INSURANCE

Many insurance plans in Maine have some acupuncture coverage for certain conditions. If your plan covers acupuncture for your condition, Six Branches Family Acupuncture may be able to bill your insurance company. We are able to bill many major insurance companies, including:

• Aetna **

• Anthem/Blue Cross Blue Shield

• some Cigna plans*

• Community Health Options

• Harvard Pilgrim

• Optum/United Healthcare***

Mainecare does not cover acupuncture. Medicare only covers acupuncture for chronic low back pain when billed through a physician’s office. We are not able to bill Medicare.

When you schedule an appointment with us, we will collect your insurance information and verify your benefits for our use in billing.  You should also contact your insurance company to verify your coverage and understand your benefits before you begin treatment. We offer a list of suggested questions to ask here.

If your insurance plan covers acupuncture for your condition, we handle the insurance billing for your treatments.  You will be responsible for payment of copays, co-insurance, or balances applied towards a deductible. We do our best to know what these charges will be ahead of time but it is also your responsibility to understand your plan and potential costs.

We are able to accept HSA/FSA cards. If you use an HSA/FSA or if we are not able to bill your plan directly, we can provide you with a superbill receipt so that you can provide documentation or seek reimbursement through your plan. 

Please note: Most insurance plans cover acupuncture for pain conditions only, and some are restricted to particular types of pain. It is a good idea for you to speak with your insurance company about what conditions are covered by your plan. For more information on insurance billing, please see our FAQ page.

* Out of Network

** Aetna has a very limited list of conditions they will cover acupuncture for. Even if they say you have acupuncture coverage, they will only cover for chronic neck pain (not shoulder pain), chronic headaches, low back pain, osteoarthritic pain of the knee or hip (needs an "osteoarthritis" diagnosis), nausea and vomiting of pregnancy, chemotherapy, or after an operation, post-operative dental pain, TMJ-related jaw pain. Also, please verify that your acupuncture coverage applies to these conditions and is not solely "in lieu of anesthesia".

***We are in-network with United Healthcare plans managed by Optum. Plans that are managed by UMR may be processed as out-of-network

FORMS OF PAYMENT

For those not using insurance, we accept cash, check or credit card payment at the time of treatment. A “time of service” discount applies to rates for un-insured and under-insured patients who pay at the time of their appointment. It does not apply to patients paying to meet their deductible as we still do a considerable amount of work to submit, process, and follow up on claims.

CANCELLATION POLICY

If you miss an appointment or cancel less than 24 hours before your appointment, you will be charged a $75 late cancellation fee. Please understand that we cannot bill insurance for a missed appointment, so this fee will also apply for insurance patients who miss an appointment as well as self-pay patients.