INSURANCE COVERAGE

Wondering if acupuncture is a covered service under your health plan?

All major health benefits providers including Aetna, Anthem, Blue Cross, Cigna, Meritain, and United Healthcare offer acupuncture coverage. I specifically accept insurance as an out-of-network provider. If you complete the form below I will respond within 1-2 business days to let you know if your plan has coverage that I accept.

Please note that I DO NOT accept Medicare, Medicaid or Wellcare.

All information is secure and confidential.

Name

First Name

Last Name

Date of Birth

MM

DD

YYYY

Insurance Policy Name (* please specify complete policy name ex: Horizon NJ or Anthem for BCBS)

Insurance policy # of patient

Full name of main policy holder if not patient

Date of birth of policy holder if not patient

MM

DD

YYYY

Email

Phone

(###)

###

####

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