We are in-network with BlueCross BlueShield and SelectHealth. We are happy to verify the acupuncture coverage in your plan for you.

Please fill out the Insurance Verification Request form below and email us the front and back of your insurance card. Please allow 2-3 business days for the verification process.

Please note that the payment for treatment is always due on the day of treatment. We will reimburse you once we are reimbursed by your insurance plans. Thank you.

Email insurance card

Insurance Information

Please fill out some info and we will be in touch shortly!

Name

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

YYYY

Gender

Male

Female

Insurance Carrier

Member ID

Group Number

Insurance Benefit Phone

(###)

###

####

Are you the primary insured?

Primary

Dependent

Is Medicare primary?

Yes

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