Does Insurance Cover Dry Needling in Jacksonville?

It depends on your plan. Some plans include dry needling under their rehabilitation or chiropractic benefit. Others do not. The only way to know is to verify your specific coverage, which we do before your first visit.

How Insurers Classify It

Dry needling is billed under procedure codes for intramuscular stimulation or trigger point needling. At Full Swing Healthcare, Dr. Muren and Dr. Hall perform dry needling under their chiropractic licenses. Some plans process that under their chiropractic benefit. Others route it through physical medicine and rehabilitation. How the claim is classified affects whether it is covered and what the patient's cost is.

We contact your insurer directly, confirm how they classify the service under your specific plan, and tell you what your out-of-pocket cost will be before you come in.

When Insurance Does Not Cover It

Self-pay rates are available. We also split billing when your plan covers chiropractic but not dry needling. The adjustment portion goes through insurance, the needling portion is billed at the self-pay rate. You pay only for what is not covered rather than the full visit out of pocket.

A Patient Who Did Not Know She Had Coverage

A patient from Deerwood had been paying out of pocket for dry needling sessions at another provider for four months because she assumed her Cigna plan would not cover it. When she called us, we ran her Open Access Plus plan and found intramuscular stimulation was included under her rehabilitation benefit. She had been paying for something her insurance would have covered. We see this often enough that we strongly encourage anyone assuming they will pay cash to let us check first.

No Referral Needed to Start

Under Florida law you have direct access to chiropractic care including dry needling without a physician referral. Call us at (904) 539-3352 and we will handle the insurance verification before you book. 13770 Beach Blvd #4, Jacksonville FL 32224.