Fees and Insurance

Appointments: If you would like to make an appointment, please call me, "Dr. John" as I am known in Valley Center, at 1-760-500-6253. I schedule my patients in such a way that emergency care can usually be provided quickly. I am known for being on time with my appointments. But I can only be on time if you are! Please keep your appointments on time. 

Financial Matters

Insurance: I am an "in network" provider for most insurance companies, including KAISER . I am more than happy to submit all insurance forms for you. When you call to appoint please have ready your insurance company name, your insurance ID #,  providing your name as it is written on your insurance card, your date of birth and your address.  Also have ready the phone numbers for providers on your card. I can then have ready any chiropractic benefits information for you  when you come in. You may also FAX the information to 1-760-751-3559 or email [email protected] .

Please note that most insurance for chiropractic benefits only cover neuro-musculo-skeletal such as headache, TMJ, migraines, neck pain, shoulder pain, tennis elbow, carpal tunnel, numbness and tingling, muscle spasm and stiffness, arthritis, back pain, hip pain, degenerative discs, sciatica, hip pain, knee pain, ankle sprain and strains, heel spurs and plantar facitis. Insurance does not usually pay for nutritional supplements,  and there is usually little or no benefits for orthopedic supports. All other services are on a time of service cash basis.

Medicare: I am also a Participating Provider for Medicare and follow the Medicare fee schedule for chiropractic. Medicare does not pay for the initial exam ($75). Once your $147 deductible is met here or elsewhere, you will pay 20%, usually $6 -$8 for covered chiropractic services. If you have a Medicare Advantage Plan in which I participate then please supply both your insurance and Medicare infornation as above when scheduling your first appointment. ( You may have 100% after the exam fee.) Please note that Medicare only covers chiropactic adjustments of the spine for spinal related disorders such as headache, neck pain, back pain, sciatica, muscle pains, numbness and tingling and spinal arthritis and disc disease. All other health services and all goods are on a cash basis. Be sure to note my sliding scale fees for seniors for non Medicare covered services.

Cash Fees:

Cash fees are the same whether chiropractic for pa in or nutritional holistic care, or both, is desired.

New Patient Exams are $95 . When chiropractic care is desired, this fee usually covers all care given, including adjustments and therapy. Supplementation and orthopedic supports if recommended are paid for at the time of purchase. Lab testing is not routinely ordered but it is available when indicated or desired on a cash fee per test basis. I do not have X-Ray facilities. X-rays, which on occasion are needed, must be taken elsewhere.

Established Patient Re-exams are $75 . Re-exams are needed for new injuries, marked exacerbations or patients who have not been seen in a long time.

Routine 0ffice Visit $55. This a usually a "per diem" fee meaning all services are included. Please note that all alternative medicine analysis, care and recommendations for such concerns as chronic fatigue, allergies, asthma, menopause, PMS, hot flashes, reflux, IBS, heart health, cardio vascular, mood and memory concerns, blood sugar diabetes diet nutritonal counsel and weight loss diets and the like are rarely covered by insurance.

Sliding Scale Cash Fees for  Children (to 18), Student s (to age 26), Military Families and Seniors ( 65+) , Patients with MediCal and Kaiser Patients not covered directly thru American Specialty Health (ASH).

New Patient  Exam: $75

Established Patient Re-exam: Re-exams are needed for patients with new injuries, marked exacerbations or who have not been seen in a long time.

Routine Office Visit: $40

Payment Accepted : Check, cash, or any major credit card. We have Care Credit available as well.

Cancellation and Re-scheduling Fees : 
If you are unable to keep an appointment, my policy is that you kindly provide me with at least 24 hours notice. A $20 fee may be charged if you do not show up for an appointment without reasonable notice. 

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