Does Insurance Cover Shockwave Therapy in Jacksonville?

Coverage for shockwave therapy varies significantly by carrier and by plan tier. Some plans bundle it under physical medicine or rehabilitation benefits. Others treat it as a non-covered service and self-pay rates apply. We verify your specific plan before scheduling your first session so you know what to expect financially before you commit to anything.

Which Carriers Sometimes Cover It

Florida Blue, United Healthcare, Humana, and Cigna each handle shockwave differently depending on your plan type and the diagnosis being treated. Some employer-sponsored plans include it explicitly. Others require documentation of prior conservative treatment failure before approving coverage. We know how to build that documentation trail when it is needed.

Florida Medicaid and VA Community Care have their own criteria. Call us if you are on either and we will work through what applies to your situation.

When It Is Self-Pay

When insurance does not cover shockwave, we quote you the self-pay rate before your first session. Call for current pricing as rates are subject to change. We accept HSA and FSA cards, which most patients use for services their standard plan does not cover. Most protocols run three to six sessions. You know the full financial picture before session one.

A Case Where Insurance Did Cover It

A patient with chronic plantar fasciitis came to us on a United Healthcare PPO through his employer and asked whether shockwave would be covered. We ran his plan. His rehabilitation benefit included extracorporeal acoustic wave therapy under a specific procedure code, and after his deductible, his sessions were covered. He completed five sessions. The morning heel pain he had lived with for seven months was gone by session four. He was surprised and pleased that the coverage was there. We were not surprised. We see it come through more often than people expect.

Call First

(904) 539-3352. Bring your insurance card and we will verify coverage before you schedule. 13770 Beach Blvd #4, Jacksonville FL 32224.