NON Par Medicare Provider
EXPLANATION OF NON-COVERED CHIROPRACTIC SERVICES
Medicare requires that you pay a yearly deductible of $155 towards your Part B medical expenses before they will begin paying for covered services. If you have already been treated by other doctors this year, you may apply those bills toward your deductible.
After you have met your deductible, Medicare will reimburse 80% of the “allowable” treatment charges. The only “allowable” treatment charge by a Chiropractor is Manual Manipulation of the Spine. Accordingly to Medicare guidelines, Medicare will only allow Chiropractic treatment that is reasonable and necessary to restore or arrest the patient’s covered condition. Once Medicare determines that further manipulation treatment is not “reasonable or necessary”, you will then be responsible to pay for all of your treatment charges.
Medicare does not require x-rays in order for you to be reimbursed for chiropractic treatment. However, Dr. Rapoff may determine x-rays are necessary to assess your condition. If x-rays are taken by Dr. Rapoff, they are not covered by Medicare and therefore you are fully responsible for the charges for x-rays. In some cases, Dr. Rapoff may issue a prescription to have the x-rays taken at a Medicare approved facility. If this is the case, the approved facility will bill Medicare for the x-rays.
In order to determine the extent of your condition, as well as the type of treatment you will need, Dr. Rapoff will examine you prior to the initiation of treatment, and periodically thereafter. Medicare will not reimburse for examination charges and therefore you are responsible for the exam charges at the time of service.
PHYSICAL THERAPY, SUPPLEMENTS AND SUPPORTS
During the course of your treatment in this office, Dr. Rapoff may determine that certain physical therapy modalities or procedures, vitamin supplements or orthopedic supports may be necessary to assist in the treatment of your condition. Medicare will not reimburse for any of these services and therefore you are responsible for these charges at the time of service.