How To Get Acupuncture Covered By Insurance

What Is Acupuncture?

Acupuncture is the process of penetrating the skin with thin, metallic needles which are then activated through specific yet gentle movements of the practitioner’s hands. These movements can also be performed via electrical stimulation. This practice is part of the ancient treatment of Traditional Chinese medicine.

It was a common belief of the Traditional Chinese that the human body had more than 2,000 acupuncture points connected by meridians or pathways. These pathways create an energy flow, responsible for overall health throughout the body. Disruption of the energy flow can ultimately result in disease. Studies continue to show that acupuncture is an effective treatment for a variety of health conditions.

What Are Insurance Requirements For Acupuncture?

Acupuncture guidelines will vary based on plan. At a minimum, you can expect your insurance provider to require you to visit an acupuncturist who is licensed to practice in your state. Additionally, you are likely limited to a certain number of visits per calendar year. Your plan may also only cover this treatment for specific issues, such as chronic back pain. Again, guidelines will vary from plan to plan.

Does Health Insurance Cover Acupuncture Differently Based On Your Insurance?

Yes, health insurance coverage for this treatment will vary depending on the specific insurance plan. The details of acupuncture coverage, including how many visits are covered, copays, or deductibles will all differ based on the insurance plan.

Some plans may require pre-authorization or a referral from your primary physician before acupuncture treatment is covered. Some insurance plans can offer more generous coverage for acupuncture, while others provide more limited or no coverage at all.

Which Types Of Health Insurance Cover Acupuncture?

Private insurance plans, such as group health plans, are acquired through an employer. Some of these plans have covered acupuncture treatment for years. This includes some of these insurance companies:

• Aetna.
• Banner Health.
• Blue Cross Blue Shield.
• Cigna.
• Health Net.
• United Healthcare.

In the year 2020, some government-run insurance programs started covering acupuncture. For example, Medicare now provides health insurance to American citizens age 65 and older, as well as those who have specified medical conditions or who collected Social Security benefits for at least the past 24 months. Additionally, federal employees now receive acupuncture benefits under their medical insurance plans.

How Much Does Acupuncture Cost?

Acupuncture sessions cost between $70-$150, according to National studies and observations. Typically, the initial consultation fee is separate, ranging from $100-$300. The cost of subsequent visits will depend on your location and experience of your practitioner.

Here is a quick look at some average acupuncture costs:

• Acupuncture session: $75.
• Initial consultation: $100.
• Subsequent session(s): $70.

Prices are usually dependent upon location. Acupuncture sessions in larger cities like Los Angeles or Chicago often cost more than this healing process in smaller areas. The most common reason people see an acupuncturist is due to chronic back pain. The pricing for specific ailments can depend on the severity of your condition and the proposed treatment plan created by the practitioner.