The real question is does medicaid cover chiropractic.

The answer is a little complicated but overall the answer is NO.

Medicaid is different that Medicare. We would like to make this very clear, we are in network with Medicare and Medicare does cover chiropractic.

The problem with Medicaid is it only covers chiropractic for individuals under a certain age, which last time we checked it was 18 and younger. The next problem with Medicaid is most of their polices require a referral from a PCP in order to see the chiropractor. So before you even walk into a chiropractors door, you need to walk into a MD’s door to get permission. Then the next problem we ran into in our clinic is Medicaid would initially deny services. Our clinic would have to pay a specialized staff member to work more hours to get services approved and when we did get approval the payment would take a year to come in and it wouldn’t cover the cost of services.

I talk to many chiropractors in the Illinois region, if there was a spot I could refer my Medicaid requests, I would. The problem is all the other service providers, ran into the same issue we did. A lot of providers are indeed in-network with Medicaid, they are in hopes that laws change and when they do they will immediately their market to medicaid.

So if you are an adult and have medicaid how do you get chiropractic care?

Easy, you just have to go through a self pay option. In our clinic, the average patient responsibility for chiropractic manipulation is $40. That could be due to co-pays, co-ins, deductible not meet, insurance allowable amount, etc. To make things easy for you, your 1st visit Plainfield Spine And Rehab will be $40 and we can discuss what other services and future costs would cost then considering what problems you present with.