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The list will continue to change as we find out more information over time. If you do not see your employer group, you are welcome to contact us.
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** Please refer to your Aetna benefit plan to determine your acupuncture benefit availability. If your health plan is covering acupuncture, it may only covered with limited health conditions as indicated by Aetna's Clinical Policy for Acupuncture.
BlueCross BlueShield (
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- Standard Option - PPO (104, 105)
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* Anthem BlueCross BlueShield may covered acupuncture with very limited health conditions as "medically necessary" by their own medical policy. Please refer to the Anthem's acupuncture guideline, call your health insurance company, or contact our office for more information.
** Empire BlueCross BlueShield may cover acupuncture with very limited health conditions as "medically necessary" by their own Guideline. Please refer to www.empireblue.com or contact our office for further information.
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(Please refer to your Cigna benefit plan to determine your acupuncture benefit availability. If your health plan is covering acupuncture, it may only covered with limited health conditions as indicated by Cigna's Acupuncture Coverage Position. You may need to have your PCP referral, Pre-certification or pre-auth from Cigna before beginning treatment.)
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As a courtesy, our office will accept all confirmed coverage and file the claim for you. You will need to make all arrangements for your insurance policy requirements. If your policy requires a referral of any kind, you must arrange that referral BEFORE beginning treatment at our office. Please check with your insurance provider to verify your specific acupuncture benefits. You are welcome to call our office at (817)590-8188 for assistance. We will need your insurance information in order to verify coverage.
Patient name
Patient Contact Number (Home, Cell or Work)
Patient DOB (mm/dd/yyyy)
Patient's Reason for Treatment
Insurance Company
Insurance ID#
Insurance Group#
Insurance Type of Plan (PPO/POS/HMO/Others)
Insurance Company Phone Number
Primary Card Holder's Name
Primary Card Holder's DOB (mm/dd/yyyy)
Employer
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