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Insurance Questions, Answered

Can I use my insurance here? What do I need to do? What might I pay?

 

 Can I use my insurance here?

We currently work with Blue Cross Blue Shield, Allegiance, PacificSource, VA Community Care/TriWest, Cigna, and Aetna. Coverage and network status vary by plan.

 

What do I need to do?

Call the number on the back of your insurance card before your first visit to confirm acupuncture benefits, costs, referrals, and authorization requirements.

 

What might I pay?

Your cost may include a copay, deductible, coinsurance, or services your plan does not cover. If we do not bill your plan, self-pay is due at your visit and you may request a superbill.

Download the Benefit Check Worksheet

Plans We Work Woth

Insurance Plans

We currently work with:
Blue Cross Blue Shield - Allegiance - PacificSource - VA Community Care/TriWest - Cigna - Aetna

Coverage and network participation vary by plan. Please verify your acupuncture benefits before your first visit.

If VA care requires a current referral or authorization in your workflow, add this directly below the list:

VA Community Care patients: Please contact the VA or your Community Care coordinator to confirm that you have an active referral or authorization before scheduling.

Before Your First Visit

Check Your Benefits

Call the member-services number on the back of your insurance card and ask:

  • Does my plan cover acupuncture for my reason for care?

  • Is Missoula Acupuncture and Shawn Robertson, LAc in network with my specific plan?

  • Do I need a referral, prescription, or prior authorization?

  • How many acupuncture visits are covered?

  • What will I owe at each visit?

Have this ready:
Missoula Acupuncture - Office NPI: 1457129439 - Shawn Robertson, LAc - CPT codes: 97810, 97811, 97813, 97814.

 

Billing and Self-Pay

If We Bill Your Plan

When applicable, we submit claims to participating plans. You are responsible for your copay, deductible, coinsurance, non-covered services, visits beyond your plan limit, and any balance your insurance does not pay.

Your insurer provides benefit estimates, but it makes the final coverage decision after processing your claim.

If We Do Not Bill Your Plan

Payment is due at the time of your visit. We can provide a superbill, an itemized receipt you may submit to your insurer for possible out-of-network reimbursement. Reimbursement is not guaranteed and depends on your plan.

 

 

Final Note

Important Billing Note

Insurance coverage depends on your individual plan and your insurer’s final claim decision. You are responsible for amounts not paid by your plan.

The practical rule

Aim for a patient to understand the page in 30 seconds:

  1. “My plan might be accepted.”

  2. “I need to call my insurer before my first visit.”

  3. “I may owe a deductible, copay, coinsurance, or self-pay rate.”

  4. “If they do not bill my plan, I can still get a superbill.”

Everything beyond that is supporting detail. Short, clearly labeled chunks, familiar language, and less repetition will make the page far more approachable without removing the information you need for billing protection.