PATIENT FORMS

We attempt to take out as much of the “insurance hassle” as possible for you. We’ll happily telephone your insurance company to verify your coverage benefits. Please remember, however, that the benefits quoted to us by your insurance company are not a guarantee of payment. We will file your claim and await payment for 90 days. If your company pays the benefits they quote to us, the only services you will be responsible for are any non-covered services, deductibles or co-pays. If you have any questions at all regarding you financial responsibilities at our office, please do not hesitate to ask. Our insurance clerk has years of experience and will be happy to assist you.

We are currently providers for the following Insurance Companies:

Blue Cross/Blue Shield, Aetna, Cigna, UHC, Sagamore, HSM, Advantage, IU Health, Encore, IHN and more!

**We are also providers for Medicaid and Medicare**

We will not take an assignment on any Personal Injury or Workman’s Compensation case. You are welcome to pay our cash rates for each visit and then submit them to any insurance company or attorney for reimbursement. We will assist you in providing notes for your care and invoices showing your payment.

We accept assignment from Medicare. The check is usually sent to us in payment of the services that Medicare will cover, which for Chiropractors is ONLY manual manipulation of the spine. An initial examination, x-rays, and any physical therapy is NOT covered. Be aware that a deductible applies for all Medicare patients. After the deductible has been met, Medicare pays 80% of the allowable fee leaving 20% to be paid by you or your supplemental insurance. If a balance is due, you are required to pay for care at the time of service. Our office completes and files the forms for Medicare at no charge.

Please inform us of any secondary insurance you may have. We will assist you if you need help with filing.