Fees and Insurance

Insurance Coverage for Chiropractic Care

I am an "in network" provider for most PPO Insurance, such as Anthem, Aetna, Blue Cross/ Blue Shield, PHCS, Federal Employees and Labor Union Insurance.

 I am ”in network” for United Health Care, Optum, Veba, UMR and  Landmark.

I am a Preferred Medicare Provider accepting those with Medicare Part A and B 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). However, some. UHC, UMR Medicare plans require a medical referral. You can call member services (Phone # on the back of your insurance card) or consult your annual Medicare Handbook to see if referral is required.

Those of you with insurance who have not yet meet any remaining deductible will pay on per visit based on the below Cash Fee Schedule until any deductible has been proven to be met, after which agreed upon co-pays will be paid per visit.

(A deductible is a dollar amount of how much you must spend on covered medical expenses before your insurance will begin to pay part or all of your expenses. Thereafter, a co-pay is then usually required, either a dollar amount or a percentage of the cost.)

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 HMO plans.

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 indicated).

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, or who have not yet met their deductible,  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. Treatment is included. 

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), Active Military Families and Seniors (65+) and the working poor (Dr. John’s discretion).

New Patient Exam: $75 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-exam $55: Re-exams are needed for patients with new injuries, marked exacerbations or who have not been seen in a long time. Treatment is included.

Routine Office Visit: $40

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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.

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IF you have any questions about the above call me at 1-780-500-6253.

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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. 😊

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