When you call to schedule an appointment, please have the following information ready to provide the receptionist if your health insurance plan is with BCBS or UHC.
- Patient name
- Patient D.O.B.
- Patient’s reason for treatment
- Primary card holder’s name
- Insurance ID#
- Insurance group #
- Insurance member service phone number
- Patient phone number (where we may contact you after we find out your acupuncture coverage)
- My insurance doesn’t cover acupuncture. What can I do?
You can write a letter, either to your insurance company or your Human Resources Manager (if you receive insurance through your employer) petitioning them to add acupuncture coverage to your plan. Your insurance company can make changes at the next renewal of your policy or risk losing your business, and your employer can be helpful when it comes to talking to your insurance company.
- Why did I receive a bill from AOMA after my treatment when I was told I didn’t have a co-pay at the time of my visit?
Many insurance plans require you to pay a co-insurance, or a specific percentage of a bill, after your insurance company has paid their portion. This amount can only be determined after your insurance company receives a claim, which is why you didn’t pay anything at the time of your visit.
- What is a deductible and why do I have to pay it before my insurance will cover my acupuncture treatments?
A deductible is an amount of out-of-pocket expense that you must pay before your insurance benefits actually start. Deductibles are usually calculated on a calendar-year basis, and any covered medical expenses that you pay for out-of-pocket should be applied toward your deductible until it’s been met for the year.
- My insurance company says they will pay for acupuncture. Why won’t AOMA file the claims for me?
AOMA currently only files claims with BlueCross/BlueShield and United Healthcare. If you are insured with another company and your plan covers acupuncture, we will be happy to provide you with the receipts you would need to file for reimbursement independently with your insurance company. Some insurance companies like Cigna and Aetna have closed networks, meaning they will not allow new providers to join. If you are insured with one of these companies and would like to petition them to open their network to AOMA, please send a letter to your insurance company, or contact firstname.lastname@example.org and we can provide you with a form letter to send.
- My insurance plan covers acupuncture, but only when it is performed by an MD. Can I use my insurance at the AOMA Professional Clinic?
Unfortunately no. AOMA’s Professional Clinic practitioners are all licensed acupuncturists in the state of Texas, and many of them are MDs in China; however, none of our practitioners are MDs in the US so we do not meet this requirement.
- My insurance plan covers acupuncture, but only for anesthesia during surgery. What can I do?
The best thing to do would be to write a letter, either to your insurance company or your Human Resources Manager (if you receive insurance through your employer) petitioning them to open your plan fully to acupuncture coverage. Your insurance company can make changes at the next renewal of your policy or risk losing your business, and your employer is often a helpful resource when it comes to dealing with your insurance company.
- Why were some aspects of my acupuncture treatment not covered by my insurance? Am I responsible for these charges?
There are several components to an acupuncture treatment at the AOMA Professional Clinic. These include, but are not limited to:
Infrared heat lamp therapy
Sometimes an insurance plan may only cover a portion of these services, or may cover them at different rates. Most of the time the balance not paid by your insurance company is due from you, as dictated by the co-pay/co-insurance rates of your insurance plan.