Maintaining spine and joint health is an important part of aging. People who are experiencing pain or stiffness in their muscle, bone or joint pain may choose to seek treatment from a chiropractor. Chiropractic care is a form of alternative medicine that involves the use of manual therapy to treat musculoskeletal disorders. But are chiropractic services covered by Original Medicare?
Original Medicare provides coverage for a wide range of health services, so you may be wondering whether chiropractic services are included. While Original Medicare does cover some chiropractic services, the coverage is limited and does not extend to all types of care. Original Medicare will cover the cost of chiropractic services only when they are deemed medically necessary and are performed by a licensed chiropractor, so out-of-pocket costs will vary depending on many factors. In this article, we’ll help you understand Original Medicare coverage for chiropractic services so you can receive the care you need.
Which parts of Original Medicare include chiropractic services?
Original Medicare coverage may include chiropractic services, but only under certain conditions. Medicare Part B, which covers outpatient services and medical supplies, is the part of Original Medicare that includes chiropractic services. Under Medicare Part B, chiropractic care is only covered when it is deemed medically necessary and performed by a licensed chiropractor. This means that the treatment must be related to a specific medical condition that is supported by proper medical documentation.
Medicare Part C, also known as Medicare Advantage, must cover the same services as Original Medicare. However, coverage terms will vary depending on the plan and carrier.
Understanding Medicare Part B Guidelines for Chiropractic Services
Before you seek chiropractic treatment as an Original Medicare beneficiary, it’s important to first understand the coverage parameters for this type of care. Medicare Part B will cover chiropractic services, but only under certain conditions. For chiropractic care to be covered by Medicare Part B, it must be:
Deemed medically necessary through either a doctor’s exam or an X-ray
Intended to treat spinal manipulation for subluxation, an altered position of the vertebrae
Treating a specific issue rather than preventive care or maintenance
If your condition meets these requirements, an unlimited number of chiropractic treatments will be covered by Medicare Part B. Keep in mind that coverage is for spinal manipulation only, and other chiropractic services, like massage therapy, traction therapy, diagnostic services or ultrasounds, will not be covered.
Have questions about whether your Original Medicare coverage includes chiropractic services? SelectQuote can help.
While it can seem overwhelming to navigate the specificities of Medicare plans, be it Original Medicare or Medicare Advantage, SelectQuote is here to help. Our licensed insurance agents are prepared to help you find the right Medicare Advantage coverage so you can receive the services and care you need. We’ll work with you to help you understand your current coverage and needs, then search recognized insurance carriers on behalf to find you a plan that’s right for you.
