Do You Take Insurance?
We do not bill insurance directly. However, many of our patients are able to receive partial reimbursement for acupuncture through their insurance company if they have out-of-network acupuncture benefits. In these cases, we provide a detailed superbill that you can submit to your insurance carrier for reimbursement consideration.
Coverage varies widely between insurance plans, so we recommend contacting your insurance provider directly to verify your benefits before your first appointment. Ask whether your plan includes out-of-network acupuncture coverage, annual visit limits, deductible requirements, and any exclusions for specific conditions.
We accept most HSA and FSA cards, which can be used for acupuncture, functional medicine consultations, and many related services.
Why Don’t You Bill Insurance Directly?
As a private, integrative clinic in Denver, we prioritize individualized, root-cause care without the limitations imposed by insurance networks. Direct insurance billing often restricts appointment length, diagnostic depth, treatment methods, and personalized treatment plans.
By remaining out-of-network, we can provide comprehensive, high-quality care that addresses your whole-body health — not just what is reimbursable.
Can I Still Use Insurance for Lab Testing?
Yes — you may be able to use insurance for certain routine blood tests performed through LabCorp or other conventional laboratories, depending on your individual benefits and insurance plan policies.
For functional medicine specialty labs, we do not bill insurance, and most advanced functional panels (hormone mapping, gut microbiome testing, toxin panels, organic acids, nutrient testing, mitochondrial function, etc.) do not participate in insurance-based billing. These tests are typically paid out of pocket.
During your consultation, we help determine which tests are clinically appropriate and guide you through any available insurance or cost-saving options.
What Types of Tests May Be Covered by Insurance?
Potentially covered tests (varies by plan) include routine bloodwork through LabCorp, basic metabolic panels, thyroid testing, standard inflammatory markers, CBC, CMP, and lipid panels. Coverage depends entirely on your plan’s benefits, deductible, and diagnostic criteria.
Tests that are not typically covered include DUTCH hormone testing, comprehensive stool or microbiome analysis, mycotoxin testing, organic acids testing, advanced nutrient and mitochondrial function panels, and environmental toxin profiling. These specialty labs fall outside traditional insurance billing and require self-payment.
How Do I Submit a Superbill to My Insurance Company?
If you have out-of-network acupuncture benefits, you may be able to receive reimbursement for your treatments. We provide superbills for patients who know they have this coverage.
Submitting a superbill is simple. Receive your superbill from our clinic — itemized with CPT codes, diagnosis codes, and provider credentials. Upload it through your insurance company’s online member portal or mail it directly to your insurer. Your insurance company will review your claim and determine reimbursement based on your individual plan benefits.
A superbill is not a guarantee of payment; reimbursement depends entirely on your insurance carrier, deductible status, and out-of-network coverage.
What Information Is Included on a Superbill?
A superbill includes the provider’s name and credentials, clinic address and NPI number, diagnosis codes (ICD-10), procedure codes (CPT), and the date and cost of services. This documentation allows your insurer to process your claim correctly.
Additional Insurance FAQs
Does Medicare cover acupuncture?
Medicare currently restricts acupuncture coverage to limited diagnoses when provided by MDs or PTs. Licensed acupuncturists are not yet recognized Medicare providers.
Do insurance plans cover functional medicine consultations?
Most do not. HSA/FSA funds are typically accepted for these services.
Can I use HSA or FSA for acupuncture and supplements?
HSA/FSA may be used for acupuncture treatments and some functional medicine testing. Supplement eligibility depends on your plan.
Related Questions
→ What should I expect during my first acupuncture visit?
→ How many acupuncture sessions will I need?
→ What conditions can acupuncture help with?