FAQs
Acupuncture is an ancient healing art of Chinese medicine. The acupuncturist inserts very fine needles into acupoints to balance the energy system of the body, which can significantly improve overall body condition.
Acupuncture treatment requires an Acupuncturist to insert fine needles into the body. Therefore, many people think it is very painful. However, patients generally only feel a bee sting-like sensation and it is very quickly going away. Patients may feel a certain level of heaviness, numbness, or slight soreness on some acupoints. Occasionally, Acupuncturist may seek better results by stimulating certain acupoints to have the patient acquire a stronger sensation.
Are you a disabled veteran under the care of the VA? If yes, we can often get approval for the VA to pay for treatment.
Been in a car accident? Your PIP may pay for acupuncture, massage and chiropractic. The sooner you get in for treatment after the accident, the faster we can get you feeling better.
Otherwise—the answer varies greatly. We can help you negotiate the confusing world of health insurance and help you understand your benefits. See our Insurance FAQ below for more information
No. Even the World Health Organization (WHO) has recognized that Acupuncture is a valuable and readily method through over 2500 years of historical practice. During clinical practice, Acupuncture can significantly improve many conditions, such as:
Common Cold,
Allergies,
Headaches and Migraines,
Diabetes,
Stroke,
Insomnia,
Fatigue,
Female Period Disorders,
Anxiety/Depression
PTSD
Athletic injuries
Fertility/Menstrual disorders
Chronic Fatigue
Fibromyalgia
Plantar fasciitis
Digestive Disorders
Dizziness/Balance issues
Neuropathy
Multiple Sclerosis
Rheumatoid Arthritis
Assist IVF procedures
Prepare for embryo transfer
Fibroids
Labor induction
Postpartum recovery
We assist with a wide variety of conditions with an average success rate of 85% (we define success as a long-term reduction in the chief complaint of 70% or more).
Navigating insurance can be complicated. Hopefully, this information will help you get an accurate answer from your insurance provider.
There are a couple of cases where the answer is almost always YES:
Were you recently in an automobile accident and haven’t used all of your Personal Injury Protection (PIP) coverage? Kentucky requires a minimum of $10,000 in PIP for all auto insurance and this can be used for acupuncture, massage, and chiropractic in addition to other regular medical expenses. If so, we can bill your insurance, or you pay cash and submit the receipts for reimbursement in most cases.
Are you a federal employee who was injured on the job? If so, federal workman’s compensation coverage may include acupuncture. Contact us for more information.
Are you an employee with an open workman’s compensation claim? If so, you may be able to get acupuncture coverage with a referral from your primary workman’s compensation doctor.
There are also cases you have the answer just might be YES:
Are you a federal or state employee? If yes, your plan may include acupuncture coverage.
Are you a veteran under the care of the VA for a service-connected disability? We just might be able to get you a referral through the VA which will cover 100% of your approved treatments for acupuncture and massage.
Are you an employee of a health insurance company? Many of these companies have plans that cover acupuncture for their employees even if they don’t provide it to their customers.
There are several cases where the answer will generally be NO:
Tricare, Medicare, and Medicaid do not cover acupuncture and due to the abysmally low reimbursement rates, we do not accept any Medicare supplement plans at this time.
*Note regarding recent Medicare changes*
While Medicare does cover Acupuncture for chronic low back pain only, we are limited to being an out of network provider until Congress amends the law to include licensed Acupuncturists as providers. We are happy to guide you to the necessary paperwork for you to submit for reimbursement but have no control over Medicare's ultimate decision. In addition, we cannot accept Medicare supplement insurance plans due to the restrictive nature of their reimbursement criteria.
We need your help getting Congress to help make Medicare available to all patients who need our treatment services. Please see the links below to find out what you can do to help.
For further information regarding Medicare Coverage:
https://www.medicare.gov/coverage/acupuncture
Judy Chu’s bill HR1183 which is a good example of the kind of legislation that will be needed for Medicare to be covered by acupuncturists:
https://www.congress.gov/bill/116th-congress/house-bill/1183?s=1&r=8
Do you have a Health Saving Account, Flex Spending Account or similar?
If so, in most cases you can use these to pay for acupuncture.
My insurance says they cover acupuncture, now what?
In order to help make sure you get the coverage you pay for there are some additional questions you need to ask your insurance company:
Do you cover acupuncture? ______________ If yes: Are there any specific diagnosis codes required for coverage or excluded from coverage? __________________________________It is important to get the ICD codes, not just condition name!
Do you cover CPT codes 97810, 97811, 97813, 97814? These are acupuncture specific codes—some insurance will say they cover acupuncture but in reality, they only cover the office visits and not the acupuncture itself.
How many visits do you cover? ___________________
Does my deductible have to be met prior to my coverage being effective?______________
How much is my deductible and how far away am I from meeting it this year?____________