Out-of-network, explained.
Acunatomy is out-of-network with all insurance plans. That is simpler than it sounds. This page explains what cost depends on, how reimbursement works, and how to find out what your plan returns before you book.
Assessment and treatment in the same session.
How cost works.
Cost is scoped at your assessment: the work your case needs and, with insurance, what your plan’s out-of-network benefits return.
Reimbursement varies by plan: some patients with strong benefits pay little or nothing; others use HSA or FSA funds or self-pay rates.
How out-of-network works.
You pay at the time of your visit. For most major plans, we bill your insurance directly; for others, you receive a superbill. With out-of-network benefits, reimbursement comes back to you.
That is the entire mechanism. No network restrictions, no plan dictating your care.
What a superbill is.
A superbill is an itemized receipt with the procedure and diagnosis codes your insurer needs. Submit it through your plan’s member portal or by mail; reimbursement follows at the rate your benefits allow.
Before you file: reimbursement typically applies to the acupuncture portion; most plans do not reimburse dry needling as a separate service.
Will my plan reimburse?
Plan type matters more than carrier name. PPO and POS plans generally include out-of-network benefits. EPO and HMO plans generally do not.
One call answers it. Dial member services on the back of your card and ask:
- “Do I have out-of-network benefits?”
- “Does my plan cover acupuncture?”
- “What is my out-of-network deductible, and how much of it have I met?”
- “What percentage is reimbursed after the deductible is met?”
- “Is there a limit on visits per year?”
Rather not call? Send your card and ID, and we’ll have your benefits checked for you.
Carriers & verification.
Many plans cover acupuncture. Carriers we most often see reimburse:
Anthem BCBS · Oxford · United Health Care · Cigna · Aetna
Coverage is determined by your plan, not by us, and plans change. So we verify, plan by plan.
To verify benefits, send a photo of your insurance card and your driver’s license or ID by email or text, or bring both to your first visit. Our billing company runs the check, which can take up to 24 hours, and we contact you with what your plan reports at the time we check.
Ways to pay.
Acupuncture is an eligible medical expense. Self-pay is welcome here. HSA and FSA cards are accepted, along with all major payment methods, Venmo, and Apple Pay.
Medicare & Medicaid.
Medicare covers acupuncture for one condition only, chronic low back pain, and only when billed through enrolled physicians. Medicare does not enroll licensed acupuncturists, so treatment here cannot be billed to Medicare, and superbills cannot be submitted to it. Medicare patients are welcome as self-pay. Some Medicare Advantage plans carry their own acupuncture benefits; check your specific plan.
NJ FamilyCare does not cover acupuncture. Self-pay remains available.
Why Acunatomy is out-of-network.
This practice is out-of-network for one reason: treatment decisions stay clinical. Your assessment sets the scope. Sessions are one-on-one and unhurried. The plan ends when the problem resolves, not when a visit count runs out.
Common questions about coverage & costs.
Session cost depends on the scope of treatment your assessment identifies and, if you’re using insurance, on your plan’s out-of-network benefits. For exact numbers before you book, call or text.
Many plans do. PPO and POS plans with out-of-network benefits commonly reimburse acupuncture; EPO and HMO plans generally do not. We verify your specific benefits, plan by plan.
Most plans do not reimburse dry needling as a separate service. In combined treatment, reimbursement typically applies to the acupuncture portion of the visit.
PPO and POS plans generally include them. EPO and HMO plans generally do not. Your insurance card or plan documents state which type you have.
An itemized receipt with the procedure and diagnosis codes your insurer needs for an out-of-network claim. You submit it to your plan; reimbursement, where benefits exist, is sent to you.
Yes. Acupuncture is an eligible medical expense, and both cards are accepted here.
Medicare covers acupuncture only for chronic low back pain and only through enrolled physicians; Medicare does not enroll licensed acupuncturists, so it does not cover treatment here. Medicare patients are welcome as self-pay. NJ FamilyCare does not cover acupuncture.
No. No plan we work with requires a referral. You can book directly.
Not relief.
Resolution.
5.0 · 56 reviews on Google
(We bill most major plans directly, and provide superbills when needed.)
Out-of-Network Insurance Accepted: Anthem BCBS · Oxford · United Health Care · Cigna · Aetna · Self-Pay Available