Adjustments
$
Copays are due at the time of service. Billed per visit to your insurance or to you if you are uninsured or over your visit limit.
Exam:
Spinal adjustments:
1-2 areas
3-4 areas
5 areas
Extremity
Activator Chiropractic** GK3 Massage** Dry Needle
The Activator Instrument is a small, hand-held device that allows Dr. Lorie Greenwood to deliver a consistent, gentle adjustment that does not require twisting or cracking of the spine.
The GK3 massager is a powerful yet soothing vibrational massager that relaxes the muscles of the spine, and is used at the end of every treatmemt.
Dry needle is done when needed, and is similar to acupuncture with the tools it uses, yet different in approach and philosophy. Dry needle does not follow acupuncture meridian pathways, but is more of a site-specific treatment for pain, such as bursitis issues.
Electrical stimulation/H-Wave is performed when there is tight muscle, an immobile area, or when someone is afraid of needles and an extra level of treatment is needed beyond the adjustment.
Initial examination: Dr. Lorie will do an evaluation that will involve discussing the history of your injury, how this injury affects your ability to perform your normal activities, your range of motion, and a chiropractic assessment that assesses misalignment of the involved joints.
Adjustments of the spine: The fees are based on the number of areas adjusted in the spine, of which there are 5: cervical (neck), thoracic (top of the shoulders to the mid-back), lumbar (lower back), sacrum, and pelvis. Adjustments are priced based on how many of those areas need to be addressed and not the "total number of clicks" performed.
If you have insurance, each insurance company dictates what the cost will be based on their "allowed amount" for each service. You may have a set copay to pay for your chiropractic visits and the insurance pays the rest. You may have a co-insurance amount to pay, which is a percentage of the insurance deemed "allowed amount" per visit if that is what your insurance plan says. Or you may have a deductible to meet before your insurance company will begin paying, which is often what happens with plans from the Exchange, from DHMC or the City of Lebanon. If you have an HSA account you may use that to pay for your deductible, co-pays, co-insurance or balances.
Please do jump online and look up your benefits for chiropractic coverage: find your copay amount, the co-insurance or deductible amount, and the visit limit number before your first visit. Most plans flip and give you a fresh set of visits to use at the turn of every year, but if you work for a school, school plans flip with the school year in the summer, not the calendar year.
Extremity adjustments: Some insurances cover extremity adjustments (knees, hips, hands, feet, elbows, shoulders, jaws, etc: anything that is not the spine) and some do not, such as Medicare. If your insurance does not cover extremity adjustments, you may have a balance to pay out of pocket for these adjustments. You may use your HSA benefit card to pay the balance.
Dry needle: This is an uncovered service and the fee is collected at the time of service. Dry needle cannot be billed to insurance under the acupuncture benefit as acupuncture is a completely separate discipline from dry needle. If you would like to try acupuncture, Dr. Lorie can give you a list of great providers in the area that do perform that service.
Electrical stimulation/H Wave: Some insurances cover electrical stimulation and some do not. It can help relax tense muscles and help allow normal motion to be restored. If it is not billed to insurance because your plan does not cover it, the fee will be collected at the time of service.
I keep my fees reasonable, and I do take Blue Cross/Blue Shield, Anthem, BCBS VT, Cigna, Harvard Pilgrim/Health Plans, United Health Care, Medicare and VT Medicaid. Unfortunately NH Medicaid stopped allowing chiropractic as a benefit to its participants in 2019.
Car accidents: If you have been in a car accident and are working with car insurance Medpay, Dr. Lorie will collect the fees per visit at the time of service and give the patient a receipt to submit to the insurance company so the patient may get reimbursed directly.