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Medicare plans now cover acupuncture for lower back pain. Learn about the exclusions and alternatives to help people resolve similar health issues.
Since then, Medicare has covered 12 acupuncture sessions within a 90-day period for the treatment of lower back pain and up to 20 acupuncture sessions per year.
Medicare covers up to 12 acupuncture treatments for chronic low back pain in a 90-day period. However, if the back pain does not improve, Medicare will not cover further treatments.
Medicare is the primary payer for most services, but Medicaid covers benefits not offered by Medicare. Medicare coverage for dual-eligibles includes hospitalizations, physician services, prescription drugs, skilled nursing facility care, home health visits, and hospice care.
Under an HCBS waiver, states can use Medicaid funds to provide a broad array of non-medical services (excluding room and board) not otherwise covered by Medicaid, if those services allow recipients to receive care in community and residential settings as an alternative to institutionalization. [1]
The Health Insurance Premium Payment Program (HIPP) is a Medicaid program that allows a recipient to receive free private health insurance paid for entirely by their state's Medicaid program. A Medicaid recipient must be deemed 'cost effective' by the HIPP program of their state. Ultimately, the program was made optional, and its use is minimal ...
Medicare may cover medically necessary items such as wheelchairs and walkers. ... Part B also covers up to 12 acupuncture visits in 90 days for chronic lower back pain that isn’t associated with ...
Medicare doesn't cover acupuncture unless it's to treat chronic lower back pain without an identifiable cost. This means arthritis-related pain wouldn't qualify for coverage.
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