Insurance2024-03-09T10:38:08-05:00

Insurance

Many insurers include coverage for acupuncture at this point. We are in-network with Aetna, BlueCross BlueShield, Cigna, Hopkins EHP, and United. And we offer Veterans FREE acupuncture (full coverage with no co-pay) through the Veterans Choice Program. Please note:

  • At this time, Medicaid does not cover acupuncture.

  • We do NOT cover KaiserPermanente, Priority Partners, and Amerigroup.

  • We cannot bill your insurance in our Community Clinic, but can in our One on One Clinic. However, you may submit for reimbursement from your insurance company using our Community Receipt.

  • We highly recommend checking your benefits before attempting to use your insurance.

  • Once an appointment is made and the Intake is complete, we will verify your coverage. We recommended filling out your Intake ASAP upon scheduling to give us 2-3 business days to contact your insurance company in advance of your session.

  • Curious about the likelihood for coverage? More than half of the insurance plans we see will cover acupuncture procedures.

  • Per your insurance carrier, insurance coverage information provided to Mend is not a guarantee of payment. Claim payment is subject to plan rules. Treatment costs not covered by insurance are the patient’s responsibility to pay.

  • Got questions? We got answers. Check out Insurance FAQ section below for more info.

Unsure about your benefits?

Simply call the number on the back of your insurance card and ask the representative if your plan includes acupuncture. If you get stuck or receive an unclear answer, and want help before booking, email us at insurance@mendacupuncture.com and we can try to help.

Insurance FAQ

How do I find out how much private acupuncture will cost?2022-11-17T11:18:30-05:00

Using the phone number on the back of your insurance card, call your insurance company to find out how much acupuncture will cost for you. If you need assistance, send us an email at insurance@mendacupuncture.com.

If you would like to use insurance to cover the cost of treatment, please make sure to send us your insurance details in enough time to find out – two business days is usually plenty of time.

Where does the insurance information come from?2018-10-10T18:52:14-04:00

Mend contacts your insurance carrier directly either by phone or through the carrier website. In order for us to access patient information, we’ve registered as a provider with your insurance carrier and verify your benefits using the information we get from you.

I just got my insurance information from you and I think I might be in a little over my head. Deductible? Copay? What does all this stuff mean?2018-10-10T18:52:06-04:00

Deductible Amount that you have to pay out of pocket before your insurance will start to pay anything toward your acupuncture. If you are paying off a deductible, you would expect to pay Mend at the time of each visit until the deductible has been paid off entirely.
Copay Flat fee amount that is due from you to Mend at the time of each visit.
Co-insurance A percent of the amount the insurance carrier agrees to pay to Mend for each visit. In many cases, we are able to translate that coinsurance amount to a dollar amount so you know what to pay at each visit.
Visit Limits Either a set number of visits or a dollar amount your insurance carrier agrees to pay for acupuncture in a plan year. This includes all acupuncture visits, including ones that you had with other providers. This also includes all visits that applied to your deductible.
Plan Year date your insurance plan begins, and is usually January 1. Any deductible, visit limits, out of pocket maximums will start over on this date. Also, if your insurance carrier is going to make any changes to the terms of your insurance, it will happen at this time.
Out of Pocket Maximum The maximum amount you will have to pay out of pocket in a plan year for all medical services your insurance covers. If you pay that amount, then any copays or coinsurance amounts are no longer due from you until the next plan year begins.

So, I just have to come in and pay the amount due at the time of the visit, and that’s all?2018-10-10T18:51:57-04:00

In most cases, yes. Mend submits a claim to your insurance carrier after your visit, and then the insurance carrier processes the claim. After the claim is processed, the insurance carrier sends you and Mend an Explanation of Benefits, which breaks down the cost of the visit.

Uh oh! I got an Explanation of Benefits from my insurance carrier and it says I was supposed to pay more than I did at the time of the visit! Now what?2018-10-10T18:51:29-04:00

Sometimes the information we receive from your insurance carrier does not match what happens when they process the claim. In cases where the correct amount due to Mend was not paid by you at the time of the visit, Mend will send you a statement letting you know what you owe. If you paid more than you were supposed to, then Mend will refund the overpayment via whatever payment method you used.

I thought you said it was going to cost X amount, why am I getting a bill now that says I owe more?2022-11-16T17:10:05-05:00

Usually, unexpected charges are the result of a deductible being applied, or because our records show that the copay wasn’t collected at the time of the visit. Sometimes it happens that the insurance carrier changes the terms of coverage, and as a result, your copay might go up or a deductible might be applied that you didn’t have when we first checked the details of your acupuncture coverage. Occasionally, patients with insurance that is not local will have trouble getting their insurance to pay for their visits to Mend, even when the plan covers acupuncture.

The insurance process is somewhat automated, but there is also room for human error on the part of the insurance carrier or on the part of Mend, so please contact us if something seems off.

I owe money to Mend that I’m not able to pay. What happens now?2018-10-10T18:50:34-04:00

If you get a bill from Mend and you can’t pay it right away, we are happy to set up a payment plan that works with your budget. Give us a call or email us at insurance@mendacupuncture.com.

I went to look on the insurance carrier website for my claims from Mend, but didn’t find anything. What happened?2018-10-10T18:50:24-04:00

If you’re looking for the claim information for your acupuncture visits, you should check under our legal name, Seeds Center for Whole Health.

My coworker/neighbor/friend has the same insurance carrier, but different copay amounts. Why is that?2018-10-10T18:50:11-04:00

You probably have a different plan than they do. The plan determines the details of your acupuncture coverage, and each insurance carrier offers many different plans.

Why don’t you take my insurance?2018-10-10T18:49:59-04:00

Depending on your insurance, the issue may be that you don’t have coverage for acupuncture at all. Mend is in network with most major insurance carriers, but not all plans cover acupuncture.

Do you accept insurance for your other services?2022-07-07T13:59:41-04:00

No. At this time we do not accept insurance for massage, cannabis certification or naturopathy.

Mend Accepts

“This place is great and takes my insurance.”

“This is such a find and gem in Baltimore. I wish I knew about them earlier!”

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