Best Acupuncturists That Will Accept Medicare (2024)
Acupuncturists that accept Medicare are becoming more and more common. As of January 2020, Medicare has expanded its coverage to accept acupuncture treatments for chronic low back pain. Your acupuncturist that takes Medicare must follow specific stipulations for you to get treated by them, with Medicare coverage. For example, there can be no more than 20 visits in a year.
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Tim Bain
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Tim Bain is a licensed life insurance agent with 23 years of experience helping people protect their families and businesses with term life insurance. His insurance expertise has been featured in several publications, including Investopedia and eFinancial. He also does digital marking and analysis for KPS/3, a communications and marking firm located in Nevada.
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UPDATED: Feb 6, 2024
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UPDATED: Feb 6, 2024
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance provider and cannot guarantee quotes from any single provider.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code on this page to use the free quote tool. The more quotes you compare, the more chances to save.
On This Page
- ZocDoc will configure a list of Acupuncturists near you that accepts Medicare
- Medicare Part B covers up to 12 acupuncture visits if you are experiencing chronic low back pain
- When showing improvement while seeing an acupuncturist, Medicare will cover an additional eight sessions
Some health insurance policies are expanding to incorporate less traditional forms of medicines and therapies.
Adjunct and alternative treatments are less popular because they are not typically covered under insurance plans. If they are, there are usually strict stipulations that the insured must abide by.
For help finding holistic doctors who accept Medicare, check out, Best Holistic Doctors That Will Accept Medicare.
As of recently, acupuncture-for chronic low back pain has been accepted by Medicare Part B.
Find the best acupuncturists that accept Medicare for you and near you. Enter your ZIP code and get a free quote today.
How To Find Acupuncture Near Me That Takes Medicare
Acupuncture is the practice of applying tiny needles to specific areas in the body to relieve pain and restore energy flow.
To find the best acupuncturists near you that accept Medicare, there are multiple different websites you can use to access this information.
One of the most popular websites is ZocDoc.
With ZocDoc, you will enter information such as your condition, procedure, or doctor’s name. You will also enter your location, the date you’re interested in, and the type of insurance coverage you have.
Once these steps are completed, ZocDoc will configure a list of Acupuncturists near you that accepts Medicare.
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Does Medicare Cover Acupuncture?
As of 2020, Medicare Part B will cover up to 12 acupuncture visits – within 90 days – for chronic low back pain. The medical community is organizing an effort to help people access non-opioid pain management.
Medicare Part B covers two different types of services: medically necessary services and preventive care services.
Medically necessary services include services that are needed to diagnose or treat a medical condition and meet accepted standards of medical practice.
Preventive care services prevent illnesses or detect illnesses at an early stage, when treatment is most likely to work best. Finding primary care doctors that accept Medicare is worth it to have your care covered.
Under Medicare Part B, things that are covered include clinical research, ambulance services, limited outpatient prescription drugs, mental health services, and durable medical equipment.
What is Chronic Low Back Pain?
Chronic low back pain is a pain in your lower back that has been consistent and persistent for at least 12 weeks.
This pain does not have any known causes and is not associated with surgery or pregnancy.
Doctor and Health Care Provider Necessary Accreditation
If you have chronic lower back pain and use Medicare Part B to cover acupuncture services, the doctor or health care provider that you see must have the necessary accreditation.
You must get acupuncture from a doctor or health care provider who has both:
- A Master or Doctoral level degree in acupuncture or oriental medicine from a school accredited by the Accreditation Commission on Acupuncture & Oriental Medicine
- A current, full, active, and unrestricted license to practice acupuncture in the state where care is being provided
When showing improvement while seeing an acupuncturist, an additional eight sessions can be covered by Medicare. No more than 20 sessions are allowed in a year’s time.
You can find out more about health costs with Medicare by reading our guide: What is the maximum out-of-pocket expense with Medicare?
Medicare Acupuncture Fee Schedule 2021
The 2021 Acupuncture Fee Schedule with Medicare is listed below.
Fee | Service |
---|---|
$37.89 | One or more needles, without electrical stimulation, initial 15-minutes of personal one-on-one contact with patient |
$28.87 | Each additional 15-minutes of personal one-one-one contact with the patient, with re-insertion of needles |
$42.22 | Acupuncture, one or more needles, with electrical stimulation, initial 15-minutes of personal one-on-one contact with patient |
$34.65 | Each additional 15-minutes of personal one-on-one contact with re-insertion of needles |
$26.71 | Services with needle insertions without injections of one or two muscles |
$39.70 | Services with needle insertion without injections of three or more muscles |
Does Medicare Cover Other Alternative or Adjunct Medicine?
Does Medicare cover alternative medicine? Maybe you are not interested in your Medicare covering acupuncture treatment. Medicare does cover other alternative or adjunct medicines: massage therapy, chiropractic therapy, and physical therapy.
Learn more about chiropractors who accept Medicare here: Best Chiropractors That Will Accept Medicare
As times change, policies will change to support it. With Medicare beginning to cover alternative and adjunct medicines, then hopefully, more health insurance plans will take this on as well.
Learn if an acupuncturist near you takes Medicare. Enter your ZIP code and get a free quote today.
Are you looking for free insurance quotes?
Your one-stop online insurance guide. Get free quotes now!
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Frequently Asked Questions
Can acupuncture be covered by Medicare?
Yes, Medicare can cover acupuncture services, but only for specific conditions and under certain circumstances.
What are the Medicare-approved conditions for acupuncture coverage?
The approved conditions for Medicare coverage of acupuncture services are chronic low back pain, chronic neck pain, and osteoarthritis pain of the knee.
Can I choose any acupuncturist that accepts Medicare?
No, only licensed acupuncturists who are enrolled in Medicare can provide acupuncture services that are covered by Medicare.
Are there limits on the number of acupuncture treatments covered by Medicare?
Yes, Medicare will cover up to 12 acupuncture visits in 90 days for chronic low back pain, chronic neck pain, and osteoarthritis pain of the knee. After the initial 12 visits, Medicare may cover up to eight additional visits if the patient is showing improvement.
Will I have to pay anything out of pocket for acupuncture services covered by Medicare?
Yes, Medicare beneficiaries will be responsible for paying 20% of the Medicare-approved amount for acupuncture services. If you have a Medicare Supplement Insurance (Medigap) policy, it may cover some or all of the remaining costs.
How can I find a licensed acupuncturist that accepts Medicare?
You can use the Medicare website’s Physician Compare tool to find licensed acupuncturists that accept Medicare in your area. You can also contact your Medicare Advantage plan or Medicare Supplement Insurance (Medigap) provider for a list of providers.
Are you looking for free insurance quotes?
Your one-stop online insurance guide. Get free quotes now!
Secured with SHA-256 Encryption
Tim Bain
Licensed Insurance Agent
Tim Bain is a licensed life insurance agent with 23 years of experience helping people protect their families and businesses with term life insurance. His insurance expertise has been featured in several publications, including Investopedia and eFinancial. He also does digital marking and analysis for KPS/3, a communications and marking firm located in Nevada.
Licensed Insurance Agent
Editorial Guidelines: We are a free online resource for anyone interested in learning more about insurance. Our goal is to be an objective, third-party resource for everything insurance related. We update our site regularly, and all content is reviewed by insurance experts.