Call: 862-243-2574  Fax: 855-296-7125
Life Balance Acupuncture of Pittsburgh
  • Home
  • Meet the Acupuncturist
  • Services/Fees
    • Services/Fees
    • Acupuncture/Supporting Therapies
    • Cosmetic Acupuncture/ Celluma Light Treatment
  • Schedule Appointment
  • FAQs
  • Patient Portal Access
  • Blog
  • Testimonials
    • Submit a Testimonial
  • Links
  • UPMC/Insurance Info
  • Contact
  • Gift Certificates

Accepting Acupuncture Coverage for UPMC Members

12/28/2015

0 Comments

 
Picture
On January 1, 2016, UPMC started offering acupuncture coverage for its commercial plans which include most PPO, HMO, and EPO plans. At this time, Medicare plans are not covered. 

​Life Balance Acupuncture is proud to be an In-Network provider with UPMC.

Details and Requirements: 
  • Eligible members are covered for up to 12 acupuncture visits per benefit year.
    • You must have a Physician's Order for acupuncture to use your UPMC coverage.(NOTE: UPMC customer service or your doctor's office may tell you that an order is not required, but they may not be yet aware of the change.)
    • The Doctor's order should have the condition/code for that condition you are seeking care for.
    • It's easy! The doctor's office may fax the order to 855-296-7125 or bring it with you to your first appointment. Generally no doctor visit required, just a phone call!
       
      NOTE: patients not using their coverage, those with non-UPMC plans, or those who pay cash for treatment do NOT require a doctor's order to receive care.
  • UPMC covers acupuncture treatment for the following conditions:
    • ​back pain (lumbar, thoracic)
    • neck pain/ spondylolysis in the neck 
    • sciatica/radiculopathy (pinched nerve causing pain)
    • knee osteoarthritis 
    • migraines (Symptoms experienced for 15 days or more per month and lasting four hours a day or longer) 
    • Sacroiliac Joint (SI) Sprain/ Sacrococcygeal disorders (sacrum/coccyx)
    • nausea/vomiting (generally in pregnancy, patients on chemotherapy, following gastrointestinal surgery, but not limited to)
    • NOTE: to ensure coverage follow these UPMC guidelines for coverage before seeking acupuncture care: For acupuncture treatment of migraine headaches, chronic pain in the lower back or neck or caused by knee osteoarthritis to be covered all of the following must exist and be documented: a. Diagnosis with supporting medical testing or evaluations b. Duration, intensity, and frequency of the pain c. Failure of standard treatments for a period of three months or more 
    • Please call or email if you have questions about covered conditions.This list is not exhaustive and covers only the most commonly treated conditions. 
    • Members must be 18 years or older to be eligible for treatment. 
    • Copays/Coinsurance vary from plan to plan. And must be paid at time of service and cannot be waived.
    • If you exceed your 12 covered visits, you must pay our regular fee out of pocket at time of service. Click HERE to see our services and fees.
Members can call UPMC to check their eligibility and benefits at 1-888-876-2756 or call their UPMC Healthcare Concierge before scheduling. Click below to schedule!

Feel free to email us with any questions. 
Schedule Appointment
0 Comments

Your comment will be posted after it is approved.


Leave a Reply.

    Author

    Sarah is the owner of Life Balance Acupuncture in Pittsburgh, Pennsylvania.

    Archives

    June 2019
    December 2018
    January 2017
    December 2015
    November 2015
    October 2015
    September 2015
    August 2015
    July 2015
    June 2015
    May 2015
    April 2015
    March 2015
    February 2015
    January 2015
    November 2014
    October 2014
    September 2014
    August 2014
    July 2014
    June 2014
    April 2014
    March 2014
    February 2014
    January 2014

    Categories

    All
    Acupuncture Insurance Coverage
    Acupuncture Pittsburgh
    Animal Acupuncture
    Auricular Acupuncture
    Autumn Season
    Bakery Square
    BYS Yoga
    Chinese Medicine
    Dampness
    Dry Needling
    Fitness
    Functional Medicine
    Garfield Night Market
    Holiday Health
    How Many Treatments
    Infused Water
    Irma Freeman Center
    Journal Of Lifestyle Medicine
    Juice Fest Pittsburgh
    KDKA Radio
    Life Balance Acupuncture
    Low Back Pain
    Mangino And Shelley
    Migraines
    NADA
    Organically Social
    Pain Treatment
    Physical Therapy
    Piercing
    Pittsburgh Fitness Expo
    Popup Spa Fundraiser
    Sarah Heiber
    Schwartz Living Market
    S'eclairer
    STEMM Academy
    Tai Chi
    Tongue Diagnosis
    UPMC
    Veterinary Acupuncture
    Watermelon Mint Water
    Wellness Event
    Yoga Pittsburgh

    RSS Feed