Does Medicare Pay For Chiropractic Services?

Does Medicare Pay For Chiropractic Services?

Medicare can pay chiropractors for services rendered to Medicare beneficiaries. A doctor of chiropractic must be licensed in the state where he or she practices, in order to receive Medicare reimbursement for services delivered to Medicare beneficiaries. Medicare covers chiropractic services in fee-for-service and managed care organizations under the same conditions as other Medicare providers. Medicare may reimburse the beneficiary directly, or reimburse the health plan for services provided. As of January 1, 1999, Medicare covered chiropractors in the same manner as it covers medical doctors.

What services do Medicare beneficiaries receive from a chiropractor?

Medicare covers chiropractic services, which includes the cost of diagnostic tests, treatment, and rehabilitative services. A chiropractor can only provide services for which he or she has been licensed. Medicare does not pay for services that are not medically necessary.

What is the role of the chiropractor under Medicare?

The chiropractor, an independent practitioner, performs an evaluation and medical history to determine the diagnosis or diagnoses that are causing the patient's complaints. After that, the chiropractor makes a specific plan of treatment to alleviate the patient's pain and/or dysfunction. He or she may use a variety of methods, which may include spinal manipulation, ultrasound, laser, and/or electrical stimulation. The health care team may also include orthopedists, neurologists, physical therapists, and/or other health care professionals.

Does Medicare cover a chiropractor's initial evaluation?

Initial evaluations by a doctor of chiropractic are covered under Medicare Part B. The beneficiary's cost-sharing portion may vary in the case of chiropractors or other providers.

Does Medicare cover chiropractic services for Medicare beneficiaries with cancer?

Yes. Medicare covers chiropractic care for beneficiaries with cancer. Chiropractic care may be used for cancer-related pain, muscle or joint spasms, and rehabilitation.

Does Medicare cover chiropractic services for Medicare beneficiaries undergoing a bone marrow or organ transplant?

Yes. Medicare covers chiropractic care for beneficiaries undergoing a bone marrow or organ transplant. Chiropractic care may be used for rehabilitation, as well as to treat and manage pain.

Does Medicare cover chiropractic services for Medicare beneficiaries with diabetes?

Yes. Medicare covers chiropractic care for beneficiaries with diabetes. Chiropractors may be used to manage pain, as well as to treat and manage spasms or tightness of muscles.

Does Medicare cover chiropractic services for Medicare beneficiaries with heart or vascular diseases?

Yes. Medicare covers chiropractic care for beneficiaries with heart or vascular diseases. Chiropractors may be used to manage pain, as well as to treat and manage spasms or tightness of muscles.

Does Medicare cover chiropractic services for Medicare beneficiaries with lupus?

Yes. Medicare covers chiropractic care for beneficiaries with lupus. Chiropractors may be used to manage pain, as well as to treat and manage spasms or tightness of muscles.

Does Medicare cover chiropractic services for Medicare beneficiaries with multiple sclerosis?

Yes. Medicare covers chiropractic care for beneficiaries with multiple sclerosis. Chiropractors may be used to manage pain, as well as to treat and manage spasms or tightness of muscles.

Does Medicare cover chiropractic services for Medicare beneficiaries with rheumatoid arthritis?

Yes. Medicare covers chiropractic care for beneficiaries with rheumatoid arthritis. Chiropractors may be used to manage pain, as well as to treat and manage spasms or tightness of muscles.

Does Medicare cover chiropractic services for Medicare beneficiaries with spinal stenosis?

Yes. Medicare covers chiropractic care for beneficiaries with spinal stenosis. Chiropractors may be used to manage pain, as well as to treat and manage spasms or tightness of muscles.

Does Medicare cover chiropractic services for Medicare beneficiaries with sports-related injuries?

Yes. Medicare covers chiropractic care for beneficiaries with sports-related injuries. Chiropractors may be used to manage pain, as well as to treat and manage spasms or tightness of muscles.

Does Medicare cover chiropractic services for Medicare beneficiaries with whiplash?

Yes. Medicare covers chiropractic care for beneficiaries with whiplash. Chiropractors may be used to manage pain, as well as to treat and manage spasms or tightness of muscles.

Does Medicare cover chiropractic services for Medicare beneficiaries with work-related injuries?

Yes. Medicare covers chiropractic care for beneficiaries with work-related injuries. Chiropractors may be used to manage pain, as well as to treat and manage spasms or tightness of muscles.

Does Medicare cover the cost of chiropractic equipment?

No. Medicare does not cover the cost of chiropractic equipment.

What items or services are not covered by Medicare for chiropractic services?

Medicare Part B will not cover the following services and/or items for Medicare beneficiaries:

Non-chiropractic related care, such as hospitalization, surgery, physical therapy

Chiropractic spinal manipulation for treatment of headaches and migraines

Therapeutic services used to diagnose, cure, treat, or remedy a specific condition, ailment, or disease, such as x-ray, laboratory services, and radiology

Treatment and management of a specific condition, ailment, or disease, such as physical therapy

What services can Medicare beneficiaries receive from a chiropractor, and what is the cost-sharing?

A Medicare beneficiary may receive chiropractic services that include physical examinations, diagnostic tests, and/or treatment. Medicare beneficiaries may receive chiropractic services under the same conditions as other Medicare providers.

What is the Medicare cost-sharing for chiropractic services?

The Medicare beneficiary's cost-sharing may vary

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