Temple Chiropractic
633 Route 121
Bellows Falls, VT 05101
EXPLANATION OF MEDICARE COVERAGE
January 2022
Dear Patient:
If you have Medicare Part B you are covered partially for chiropractic care. All patients must meet the yearly deductible ($233.00) and then Medicare will pay a portion of the bill. Remember that only APPROVED services go towards your deductible, i.e. therapy is not a covered service therefore that does not go towards the deductible.
Medicare only approves SPINAL manipulation. In other words if you have a problem with an extremity (knee, elbow, shoulder, foot, hand, etc.) this is a non-covered service therefore YOU will be responsible for treatment.
Many patients have a secondary insurance to cover the expense that Medicare pays a portion of. However most secondary insurances only cover what is APPROVED by Medicare.
Remember Medicare Part B only pays 80% of the allowed amount!
If you do not have a secondary insurance then YOU are responsible for the deductible and the CO-Insurance, meaning the $233.00. Once the deductible is met then you are responsible for the 20%.
Many patients have therapy, i.e. ultrasound and electric stimulation. This is a NON-COVERED service for Medicare therefore the patient is responsible for the $15.00 per date of service.
X-rays, initial exams, re-exams, supplies, orthotics are NON-COVERED services therefore these are billed directly to you, the patient.