Chiropractic Care:

For members enrolled in Blue Cross for medical care and who are eligible for chiropractic care, must use Blue Cross providers for chiropractic care.  The Blue Cross chiropractic providers have agreed to accept payment on your behalf according to a fixed fee schedule up to the plan maximum. The fee schedule is attached to this letter for your convenience.  Please note that if you choose to go to another provider, you would be responsible for any charges which exceed the fee schedule or the plan maximum.

HMO plan (Kaiser or Pacific Care), you may go to the chiropractor of your choice.  However, the plan will only pay according to the attached fee schedule up to your plan maximum.  You may seek the services of a Blue Cross provider however, the provider is under no obligation to accept the fee schedule as payment in full. 

It would be beneficial for you to take the fee schedule with you to determine whether or not your provider will accept your insurance as payment in full.  If your provider chooses not to accept your insurance in full, you would be responsible for the difference. 

For example (Blue Cross members that go to a non-provider, members that have an HMO): 

            If you are a new patient and see a chiropractor for an office visit and your chiropractor

            charges $35.00 for a new patient office visit,  the plan would pay $31.50 once you have

            paid your co-payment (if applicable).  You would be responsible for any amount that

            exceeds the fee schedule or the plan maximum.

Have your chiropractor's office phone PRIOR to treatment to confirm eligibility, and benefit information.