Jul 10
27
As a San Diego Chiropractor I often hear the disappointment in my patients’ voices when they find that their insurance plan doesn’t cover the full spectrum of chiropractic care. And, of course, anyone who has experienced the benefits of not only crisis chiropractic treatment and therapies, but holistic preventative chiropractic care as well, knows that insurance companies that don’t cover chiropractic treatment as a wellness approach are not only ill-advised, but “shooting themselves in the foot” (a condition that chiropractic doesn’t treat!) because chiropractic care can actually reduce health care costs! Well, now it appears that things just might be changing so that no health insurance provider can discriminate against an insured’s desire to have chiropractic treatment, and have it covered, by their insurance! The National Association of Chiropractic Attorneys (NACA) just announced that it has issued a proclamation recognizing “the historic and profoundly positive legal ramifications for the chiropractic profession and the patient community it serves in Section 2706, ‘Non-Discrimination in Health Care,’ recently enacted as part of the federal ‘Patient Protection and Affordable Care Act.’”
How does that relate to your receiving insured chiropractic care? The provider non-discrimination provision says that “A group health plan and a health insurance issuer offering group or individual health insurance coverage shall not discriminate with respect to participation under the plan or coverage against any health care provider who is acting within the scope of that provider’s license or certification under applicable State law.”
What does that mean for you? Well, once in full effect, health insurance companies will no longer be able to deny chiropractic patients their right to receive coverage for their acupuncture treatment, their nutritional therapies or the many other alternative services many chiropractors provide, but which insurers routinely reject.
The provision has long been championed by the American Chiropractic Association (ACA) and members of the Chiropractic Summit. It was achieved primarily due to collaboration with Sen. Tom Harkin (D-IA) and help from other key players such as Sen. Chris Dodd (D-CT). Although he did not support the final bill overall, Sen. Orrin Hatch (R-UT) did lend his support for the advancement of the non-discrimination provision. The ACA will continue to fight for proper implementation during the regulatory process.
NACA Vice President, Mike Schroeder, said: “It is important to recognize this provision as a historic first for the chiropractic profession. We now have a federal law applicable to ERISA plans that makes it against the law for insurance companies to discriminate against doctors of chiropractic and other providers relative to their participation and coverage of health plans. And, he added that “While there is still much work to be done in the regulatory process, we are encouraged by the fact that Congress has finally acted to end provider discrimination based on one’s license.”
This is great news for you, as my patient, and for me, as your chiropractor in San Diego. And, it’s great news for chiropractors and their many patients everywhere!
8787 Complex Dr. #140 San Diego, CA, 92123 USA
jeanneames@sbcglogal.net • 858-279-7600
