Treatment is available by appointment only.
Mary sees patients from 9:00 a.m. to 5:00 p.m. in Hyde Park on Tuesday through Saturday, and she sees patients in Homewood two Mondays per month.
Devra sees patients from 11:00 a.m. to 4:00 p.m. on Monday, Wednesday, and Friday, and from 3:00 p.m. to 7:00 p.m. on Tuesday and Thursday.
Kathy sees patients at several different locations, Monday through Saturday.
Qi gong classes meet on Thursdays at 10:00 a.m. Please call the office before attending qi gong classes for the first time to verify the schedule and location of the class.
Your Insurance May Reimburse for Acupuncture Treatment
Whether or not your insurance will reimburse your expenses for acupuncture depends on your policy. Many insurance companies reimburse for acupuncture, but not all policies include an acupuncture benefit. To find out whether your policy includes acupuncture, call your plan administrator.
East Point Associates, Ltd., does not accept assignment for insurance reimbursement. We request that you pay for your treatment at the time it is rendered, and we will file your insurance claim for you. If you want us to file an insurance claim for you, please let us know at the time of payment. We will need a copy of your insurance card, and we will ask you to sign a form that we will keep on file.
Medicare Does Not Reimburse for Acupuncture Treatment
A petition by the acupuncture profession to recognize acupuncturists as healthcare providers under the Social Security Act was officially rejected by the White House on January 10, 2014. This means that acupuncture will continue to be non-reimbursed under Medicare. The only option that remains for changing this situation is an Act of Congress.
As more information becomes available, we will provide updates. Even though there is no bill currently before the legislature, it is always helpful to let your Members of Congress know how you feel on issues.
Medical Savings Accounts Include Acupuncture Treatment
Acupuncture is an accepted expenditure for medical savings accounts. Most plans provide you with a credit card specifically for that use.
Important Insurance Coverage Updates
on Acupuncture as of January 1st, 2014
In accordance with the criteria demanded by the Non-Discrimination Section (2706) of the Affordable Care Act, Blue Cross Blue Shield now provides up to 10 visits per year for acupuncture when performed by a licensed acupuncturist. The plan also covers general acupuncture anesthesia and maternal acupuncture anesthesia when requested by the attending physician.
“We now provide benefits for up to 10 visits per year for acupuncture performed by Preferred providers acting within the scope of their license or certification in the state where the services are provided. Previously, Basic Option benefits were available for acupuncture only when provided by a physician. (See page 60.)” – BCBS SBP Page 16
“Subject to the criteria appearing on page 18, we now cover any licensed medical practitioner for covered services performed within the scope of that license, as required by Section 2706(a) of the Public Health Service Act (PHSA). Previously, benefits for certain medical practitioners were limited to services performed in Medically Underserved Areas (MUAs).” – BCBS SBP Page 17
It is important that practitioners review both the Frequently Asked Questions document drafted by the Integrative Healthcare Policy Consortium in partnership with the AAAOM and the Fact Sheet from the Centers for Medicare and Medicaid Services.
Beginning January 1st, 2014, each licensed acupuncturist who provides a covered service, such as acupuncture, evaluation and management, etc. within a market-based healthcare plan or insurance plan bought on the “health insurance exchanges,” is entitled to be reimbursed by said insurer. This generally means any insurance or self-insured plan in your state, i.e., ERISA, which are generally administered by large companies such as Boeing, Microsoft, Safeway, etc. Please note, licensed acupuncturists who seek this covered reimbursement must be practicing within the limits of their scope of practice.
Should you receive a denial for a service that you believe should be covered, please reference the above BCBS documentation in your challenge letter to the insurer, notify the AAAOM immediately at email@example.com, and notify your State Department of Insurance. More information will be provided on this topic in the coming months.