Our office is open by appointment
only. New patients are welcomed to contact
our office with questions or to book appointments. Commonly
asked questions can be found under our FAQ’s.
Payment is expected at the time of treatment.
Below are some forms that you might find useful
to read and fill out before you come in to the office.
All forms are in PDF format. If
you do not have a PDF reader, you can download one for free
from the Adobe
Assignment of Benefits
Patient Acknowledgement of HIPAA
Failure to Keep Appointment
Physician Referral Advisory
Female Questionnary Form
Male Fertility Questionnaire
Absolute Balance Acupuncture works with several insurance
companies as an out of network provider.
(Deductibles, co-insurance may apply).
In order to receive full benefits from your health insurance
provider, we suggest for you to call your insurance carrier
– the contact number is usually found on the back
of your insurance card – and ask what is covered on
your policy. You will need to ask the following questions:
1. Does my policy covers acupuncture treatments?
2. How many treatments are covered per
a) unlimited. This is going to mean that you can get three
treatments per week for as long as necessary. By the time
you start thinking about acupuncture, you have probably
been through a great many different treatments. The reason
this matters is that for every year you have had a problem,
expect one month to fix it.
b) 35 per year. This too is going to get the job done in
many cases. Generally acute conditions (meaning that they
are really intense, but do not last that long or came on
quickly) are going to respond better than the low-grade
long-term chronic issues. Still, even for the chronic issues,
35 treatments inside of a year should be a pretty good start.
c) 12 to 18 per quarter. Still okay, see above.
d) 12 per year. Now, we are pretty much limited to a few
key issues that just so happen to respond quickly to acupuncture.
These would be stress or hormonally induced issues among
sensitive individuals such as PMS where you only need one
treatment per month, or else some other musculo-skeletal
problem where it is simply a sprain or strain, perhaps a
pinched nerve. All these things can respond rather quickly,
so 12 treatments may do what is necessary.
e) 2 per year.
3. Does this number also include any other
a) No, coverage is only for acupuncture.
b) The use of chiropractic, physical therapy, or other
therapy is also covered by your insurance. Sometimes that
benefit for 35 sessions per year is shared by all these
modalities. You will want to find that out too, especially
if you are getting
physical therapy, for instance.
4. Who must provide the acupuncture?
a) Anyone who is licensed to perform acupuncture in your
b) Only employees in an HMO facility can provide your acupuncture.
This is often an MD with or without extensive training who
works in the HMO facility.
c) Only an MD or a physical therapist may bill for your
5. Does my policy cover 100% or some portion
of the treatment?
Sometimes, a policy will only cover 70-80% of the cost
of the treatment, regardless of the cost and in most situations
the patient is responsible for the remaining 30-20% (so-called
6. Is there a deductible and if there is
– how much of it has been met?
A deductible is the portion not covered by the insurance
coverage. So if you have $250 deductible, you will need
to submit $250 in medical costs before your insurance company
will pay for the treatment. Note that this is medical costs,
not just acupuncture!
7.Which pathologies are covered? Does
my policy cover the condition for which I am seeking treatment?
a) There is no restriction.
b) Pain syndromes only. If I'm treating you for diarrhea,
for example, and you are having stomach pain, insurance
will pay for treatment of pain and both problems will be
treated during the single acupuncture session.
c) Musculo-skeletal pain not including headaches or menstrual
cramps or pain that can be treated by other methods.
Most policies do not cover weight management and smoking
cessation, however, many people seeking these treatments
also require treatment for conditions covered by acupuncture.