Does Medicare Cover Acupuncture?
Many people wonder if Medicare, the federal health insurance program for people aged 65 and over and certain younger people with disabilities, covers acupuncture. In this article, we will explore the coverage options for acupuncture under Medicare.
Does Medicare Cover Acupuncture?
The short answer is no, traditional Medicare does not cover acupuncture as a standalone service. Medicare Part A (hospital insurance) and Part B (medical insurance) do not cover acupuncture treatments, even if they are deemed medically necessary.
However, there are certain situations where Medicare may cover acupuncture. Medicare Advantage plans, which are offered by private insurance companies, may include acupuncture as an optional benefit. These plans typically offer additional benefits beyond what traditional Medicare covers, and the specific benefits offered can vary depending on the plan.
In addition, there are some circumstances where Medicare may cover acupuncture as a treatment for chronic low back pain. In 2020, the Centers for Medicare & Medicaid Services (CMS) announced that Medicare would cover acupuncture for beneficiaries with chronic low back pain who are enrolled in approved clinical trials or in Medicare Advantage plans that offer the benefit.
To be eligible for coverage, the acupuncture treatment must be provided by a qualified practitioner and follow certain guidelines. Currently Acupuncturists can not bill Medicare Part B or supplemental plans directly and thus need to do so under a MD’s supervision. What this means is that the acupuncturist must either be working with an MD, or must be an MD who is also licensed to provide acupuncture.
It is important to note that coverage for acupuncture under Medicare can vary depending on the plan and the specific circumstances of the treatment. Therefore, it is always a good idea to check with your plan provider to determine if and how acupuncture is covered.
Alternative Treatments for Chronic Pain
If you suffer from chronic pain and are looking for alternative treatments to acupuncture, there are several options available. Some of the most common alternative treatments for chronic pain include:
Chiropractic care: This involves the manipulation of the spine and other joints to improve mobility and reduce pain.
Massage therapy: This involves using hands-on techniques to manipulate muscles and soft tissues to relieve tension and pain.
Physical therapy: This involves exercises and other techniques to improve mobility, strength, and flexibility.
Mind-body therapies: These include practices such as yoga, meditation, and tai chi, which can help reduce stress and improve overall well-being.
In conclusion
Traditional Medicare does not cover acupuncture, and Medicare Part B and Supplemental plans only cover Acupuncture for low back pain. If you are interested in receiving acupuncture your first step should be to check your Medicare plan.
Brian Kelly L.Ac
