Insurance FAQs

We, at Dragonfly Wellness Center, do not bill insurance for you, but our services may be covered under your health insurance policy, PIP for auto insurance, liability from another driver's auto insurance, or may be reimburseable by your HSA.

Due to current insurance practices, we are not looking to bill insurance on your behalf for the forseeable future. Insurance companies will often delay payment or deny partial or entire payment when the service provider bills your insurance on your behalf. You are your insurance company's customer and it is in their best interest to reimburse you for covered medical expenses.

Most HSAs will reimburse for acupuncture and medical massage or preventative maintenance massage.

For your insurance to cover the services, you will need a diagnosis by a recognized western medical professional.

The services we can provide include Acupuncture, Herbs, Medical Massage, maintenance massage, and Muscle Therapy.

You will need to verify your insurance prior to treatment, pay for your services at the time of service, and submit a bill to your insurance company for partial or full reimbursement depending on your insurance policy.

Insurance usually only covers massage services that are used for therapy similar to physical therapy, not spa-like massage services. Your doctor will prescribe a treatment plan that is limited to treating your immediate condition diagnosed by the doctor and will end when the prescription is completed.
Insurance currently only covers massage therapy for conditions in which mobility and function of your body is impaired, such as spinal injuries, pulled muscles, pinched nerves, bursitis, conditions like carpel tunnel syndrome or muscle injuries. Relaxation massage, massage for muscle soreness, or pain without loss of function usually will not be eligible for reimbursement by insurance.

To verify your insurance benefits prior to treatment, you will need to call your insurance company. Often the phone number you will need is located on the back of your insurance card.

To reduce future problems, it is very highly recommended that you write down the answers to each of the following questions as you ask your insurance company the following questions.

1. Time and Date of call

2. Name of Representative

3. What are my massage therapy benefits?

4. Do I need a prescription for massage therapy services?

5. What are my acupuncture benefits?

6. What are my benefits for muscle therapy?

7. What is the insurance companies definition of 'medically necessary'? (note: it may be listed in the rehabilitation section of the policy)

8. Does massage therapy need to be medically necessary?
9. Does a diagnosis code need to be given when submitting a bill?

10. Is massage for preventative maintenance covered?
11. Does the prescription need to come from a primary care physician or can it be from a chiropractor, Naturopath, or Acupuncturist?
12. How many massage sessions are allowed per year? Is there a maximum time allowed per session?

13. How many acupuncture sessions are allowed per year? Is there a maximum time allowed per session?

14. Are the massage benefits part of a combination of rehabilitation benefits that include other modalities such as physical therapy or acupuncture? If so, how many sessions are allowed per year? As a combo, is there a maximum time allowed per session total?

15. Is there a co-pay or co-insurance?

16. What is the plan deductable? Has this been met for the year?

17. What is the remaining deductable amount, if any?

Community-Style Acupuncture vs Regular Acupuncture at Dragonfly

What is the difference between "Community-style acupuncture" and the regular acupuncture sessions at Dragonfly Wellness Center?




Answer:


Chart


Community-style    vs.     Regular   



Lower cost   vs.  Good value for session

5 needles max  vs  unlimited needles & many extras like ear acupuncture & moxa included in the session

only 1 problem per session   vs   may address multiple problems in a session

no privacy - open room w/ other patients  vs.  your own private room

you bring your own linens  vs.  we supply linens

minimal talking + 30 min in-and-out   vs.  30-45 min of consultation with first session and up to 15 min consultation with each follow-up session



Who are the best candidates for "Community-style acupuncture"?



Answer: The people who are best suited for this type of acupuncture have ONLY ONE physical problem (such as a sprained wrist), can follow directions, and has computer access to fill out the form. While we strive to maintain privacy as much as possible, you will be in a room full of other people receiving acupuncture as well. People with multiple problems like insomnia and a sprained wrist will need to schedule multiple community-style acupuncture sessions or schedule a regular session.



Why is "Community-style acupuncture" less expensive than a regular acupuncture session?



Answer: We keep the cost down by you providing your own linens, using minimal needles, you doing the consultation part online, using one big room for all clients, and keeping the session time to exactly 30 minutes.