Heavenly Stems brochures

Out-of-pocket clients:

First Acupuncture visit with initial consultation (85 minutes):
$160

Follow-up Acupuncture visits (55 minutes):
$95

First Acupuncture visit with initial consultation, followed by 15 minutes of moving Cupping (100 minutes): $195

Follow-up Acupuncture Visit followed by 15 minutes of moving cupping (70 minutes):
$135

Cash, checks, Health Savings Account cards and all major credit cards are accepted.

Receipts or Superbills for Flex Spending Accounts can also be provided upon request.

24 hours notice is required for cancelling and rescheduling appointments.

No-shows and late cancellations will be subject to a cancellation fee.  (Details of fees can be found in our first visit form packet)

 

Health Insurance:

We are in-network with a number of companies including:

  • United Health Care
  • Cigna
  • Great West
  • Optum Health
  • Acu-care Network

We accept out-of-network insurance plans with:

  • Blue Cross Anthem PPO
  • Blue Shield PPO
  • Aetna PPO
  • All other PPO’s which cover acupuncture

However, acupuncture coverage varies widely depending on your individual plan, so please check with your health plan about your benefit package.  Not all insurance plans cover acupuncture services.  In particular:

Deductibles.  Some plans may have an out-of-pocket deductible which must be met before benefits are applied.

Co-pays.   Often this is printed on your benefits card, as a dollar amount or as a percentage.  We are happy to call your provider on your behalf to verify your benefits.

Other notes about insurance:

Rates for insurance billing are based on usual-and-customary rates for acupuncture procedure codes in the area. They are not the same as the out-of-pocket, fee for-service rates listed above, which are heavily discounted in order to make acupuncture an affordable part of your health maintenance program.

Insurance reimbursements vary by insurance company and by procedure code.

Heavenly Stems Acupuncture offers full-service insurance billing. We will submit all the claims for you within 72 hours of the treatment session, and the insurance company usually sends the claim’s explanation of benefits within 3-4 weeks. The Explanation of Benefits (EOB) details your exact coverage. You do not need to submit any paperwork yourself.

For plans where we participate In-Network, the plan reimbursement is based on uniform contracted rates, and benefits can be precisely determined prior to the first treatment session.

For Out-Of-Network plans (Blue Cross, Blue Shield, Aetna) the reimbursement amount is variable and depends on the terms of your plan. For any out-of-network plans where coverage is not well-defined, we ask that the first visit to be paid in full at time of service, to serve as a deposit. Then once the claim is processed, which usually takes 2-3 weeks, we will refund the appropriate amount based on the claim itemization. Once deductible is met, we begin using the copay designated on the completed claim.

We are happy to discuss any questions about your benefits with you.

 

Worker’s Compensation and Med-Pay are also accepted.