Spokane Acupuncture, LLC

Insurance Coverage

Health insurance: No referral is required from your primary care physician.  Call your insurance company to verify that your policy covers acupuncture.

Auto accidents: Motor vehicle injuries are generally covered by the auto insurance policy's P.I.P. (personal injury) component.  Call your insurance agent to verify what your P.I.P. coverage is. No referral is required.  Our office will submit billing to your auto insurance if you have P.I.P. coverage, and in most cases there is no cost to the insured patient until the P.I.P. coverage is exhausted.

 In-Network Insurance Companies: Dr. Running is a preferred provider for:

  • Blue Cross Blue Shield
  • First Choice Health
  • Kaiser Permanente PPO via First Choice Health
  • Lifewise
  • Premera Blue Cross
  • Providence Health Plan (Via Premera or First Choice Health)
  • Regence Blue Shield of Washington
  • Uniform Medical Plan

Out-of-Network Companies:

  • Aetna
  • Cigna
  • Kaiser Permanente HMO
  • UnitedHealthcare

Excluded Companies: Our office will not bill AmeriBen, Ambetter, Asuris Northwest, or Coordinated Care.  We can provide you a standardized receipt to assist you in self-billing these companies.

Pre-Authorization / Pre-approval  The pre-authorization / pre-approval process imposed by various health insurance providers had become so unreasonable that the Washington state legislature wrote a new law against it.  As of June 6, 2018 in the state of Washington it will be illegal to require pre-authorization / pre-approval for acupuncture in most cases.  Read more here: https://weama.info/6053292

Medicare: Medicare does not cover acupuncture.  Secondary policies to Medicare may cover acupuncture if it is billed by a medicare provider (M.D., D.O., N.P., etc.).  Secondary insurance requires a claim denial from medicare before they will provide coverage.  It is not possible for our office to obtain a claim denial from medicare in order to bill a secondary insurance, because medicare will not accept a claim from our provider type (L.Ac., E.A.M.P.).

Medicaid: Medicaid does not cover acupuncture.

Tricare: Tricare does not cover acupuncture.

Cost / Coverage:  Health insurance purchased in Washington provides acupuncture coverage. Some Washington residents may have employer-provided health insurance that does not cover acupuncture, if their employer is headquartered in a different state.  Call the customer service number on the back of your insurance card to get out of pocket cost and coverage details.

What does it mean to be "In-Network" with an insurance company?  This means that a health care provider or facility has chosen to be included in an insurance company's network of providers, and has agreed to the network's discounted rates for services and adminstrative rules.

What does it mean to be "Out-of-Network" with an insurance company?  This means that a health care provider or facility has not chosen to be included in an insurance company's network of providers, and has not agreed to the insurance company's discounted rates for services or administrative rules.

Insurance coverage denials: Patients should interact directly with their insurance company if they have a denial of coverage.  A healthcare provider's office cannot mediate between a patient and their insurance company.  The state office of the insurance commissioner may be helpful when insurance companies do not honor coverage obligations. http://www.insurance.wa.gov/