Are Chiropractic Services Covered by Medicare? Here’s What You Need to Know

Are Chiropractic Services Covered by Medicare? Here’s What You Need to Know

Chiropractors have been around to provide spine treatment for decades, although many people perceive them to be outside the traditional medical industry. Since it is a legitimate industry, Medicare for chiropractic is available for specific spine conditions. Here’s what you should know about how this special coverage.

Table of Contents:

  1. How Much Does a Chiropractic Visit Cost Under Medicare?
  2. What Chiropractic Services Doesn’t Medicare Cover?
  3. Chiropractic Services Covered by Medicare Advantage
  4. How Many Chiropractic Visits Will Medicare Cover?
  5. Learn More About What Medicare Covers with Medicare Advisors

How Much Does a Chiropractic Visit Cost Under Medicare?

Medicare covers chiropractic visits that are considered medically necessary. The treatment involves manual manipulation of the spine. Out-of-pocket expense typically costs 20 percent for a coinsurance payment to see a chiropractor. Medicare Part B pays the remaining balance. These costs may differ from a Medicare Advantage plan.

What Chiropractic Services Doesn’t Medicare Cover?

The only treatments Medicare for chiropractic coverage pays for are those medically necessary to diagnose or treat illnesses, injuries, or other health conditions relating to the spine. The coverage applies to correcting subluxation of the spine, in which vertebrae move out of alignment.

If your physician determines that spinal manipulation is not needed, the condition will not be covered by Medicare. Additionally, Original Medicare Parts A and B do not cover other types of services offered by a chiropractor, such as X-rays or massage.

Chiropractic Services Covered by Medicare Advantage

Many Medicare Advantage plans offer coverage for chiropractic services, which can help patients manage their symptoms and improve their overall quality of life. These services may include spinal adjustments, therapeutic exercises, and other forms of manual therapy, depending on the individual’s needs and the scope of their coverage. However, it’s important to check with your specific Medicare Advantage plan to understand the extent of your chiropractic benefits and any associated costs, as coverage can vary depending on the plan and your location.

The Medicare Advantage plan, or Medicare Part C, is an option to consider if it meets your medical needs. However, the costs associated with this option will vary from Part B coverage. Ask a Medicare pro which Part C plans to provide additional chiropractic coverage.

How Many Chiropractic Visits Will Medicare Cover?

Your Medicare coverage will pay for any number of chiropractic visits as long as the treatment meets the medically necessary criteria. In some scenarios, coverage may be a gray area, but it’s up to your physician to determine if spine treatment is essential.

Learn More About What Medicare Covers with Medicare Advisors

Many people with back problems rely on Medicare for chiropractic to pay for treatment. If you have back problems, this coverage may be the right solution. It’s best to discuss your situation with a Medicare expert who can advise you of your coverage options. Contact us today at Medicare Advisors to learn how Medicare can help pay your medical bills.

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