Frequent question: Is acupuncture covered by Medicare?

Original Medicare doesn’t cover acupuncture. You may join a Medicare Advantage plan that provides you with some supplemental benefits for acupuncture and other kinds of alternative therapies. To get these benefits and make sure you work with a reliable practitioner, you should research credentials.

Is acupuncture covered by Medicare in 2020?

Acupuncture involves stimulating specific points on the body, usually by inserting thin needles through the skin, to alleviate pain. Until January 2020, Medicare did not cover it in any circumstances, and you will still pay 100 percent of the cost of acupuncture to address conditions other than low back pain.

Is acupuncture covered by insurance?

Many insurance plans offer coverage for acupuncture treatment. Contact your insurance company directly to find out if your plan covers acupuncture, and any limits to the number of treatments covered. Acupuncture may also be covered if you sustained a workplace injury or were injured in a motor vehicle accident.

How does Medicare bill for acupuncture?

Acupuncture Medicare Fee Schedule

  1. 97810 ($37.89): Acupuncture, one or more needles, without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient.
  2. 97811 ($28.87): Each additional 15 minutes of personal one-on-one contact with the patient, with re-insertion of needles.
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When did Medicare start covering acupuncture?

2020

How Much Does Medicare pay for acupuncture?

Medicare Part B (Medical Insurance) covers up to 12 acupuncture visits in 90 days for chronic low back pain. Medicare covers an additional 8 sessions if you show improvement. If your doctor decides your chronic low back pain isn’t improving or is getting worse, then Medicare won’t cover your treatments.

Is acupuncture a sham?

Acupuncture is a form of alternative medicine and a key component of traditional Chinese medicine (TCM) in which thin needles are inserted into the body. Acupuncture is a pseudoscience, the theories and practices of TCM are not based on scientific knowledge, and it has been characterized as quackery.

How expensive is acupuncture?

Acupuncture treatments are expensive.

While fees vary, in many instances initial acupuncture visits ranges from $75 to $95 for a session and medical consultation. Once an initial consult is complete, weekly routine visits may cost between $50 and $70.

How can I get insurance to pay for acupuncture?

Call your health insurance provider to find out if your plan covers acupuncture for your condition. Aetna, for instance, may cover it for nausea and pain when administered by a physician. Aetna also offers discounts for additional conditions not covered by insurance.

Does acupuncture really work?

National Institutes of Health (NIH) studies have shown that acupuncture is an effective treatment alone or in combination with conventional therapies to treat the following: Nausea caused by surgical anesthesia and cancer chemotherapy. Dental pain after surgery.

Does Medicare cover acupuncture in 2021?

2021 Medicare Product Acupuncture Benefit Changes

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Beginning January 1, 2021, two separate benefits, with separate accumulations, will apply to acupuncture services provided to subscribers enrolled with a Medicare Advantage or Platinum Blue (Medicare Cost) plan.

Why is acupuncture painful?

Sometimes your first acupuncture treatment will be more painful than your following treatments. This could be because certain energy points on your body are being activated for the first time. Your symptoms may worsen slightly before they get better. “Pain isn’t a negative thing, but you don’t want it to last.

How long should acupuncture needles be left in?

In most cases, the needles remain in place for 10 to 20 minutes while you lie still and relax. There is usually no discomfort when the needles are removed.

Does Medicare cover chiropractic and acupuncture?

Medicare doesn’t cover other services or tests ordered by a chiropractor, including X-rays, massage therapy, and acupuncture (except for low back pain).

 Alternative medicine