Insurance Coverage for Chiropractic Care
I am an "in network" provider for most PPO Insurance, such as Anthem, Aetna, Blue Cross/ Blue Shield, Federal Employees and Labor Union Insurance.
I am” in network” for United Health Care, Optum, Veba, UMR* and Landmark.
I am also a Preferred Medicare Provider accepting those with Medicare Part A and B only and those with secondary insurance payer Plans G, N and F. I am also in network for UHC Medicare ( such as AARP Advantage and UMR).
Those of you who have not yet meet any remaining deductible will pay per visit based on the below Cash Fee Schedule until the deductible has been proven to be met, after which agreed upon co-pays will be paid per visit.
Co pays and deductibles payments may be by cash, check or credit/debit cards. I will submit all insurance forms for you
I am NOT ”in network” for most other HMO plans, including Kaiser. However, those with of you with HMO plans automatically qualify for my sliding scale fees (See below). Persons with Medical, Medicaid, Community Health, Covered California and Medicare HMO plans all qualify for my sliding scale fees for chiropractic care as well. (See below)
I will submit all insurance forms for you.
Co pays and deductibles payments may be by cash, check or credit/debit cards.
Fees for holistic medicine services and nutritional analysis
Please note that most insurance for chiropractic benefits only cover neuro-musculo-skeletal treatments for symptoms 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 fasciitis. However, there is usually little or no benefits for nutritional supplements, pain relieving salves, ice/heat packs or orthopedic supports (usually $10 to $45 IF indicate).
Fees for holistic medicine services and nutritional analysis, guidance, coaching and recommendation and are on a cash basis, as below.
Cash Fee Schedule:
Those without insurance coverage for chiropractic are paid for on a cash basis as presented below.
Fees for “alternative medicine”, holistic health care and nutritional analysis and recommendations are not covered by most insurance and are therefore paid for on a cash basis as below as well.
Cash fees are the same whether for chiropractic or nutritional holistic care is desired. Payments may be by cash, check or credit/debit cards.
New Patient Exams are $95 . When chiropractic care is desired, this fee usually covers all care given, including adjustments and therapy on the initial visit. 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, are usually referred to a Valley Radiology site nearest you.
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 Visits are $55. This a usually a "per diem" fee meaning all services are included.
Sliding Scale Cash Fees
Reduced fees are for Minors (to 18), Student s (to age 26), Military Families and Seniors (65+) and the working poor (Dr John’s discretion).
New Patient Exam: $75
Established Patient Re-exam $55: 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
Missed Appointment fee $20. If you are unable to keep an appointment my policy is that you kindly provide me with at least 24 hour notice to avoid our $20 fee.
IF you have any questions about the above call me at 1-780-500-6253. Scheduling an Appointment
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. 😊