Chiropractic is a health care specialty involved with evaluating, diagnosing, and treating disorders of the musculoskeletal system. The ultimate goal of Chiropractic is to restore maximal functional independence to each individual patient. To achieve this goal, physical modalities such as exercise, heat, cold, electricity, and massage are utilized in conjunction with Chiropractic Care. Chiropractors are licensed health care professionals with a doctorate degree in Chiropractic Medicine. Chiropractors evaluate, diagnose, and manage the patients treatment plan, customizing it to each individual’s needs. Physio therapy is ordered by the Chiropractor when it is felt that such a course of treatment would be beneficial to improve the patients best care plan. Chiropractic care is beneficial to a wide variety of patient’s including newborn babies, children, adults, and geriatrics. Chiropractic can also help improve or restore your physical function and your fitness level. The goal of Chiropractic is to make daily tasks and activities easier. For example, it may help with walking, going up stairs, or getting in and out of bed.
In general, the first goal of Chiropractic treatment is to decrease any pain and swelling you may have. The next steps usually are to increase your flexibility and then to increase your strength and endurance, depending on your condition. The goal is always to improve your ability to do your daily tasks and activities. As with any exercise, you may have mild soreness or swelling as a result of treatment, and these should be noted by your Chiropractor. Your Doctor will watch your reaction to treatment, and will adjust your treatment as needed. This ongoing assessment and adjustment means that the risk of any injury or complication from Chiropractic Care is very low. In most cases, part of your Chiropractic therapy will be education. Your Doctor may teach you about a proper home exercise program, proper body mechanics, and the use of any special equipment you may need. He or she will then periodically check on how well you are transferring the skills you learn into your daily life. Your Chiropractor will continually reassess your progress toward your treatment goals.
Most Insurance companies offer 30 to 120 visits for Chiropractic and physical therapy. The following list is insurance companies were we participate in thier network and Companies that we accept coverage for but we are not in their network yet. AARP, AETNA, AZ Foundation, Beechstreet, Benesight, Blue Cross Blue Shield, CCN, CIGNA, CNA Health, Emblem Health, First Health, Galaxy Health Network, Guardian, Health Management Network, Health Net, Health payers USA, Humana, Mail Handlers, Mayo Health Plans, Medicare, Multiplan, National Choice Care, National Preferred Network, Pacificare, PHCS, Prime Health Services, Principle Life Ins., Professional Benefit, Provider Select, Railroad Medicare, Safeco, Schaller / Anderson, Scottsdale Health Care, Sierra Health, State Fund, Three Rivers Network, TLC Advantage, Tricare, Union Pacific Railroad, United food Workers, United Health Care, USAA.
Usually the co-payment amount is printed on the front of the insurance card. For BCBS, it reads OV. For some insurances it will be listed under specialist. This can be confusing as plans can change before a new card is issued, some plans actually have a different co-payment amount than is listed on the card, and some plans do not show the co-payment amount on the card. Please call the customer service number on the back of your card to verify your co-payment.
Can you waive my co-payments or deductible?
No. We would be in violation of our contracted relationship with your insurance carrier and risk losing our contract if we waived your responsibility for paying a co-payment or deductible. Without your payment, We would not be able to provide your service.
Is the co-payment like a tip?
No. You insurance carrier has a negotiated discounted fee schedule with us. When we receive payment from your insurance carrier for your visit, they deduct your co-payment amount from their payment. You are paying for a sizable portion of your treatment with your co-payment.
When is the co-payment due?
The co-payment is due at the time of your visit. For your convenience we accept all major credit and debit cards and flexible spending accounts.
In an insurance policy, the deductible is the amount of expenses that must be paid out of pocket before an insurer will pay any expenses. In general usage, the term deductible may be used to describe one of several types of clauses that are used by insurance companies as a threshold for policy payments. Deductibles are typically used to deter large number of trivial claims that a consumer can be reasonably expected to bear the cost of. By restricting its coverage to events that are significant enough to incur large costs, the insurance firm expects to pay out slightly smaller amounts much less frequently, incurring much higher savings. As a result, insurance premiums are typically cheaper when they involve higher deductibles. Deductibles are normally provided as clauses in an insurance policy that dictate how much of an insurance-covered expense is borne by the policyholder. They are normally quoted as a fixed quantity and is a part of most policies covering losses to the policy holder. The insurer then becomes liable for claimable expenses that exceed this amount (subject to the maximum sum claimable indicated in the contract). Depending on the policy, the deductible may apply per covered incident, or per year. For policies where incidences are not easy to delimit (for example health insurance), the deductible is typically applied per year.
Most Americans who have health insurance through their employer (and many who are self-insured) are enrolled in some type of a managed care plan – either an HMO or PPO. The most common types of managed care plans are health maintenance organizations (HMOs) and preferred provider organizations (PPOs). Less common are point-of-service (POS) plans that combine the features of an HMO and a PPO. All managed care plans contract with doctors, hospitals, clinics, and other health care providers such as pharmacies, labs, x-ray centers, and medical equipment vendors. This group of contracted health care providers is known as the health plan’s “network.” In some types of managed care plans, (HMO’s) you may be required to receive all your health care services from a network provider. In other managed care plans (PPO’s), you may be able to receive care from providers who are not part of the network, but you will pay a larger share of the cost to receive those services. HMOs require that you select a primary care physician (PCP) who is responsible for managing and coordinating all of your health care. Your PCP will serve as your personal doctor to provide all of your basic healthcare services. For your children, you can select a pediatrician or a family physician to be their PCP. If you need care from a physician specialist in the network or a diagnostic service such as a lab test or x-ray, your primary care physician (PCP) will have to provide you with a referral.
In he past few years, employers ave been putting together accounts that allow employees to put in pre-tax dollars that can be use for health care expenses, like deductibles and CoPays and medicines. Most of these accounts are regulated by health insurance companies and unfortunately they will reject some costs like vitamin supplements. A health savings account (HSA) is a tax-advantaged medical savings account available to taxpayers in the United States who are enrolled in a high-deductible health plan. The funds contributed to an account are not subject to federal income tax at the time of deposit. Unlike a flexible spending account (FSA), funds roll over and accumulate year to year if not spent. HSAs are owned by the individual, which differentiates them from company-owned Health Reimbursement Arrangements (HRA) that are an alternate tax-deductible source of funds paired with either HDHPs or standard health plans. HSA funds may currently be used to pay for qualified medical expenses at any time without federal tax liability or penalty. However, beginning in early 2011 OTC (over the counter) medications cannot be paid with HSA dollars without a doctor’s prescription. Withdrawals for non-medical expenses are treated very similarly to those in an individual retirement account (IRA) in that they may provide tax advantages if taken after retirement age, and they incur penalties if taken earlier. These accounts are a component of consumer-driven health care.
Those few words do more to describe why your children should be under chiropractic care then any statements we can make. From the moment of birth our bodies are subjected to tremendous stress. Lets face it, the birth process itself is incredibly stressful on both mother and child, the newborn neck must be bent one way then another just to pass through the birth canal. Many infants are effected by this and are left with a subluxation or spinal misalignment, which if left untreated can lead to deformities and pinched nerves. These conditions lead to other problems not so obvious to the parent. Studies show that subluxation of the spine can lead to an assortment of body form and function problems. There are case studies that show that back pain is a condition found in children more than we ever realized, as many as 30% of children ages 12 to 15 years old reported a history of back pain. Another study found that almost 23% of elementary school children complained of back pain and until recently your family doctor would have scoffed it off to growing pains.
Scoliosis is another reason you should have your child examined by your chiropractor. It is an abnormal curvature of the spine. If you look at your child’s back, his or her spine should be almost perfectly straight up and down, no side to side curvature. If this condition is not detected early on, your child may end up with a serious deformity. This condition can be treated by your chiropractor but only if the child is brought to us early. It is very important that scoliosis is detected and treated before the “growth spurt” period of your child’s life. While we know that children grow in different ways, it is imperative that your child receives treatment for scoliosis usually before age 12.
So what is this all leading to? Simple, we don’t think twice about taking our children to the dentist regularly, do the same for chiropractic visits. We think you will be surprised by the results and we feel that you and your child will enjoy the loving care your chiropractor will give. Many parents ask us when their child should receive their first chiropractic adjustment? The answer is simple, since we know that many misalignments are produced at birth, your child should be examined by your chiropractor as soon as possible.
If you are currently a chiropractic patient you probably are a believer in the treatments. However most parents worry that an adjustment on their child might be to rough or that the adjustment may hurt. On the contrary, the amount of force used by your chiropractor on a child is substantially less, usually about 6-8 oz. On the very small children such as infants there is no audible confirmation of the adjustment and your child usually only feels mild pressure. In a 1988 article in the New England Journal of medicine, they stated that more than 20 million infants and children had chiropractic visits that year. With parents becoming more and more aware of the benefits of chiropractic care, we are sure that that number has increased dramatically over that past few years.
Why this phenomenal growth in the number of children receiving care in our offices? To quote Dr. Larry Webster D.C., the founder of the International Chiropractic Pediatric Association. “First, parents are not satisfied with the drug approach. The second and most obvious reason is that chiropractic works. Everyday in chiropractic offices around the country we hear parents say that after trying this and that for their child, they decided to give chiropractic a try, and now, their child is better. Chiropractic also is non-invasive.”
So to answer the question: Is chiropractic safe for your child and is my chiropractor capable of caring for my child? The answer is YES. Many doctors of chiropractic are taking postgraduate courses in chiropractic pediatrics to enhance the studies that they were required to complete in Chiropractic College. Most states now require chiropractic pediatrics as part of their board exams to be licensed and the International Chiropractic Pediatrics Association has begun to certify chiropractors in several states and Canada.
As with any doctor visit, you are the eyes, ears and memory of your child. Tell us all you know. If there were any unusual events during childbirth, did he or she have any falls or injuries during their lifetime? We will also need to know if there has been any development problems such as posture or range of motion issues that you can tell us about.
It is also a good idea to prepare your child before the visit. Let them know what to expect. Because our examination and treatment are so hands on, some parents tell their kids that they are going to “Dr Tickles” and that he or she is really “cool”. We find that if your child is at ease and happy with the experience they respond much better to the treatment. This might explain why the television show 20/20 even described the practice as “non-threatening” This controversial news program even went so far as to say that during its investigation of chiropractic, happy smiling faces were evident in the children and the parents were pleased with the results.
We will teach you how to hold your child during the adjustment, explaining the procedure as we go. We will advise you on after visit home advice such as, how to lift your child without putting stress on his or her back, teaching your child not to slouch, nutrition and diet. We will also encourage regular visits not unlike other doctors. Rest assured that our drug free treatments are by far safer then drugging the problems away.The wonderful thing about children is that they respond quickly to treatments and are more willing to listen to the “Doctor” then many of our more stubborn parents. We find that when we tell your kids to sit up straight or to do certain exercises that they listen and usually will return to our office boasting about their improvements.
Before any treatment is given to your child or to any patient for that matter, a thorough examination is performed. Again, an examination of your child is handled differently then that of an adult. We try to make it fun and enjoyable for your children, while maintaining the highest standard. The visit, the examination and the treatment should be fun and enjoyable experience. Our staff will do everything in their power to make this happen. For example many chiropractors have small play areas devoted to children, we use props and puppets and above all we broadcast our smile. All in an effort to make the experience enjoyable and successful for your children.
Today women have become increasingly concerned about their health during pregnancy. Eating healthy foods as well as avoidance of alcohol, caffeine and cigarettes are to be congratulated. Today’s’ mothers are more aware of how prenatal care effects fetal health. Chiropractic care is an integral part of prenatal care. During pregnancy a women’s body releases many hormones. One of these is Relaxin which purposely reduces ligament tension. This has the effect of “relaxing” or loosening the ligaments and allowing more movement of the structures to which they are connected. This is necessary because of the many postural changes that occur during pregnancy.
A women’s center of gravity changes due to the increase in weight and the size and position of the fetus. Not only do the ligaments of the spine become relaxed, but so do the ligaments of the pelvis to allow for stretching during delivery. The curve in the lower back increases during pregnancy and may cause back and leg pain. All of these changes make the spine more flexible and therefore less stable. This can be compounded by an already unstable spine. Since all nervous system control flows through the spine, chiropractic care is a necessity in maintaining proper control of body functions thru spinal health. Many symptoms such as back pain, leg pain and morning sickness can be helped with chiropractic care. Chiropractic care will help to normalize the functions of the nervous system and improve overall health. Optimal functioning of the mother’s body directly influences the proper development of the fetus.
Chiropractic features many different techniques. Modifications to chiropractic techniques and equipment during different the stages of pregnancy make adjustments for pregnant women gentle and comfortable. Many women report that deliveries were shorter and more comfortable than those before chiropractic care. A properly functioning nervous system is an integral part of total health during pregnancy to reduce stress on the spine and pelvis as well as producing healthier infants.