If you have told yourself “I’m going to visit a chiropractor near me accepting Medicare”, you need to know where to begin, and if your Medicare Plan will cover all the costs of chiropractic treatment.
If you want your Medicare Plan to pay for your chiropractic treatment, you first need to qualify for Chronic Disease Management, or CDM. This scheme allows you up to five visits to a chiropractor who takes Medicare every calendar year.
You must have single or multiple complex and chronic health conditions in order to meet the requirements of CDM. Chronic means that the condition has to be present for more than six months, and complex means that your health management requires help from more than one practitioner.
The common conditions that are covered under Medicare are lower back pain, neck pain, headaches, sciatica, prolapsed and bulging disc injuries, knee pain, shoulder pain, arthritis and repetitive strain injuries.
The first step in finding out whether you do actually qualify for CDM is to consult your GP on the conditions you are experiencing. He or she will provide advice and guidance for the remainder of the process if they deem you eligible.
If you are able to qualify for CDM, your GP will sent a TCA (team care arrangement) referral to your chosen chiropractor. After that, there is nothing stopping you from consulting with a chiropractor that is near you and accepts Medicare.
When consulting with a chiropractor you want to use Medicare with, make sure that he or she accepts it. There are many professionals, not only chiropractors, that don’t accept people with Medicare as their medical insurance.
However, even if the chiropractor you want treating you doesn’t take Medicare, you can always pay for the treatment out-of-pocket. After that, bill Medicare on your own and wait for them to send you payment in a couple of weeks.
Part B procedure
Part B Medicare covers certain chiropractic treatments – manual manipulation and spinal subluxation correction.
On the other hand, Medicare Part B will not cover anything else which may be included in the treatment process, such as x-rays, physical therapy, and orthopedic devices.
You will have to pay deductibles for Medicare Part B, plus an additional 20% of the amount approved by Medicare for chiropractic services. You are also responsible for chiropractic fees for procedures not approved by your Medicare Plan.
Supplement insurance and Medigap
If the chiropractor you wanted doesn’t participate in the Medicare program, chances are Medicare will not pay for the treatment.
However, there is a chance of avoiding payment for chiropractic if you have some coverage with the Medigap or Medicare Supplement Plan. Inquire about your options with your Plan’s manager, and see just how much chiropractic coverage you can obtain.
We are a group of chiropractors that accepts Medicare
If you are struggling to find a certified chiropractic professional accepting Medicare, look no further than Fix Body Chiropractor Group. We can guide you through the process of coordinating your coverage Plan with our services. We hope we are in your network, so contact us today!