As of January 1st, 2025 we no longer participating with any major medical insurance plan.
We continue to bill and accept direct payment for covered expenses from Medicare part B , NY State Workers' Compensation and NY State No Fault Auto cases.
We continue to bill and accept direct payment for covered expenses from Medicare part B , NY State Workers' Compensation and NY State No Fault Auto cases.
Payment is due at the time services are rendered by cash, check or credit/debit Card.
If you have out of network coverage, we will provide you with a "super bill" with the information required to submit your bills to your carrier to be reimbursed. We will assist you, if possible.
We continue to bill traditional Medicare Part B for you and accept payment from your carrier. You are responsible for all services Medicare doesn't cover. Medicare only covers "medically necessary" spinal manipulation.
Exams and modalities provided by chiropractors are not covered.
Patients with Medicare Advantage (Part C Medicare) out of network plans will be charged Medicare allowed amount for adjustments (which are significantly less than our fees). If you have out of network coverage, we will provide you a "super bill" to submit for reimbursement to your carrier.
With a few exceptions, supportive and/or maintenance treatments, are not covered by insurance.
Only "Medically necessary" care is covered by insurance. It can be confusing to patients as to what type of treatment you are receiving. Please discuss this with the doctors if you have a question as to your type of treatment and if it's covered by your plan.
Medical Necessity: You must be on a treatment plan with defined, measurable, functional goals. If continued improvement can be demonstrated with documented measures of objective functional improvement, your care usually will be covered. Once you reach maximum improvement, most insurance coverage is denied.
If you experience an exacerbation, from an event and experience increased pain and decreased function, care may be covered until you return to your "baseline" impairment.
Supportive Care is for minor flare-ups or natural fluctuations of chronic spinal problems for which there is no cure. Example: “My lower back is starting to hurt again. I’d like an adjustment and I’ll see how it goes. I'll call if I need another treatment.”
Maintenance Care- is long term, regularly scheduled care you feel helps your overall well-being and keeps your problem from worsening. Example: You feel good and you find that occasional adjustments prevent you from getting worse.
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
We make every attempt to follow HIPPA regulations and keep your Private Health Information (PHI) private.
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If you have out of network coverage, we will provide you with a "super bill" with the information required to submit your bills to your carrier to be reimbursed. We will assist you, if possible.
We continue to bill traditional Medicare Part B for you and accept payment from your carrier. You are responsible for all services Medicare doesn't cover. Medicare only covers "medically necessary" spinal manipulation.
Exams and modalities provided by chiropractors are not covered.
Patients with Medicare Advantage (Part C Medicare) out of network plans will be charged Medicare allowed amount for adjustments (which are significantly less than our fees). If you have out of network coverage, we will provide you a "super bill" to submit for reimbursement to your carrier.
With a few exceptions, supportive and/or maintenance treatments, are not covered by insurance.
Only "Medically necessary" care is covered by insurance. It can be confusing to patients as to what type of treatment you are receiving. Please discuss this with the doctors if you have a question as to your type of treatment and if it's covered by your plan.
Medical Necessity: You must be on a treatment plan with defined, measurable, functional goals. If continued improvement can be demonstrated with documented measures of objective functional improvement, your care usually will be covered. Once you reach maximum improvement, most insurance coverage is denied.
If you experience an exacerbation, from an event and experience increased pain and decreased function, care may be covered until you return to your "baseline" impairment.
Supportive Care is for minor flare-ups or natural fluctuations of chronic spinal problems for which there is no cure. Example: “My lower back is starting to hurt again. I’d like an adjustment and I’ll see how it goes. I'll call if I need another treatment.”
Maintenance Care- is long term, regularly scheduled care you feel helps your overall well-being and keeps your problem from worsening. Example: You feel good and you find that occasional adjustments prevent you from getting worse.
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost
Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.
- Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- Make sure to save a copy or picture of your Good Faith Estimate.
We make every attempt to follow HIPPA regulations and keep your Private Health Information (PHI) private.
BACK TO HEALTH CHIROPRACTIC PATIENT PRIVACY NOTICE