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Medicare and Chiropractic Care

on : January 5, 2016 comments : (0)

back painWhen you suffer from musculoskeletal pain, receiving regular chiropractic adjustments can be detrimental to your long term-treatment. Chiropractic care can be used in tandem with other types of medical treatment or alone, and does not involve the use of drugs. As with most regular medical care, the cost can become an issue if your insurance doesn’t cover it, especially if you have a limited income. The biggest question we hear at Advanced Chiropractic in Idaho Falls, “Does Medicare cover chiropractic care?” The professionals at Advanced Chiropractic have compiled a short question and answer guide for your Medicare and Chiropractic questions.

Question: I have Medicare, what chiropractic services do they cover?

Answer: Medicare offers coverage for some select chiropractic services. For a complete list of details regarding a specific service contact your Medicare correspondent. We have listed some general services that Medicare covers and doesn’t cover.


  • Spinal Adjustment

Not Covered

  • Examinations, x-rays, other tests
  • Exercises, therapies, counseling time
  • Orthopedic supplies, dietary supplements


Question: Who much will Medicare reimburse me for a spinal adjustment?

Answer: Medicare will cover up to 80% of the spinal adjustment cost.

*Please take note that Medicare may change their coverage percentage at any time.


Question: How many adjustment per year will Medicare cover?

Answer: Medicare does not have a designated number of adjustments per year that they will cover. Some patients have mentioned that they were told they had a maximum of 18 visits per year, but that is not the case with everyone.

Question: What is a Non-Assigned office?

Answer: Chiropractic offices that have been designated at a non-assigned office do not get reimbursed by Medicare directly. Medicare will send any reimbursement to you and require you to pay the non-assigned office directly.


Question: What is an Advance Beneficiary Notice?

Answer: Medicare requires chiropractic offices to present you with an ABN (Advanced Beneficiary Form). The ABN form tells you what services Medicare will and will not cover. This gives you a clear picture on what to expect when it comes to your billing and it allows you to opt out of any services that may not be covered.

Question: I have Medicare and a secondary insurance plan. How does that work?

Answer: Your secondary insurance plan may cover a portion of the services in addition to what Medicare will cover. Most secondary insurance plans allow for what is considered a crossover.


Question:  What is a crossover?

Answer: After Medicare processes your claim, they will send your information to your secondary insurance plan so they can pay for their portion of the services rendered.


If you have any questions or concerns regarding your chiropractic care and Medicare contact the professionals at Advanced Health in Idaho Falls! Our staff have extensive knowledge when it comes to Medicare coverage and can help put your mind at ease.



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