What You Need To Know About Medicare Coverage For Chiropractic Services

Does Part C Medicare Advantage Plan Cover Chiropractic?

Historically, Medicare Advantage plans (especially HMOs) have not consistently provided chiropractic services. Before enrolling in any Part C plan, it is essential to ask the following questions:

• Does the plan include doctors of chiropractic in its network? Many Medicare Advantage plans claim to offer chiropractic services but may only offer access to non-chiropractic providers or rarely provide actual chiropractic care.
• Is your preferred chiropractor from Cole Pain Therapy Group included in the network? Confirm that your chiropractic care provider is part of the plan’s network.
• What are the statistics regarding chiropractic services within the plan? Inquire about the number of plan participants who receive chiropractic care and the average length of treatment. Chiropractic care often requires ongoing treatment, so limitations on service duration or frequency can be problematic.
• What is the co-pay for chiropractic visits? In many Medicare Advantage plans, chiropractors are classified as specialists, which could mean a co-pay of $30 or more per visit. This is a significant change for those who are accustomed to receiving chiropractic care under Medicare Part B, where co-pays may be lower or nonexistent.