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www.carextend.com

Insurance Coverage


HealthPoint accepts and/or is an in-network participating provider for HealthPartners, Medica, Cigna, PreferredOne, UCare, Aetna, and Blue Cross/Blue Shield (obtain discounted vouchers at CareXtend). This includes members enrolled under commercial coverages (e.g., fully-insured, self-insured, PPO, etc.), as well as government programs coverages such as Medicare, Medical Assistance (Medicaid), GAMC, PMAP, and MnCare, as well as other coverages.  If you don't see your insurance listed here you may nonetheless have acupuncture coverage at HealthPoint. Please call us at 651-698-1404. We can help you determine whether our services would be covered by your insurance.

HealthPoint staff verify coverage with your health plan prior to initiating treatment and we handle all paper work related to the care you receive at our clinic. We have years of experience as well as expertise in matters of health insurance; please do not hesitate to ask for assistance.

   Minnesota Medical Assistance (Medicaid / MA) Coverage

Yes, HealthPoint is an in-network acupuncture provider for Medical Assistance.

   MinnesotaCare Coverage

HealthPoint is a provider for most MinnesotaCare coverage offerings in the Twin Cities. MinnesotaCare enrollees obtain health care coverage through a health plan. Twin Cities MinnesotaCare enrollees choose their health plan from the plans serving their county of residence. Each health plan determines acupuncture benefits under their particular product offerings. Talk to your State of Minnesota or health plan contact about availability of acupuncture coverage.
   MediCare Coverage

Acupuncture coverage for seniors and other Medicare eligible individuals is often available through Medicare products administered by local health plans. Check with us! We can assist in determining Medicare coverage eligibility. And we handle the paper-work.

   United HealthCare Coverage

Your United HealthCare policy may include an acupuncture benefit (we can assist in finding out if you don't know) and HealthPoint provides services to UHG members whose policy covers acupuncture.

(If you have Medicaid, Medicare or other government programs coverage that is managed by United HealthCare - commonly called United HealthCare Community Plans but may be labeled differently in different states - you must obtain prior authorization before receiving acupuncture outside of your primary care clinic. Call your primary care clinic and request that your primary care physician fax a referral to HealthPoint at 651-789-2882. The referral must specifically state treatment for acupuncture from HealthPoint, the diagnosis, the number of sessions ordered, and the start and end dates for treatment. Be sure your primary clinic faxes the referral to us before your initial session at HealthPoint. Call us if you have questions.)

   Flex Accounts, HSAs, and Other Payment Options

HealthPoint is a provider under Minnesota workers compensation. In addition, a number of health plans and auto insurers now cover acupuncture for injury and/or pain syndromes and other health conditions. Acupuncture services at HealthPoint are typically covered under flex-spending accounts and health savings accounts (HSAs), either in addition to or in lieu of employer sponsored health care coverage. You may be able to utilize these accounts, including with the benefit of pre-tax dollars, to pay for acupuncture, oriental medicine, and body work.

   Important Reminders

Please have your insurance card and/or coverage information at hand when you contact us, or bring it to your first appointment. In the rare instances where a referral or prior authorization is necessary for acupuncture at HealthPoint, obtaining either from your physician or primary clinic is your responsibility. While HealthPoint routinely verifies coverage with your health plan or carrier, it is each patient's responsibility to know the specifics of their insurance coverage. Your coverage may require that you satisfy an annual deductible before your benefits begin to apply. Any copayment or coinsurance amount for which you are responsible is due at the time of service.

Your health plan or insurance carrier makes final payment determination at the time a claim is actually processed. This is based on your specific policy and whether services are medically necessary.
  Medical necessity includes the process and criteria by which a health plan determines whether it will reimburse a health care provider for services rendered to a health plan member. The specifics of these health plan criteria and policies vary from health plan to health plan and they are proprietary (i.e., they are not made public). Even when we (or a health plan member) are informed by a health plan that a member has coverage for acupuncture, this does not guarantee that the services rendered will be paid for of that HealthPoint will be reimbursed. While we do our best to predict whether a particular health concern / condition is eligible for reimbursement, health plan proprietary criteria make it impossible to know with absolute certainty. Therefore, if claim payment is denied subsequent to health care services being provided by HealthPoint, except in any instance where the denial might be due to HealthPoint's failure or error in its claims submission process (in which case HealthPoint will incur the cost), the member is responsible for the balance due, less any copayment or coinsurance the member may already have paid.


Self-Pay (private pay, out-of-pocket) Rates

Service
Rate
     Consult only (minimum $40.00, plus $1.00 per minute after first 30 minutes).
     Herbal consult does not include cost of herbs.
$40.00
     Acupuncture treatment session$73.00
     Tui Na (Chinese therapeutic massage, no needles), up to 45 minutes$73.00
     Tui na with cupping, up to 60 minutes$75.00 
     Acupuncture with cupping or tui na or electric stim.
$75.00  
     Acupuncture, tui na and cupping
$80.00  
     Cupping therapy (cupping only)$55.00  
     Acupuncture for prolonged pregnancy / to ease delivery
$60.00  
     Acupuncture - pediatric / children  
$55.00
     TCM dietary therapy 
$73.00
     Chinese herbal medicinals and formulas Price varies by product, type (e.g., organic vs. conventional), quantity, etc. Call for details. 
Special discount applies for frequent sessions; inquire at your initial appointment.
1.  Pricing shown includes all applicable taxes. Full payment (or copayment / coinsurance) due at time of service.
2.  HealthPoint accepts VISA, MasterCard, American Express, Discover and most health-benefit cards as well as personal checks and cash.

3.  While efforts are made to keep our website pricing current, pricing is subject to change from time-to-time without notice.

HealthPoint treats all payment and medical information as strictly confidential and maintains a secure information environment.

nccaom, healthpoint oriental medicine
National Certification Commission

for Acupuncture and Oriental Medicine
 healthpoint oriental medicine  acupuncture association of minnesota, healthpoint


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