Understanding your insurance coverage is crucial to ensuring you receive the care you need without unexpected costs. By obtaining the following information from your insurance provider, you can make informed decisions about your healthcare. This information will help you plan and budget for your sessions, avoiding any surprises in your medical bills. If you do not have a physical copy, you have access to an online version via your insurance plan’s website portal. You can also obtain this information by reaching out to your insurance via the phone number listed on the back of your insurance card.

●      Insurance Plan:

●      Insurance ID and Group ID:

●      If calling insurance please obtain Representative Name:

●      Call Reference number _________________

●      Individual deductible is $______ met $________

●      Individual out of pocket max $________ met $________

●      Is Naturopathic Care/Acupuncture/IV/Massage covered?    Copay? Copay amount $____ or towards deductible then paid at a percentage? What is the percentage  ___% to ____%

●      Does Naturopathic/IV/Acupuncture/Massage Care require an authorization from insurance?   YES   /    NO