with any supplemental program will only reimburse for the chiropractic spinal adjustment. In Sonoma County, this means that the maximum amount you will be reimbursed, regardless of whatever else we do in an appointment, would be $42 a visit.
If you happen to have SECONDARY INSURANCE, in addition to Medicare (this is different from SUPPLEMENTAL), my billing service will verify this and my office will provide them with the proper codes that will ensure you are reimbursed the allowed amounts.
We will still need payment at the time of all services rendered. We will forward the proper codes to my insurance billing service, indicating that you have paid me. The billing service will send that information on to Medicare who will then issue a check to you for the spinal adjustment. This billing service will also provide your secondary insurance company, if you have one, the other codes for all the other healing arts services I provide during a session (soft tissue work, cranial work, extremity adjusting, Laser therapy, SCENAR therapy, nutritional counseling, exercise rehab).
To re-iterate: Medicare will not cover anything other than the chiropractic spinal adjustments. They will not cover new patient exams, extremity adjustments, cranial work, soft tissue work, Therapeutic Laser, SCENAR therapy, muscle testing, rehab exercise instruction, nutritional recommendations and testing.
Repeat: Only the SPINAL MANIPULATION code is allowed with Medicare. A secondary insurance company might cover some of the other services I provide.
Advanced Benefits Notification
You will need to sign an ABN (Advanced Benefits Notification) indicating that you understand that anything over the allowed amount for chiropractic is not covered by Medicare and you willingly agree to pay me for those services (stated above).
To Get Started
At the time of your next appointment please arrive 10 minutes early so we may gather the following information:
Name
Address (where you would receive reimbursement checks)
A copy of your Medicare card (front side only)
A copy of your secondary insurance company card