Initial Consultation and Acupuncture Session - 90 Minutes - $115
Return Acupuncture Session - 60 Minutes - $85
Cupping Therapy - 45 Minutes - $65
Consultation Without Treatment - 20 Minutes - Free
Direct Insurance Billing
Acupuncture is widely accepted by most extended heath care plans. However, because every plan is different it is recommended to check with your provider to find out your exact coverage.
Wondering if your insurance covers Acupuncture? Here are some helpful questions to ask your provider:
- Does your insurance policy cover Acupuncture?
- Do you need a doctor’s referral? If yes, does your referral need to be submitted to your insurance company for approval before your first appointment?
- What is the coverage period? It may be different than the typical calendar year.
- What is the dollar limit per year?
- Is there a limit to the amount of visits per year?
- Is there an annual deductible on your plan?
- Does your plan have a “health spending account?” Some plans have a separate account that are discretionary funds to use how you would like.
Do you have extended medical insurance coverage?
If so, in office direct billing is available! Many insurance companies allow us to bill them directly on your behalf. All you need to bring is your policy and plan number (found on your wallet card), your personal health care number and the full name and date of birth of the plan holder. You pay the portion that your plan doesn’t cover and the rest is left to us!
Will I ever have to pay up front?
Some situations may arise where direct billing isn’t available or you may have to pay out of pocket such as:
- If you have reached your annual maximum insurance coverage
- If it is the first time using direct billing for your plan, the insurance company sometimes blocks the first transaction to verify that it is a legitimate claim. Once the insurance company has verified its claim. Future claims can usually be submitted.
- If your plan requires additional information such as a doctor’s referral
- If your plan only covers a portion of the visit (ie. 80%) you will have to pay the difference to the clinic
- If your visit is the result of an accident, WCB, ICBC, or a medical emergency while you were traveling outside of Canada
Direct billing is available for the following providers
MSP Premium Assistance
Acupuncture services are an insured benefit for beneficiaries with Medical Services Plan (MSP) Premium Assistance status. As of January 1st 2018, this subsidy program is available to those with an income up to $42,000 per year. If you are on the premium assistance program, MSP will pay $23.00 toward 10 combined services per calendar year. This means you can split your 10 visits between Acupuncture, Chiropractic, Massage Therapy, Naturopathy, Physical Therapy and Non-Surgical Podiatry or you can use all of the 10 visits for one service such as Acupuncture. If you are signed up for MSP, all you have to do is bring your care card to your appointment, we will direct bill MSP $23.00 and you pay the remainder. If you are not on this program but feel you should be, please contact MSP for application information.
Both ICBC and WSIB (WCB) may allow Acupuncture as part of your treatment program. However they do not allow direct billing. It is required to pay in full at the time of treatment and discuss with your claims advisor about reimbursement.
The Department of Veteran’s Affairs (VAC) covers 15 visits per calendar year. All you need is a doctor’s referral submitted to VAC and your K number to be eligible for authorized Acupuncture treatments and direct billing.
The Royal Canadian Mounted Police provide yearly combined benefits for Acupuncture, Chiropractor, Massage and Physiotherapy. Direct billing is available for each visit.
CANADIAN ARMED FORCES
The Canadian Armed Forces (CAF) provides Acupuncture benefits up to 10 visits per year. You will be required to submit a doctor’s referral to CAF for approval before your first treatment. Direct billing is available for each treatment.