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Medicare provider accepting Original Medicare, Medicare Advantage, and Medigap plans with direct billing.
Advanced Wellness Chiropractic is a Medicare-enrolled provider in Bridgeton, MO. We treat Medicare patients regularly and handle all Medicare billing directly so you can focus on getting better instead of paperwork. Most of our Medicare patients are dealing with chronic low back pain, neck stiffness, sciatica, or arthritis-related stiffness that Medicare considers medically necessary to treat.
Original Medicare (Part B) covers manual chiropractic adjustments at 80 percent of the Medicare-approved amount after the annual Part B deductible. If you have a Medicare Supplement plan (Medigap), it typically covers your 20 percent coinsurance, often leaving you with $0 out of pocket for the covered adjustment. Medicare Advantage plans usually cover more than Original Medicare, including some therapeutic services that Original Medicare excludes.
Before your first visit, we verify your specific Medicare benefits and explain exactly what you can expect to pay. Call (636) 393-8390 with your Medicare card and we will handle the rest.
Original Medicare has narrower chiropractic coverage than most private insurance. Here is what is and is not covered:
Medicare Advantage plans often cover more of these services. We verify your specific plan benefits before treatment so you know what is covered and what is not.
Yes, with limits. Medicare Part B covers manual manipulation of the spine to correct a subluxation when medically necessary. Medicare does not cover other chiropractic services like therapeutic exercise, massage, ultrasound, or x-rays performed by a chiropractor. Medicare also does not cover routine maintenance care. We bill Medicare directly for the covered adjustment portion and explain any out-of-pocket cost up front.
Medicare Part B covers 80 percent of the Medicare-approved amount for a manual chiropractic adjustment after you meet your annual Part B deductible. You are responsible for the remaining 20 percent coinsurance unless you have a Medicare Supplement (Medigap) plan or a Medicare Advantage plan that covers it. The exact dollar amount depends on the type of adjustment (1-2 regions, 3-4 regions, or 5 regions) and Medicare's current fee schedule.
No. Medicare does not cover x-rays ordered or performed by a chiropractor. If imaging is necessary, we typically refer to a Medicare-covered imaging facility where it will be reimbursed under standard Part B rules. We discuss this option during your initial visit if x-rays are indicated.
Medicare does not have a strict numerical visit cap, but it requires that each visit be medically necessary and that care show measurable functional improvement. Maintenance or wellness chiropractic care is not covered by Medicare. If your improvement plateaus, Medicare expects active treatment to stop. We document your progress carefully and explain when care is approaching that point.
Yes. We accept most Medicare Advantage plans including BCBS Medicare Advantage, UnitedHealthcare Medicare Advantage, Aetna Medicare Advantage, and Humana Medicare Advantage. Medicare Advantage plans often cover more than Original Medicare, including therapeutic services that Original Medicare excludes. We verify your specific Advantage plan benefits before your first visit.
If you have a Medicare Supplement plan, it typically covers the 20 percent coinsurance that Original Medicare leaves to you, meaning your out-of-pocket cost for covered chiropractic adjustments is often $0. We bill Medicare first, then your supplement, and you usually owe nothing for the covered adjustment portion.
See the full list of accepted insurance plans and self-pay options.
Learn MoreChronic low back pain is one of the most common Medicare-covered chiropractic conditions.
Learn MoreSciatica and related nerve symptoms are commonly treated under Medicare-covered adjustments.
Learn MoreCall or book online. Same-day appointments often available for Medicare patients.
Learn MoreAdvanced Wellness Chiropractic
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