Health Insurance

Does Your Health Insurance cover acupuncture? Fill out the form below, and we will verify your benefits. please note we are unable to bill medicare at this time. We'll be in touch!

* Indicates required field

Name *

First

Last

Date of birth *

Subscriber name (if different from above) *

First

Last

Subscriber date of birth *

Your insurance company *

Insurance Company (if not listed above) *

Member ID *

Email *

Phone Number *

How do you want us to contact you regarding your benefits? *

Anything else you'd like us to know *

Submit