Medicare coverage for chiropractic care: a question answered.
In a bid to provide comprehensive healthcare solutions, Medicare now covers chiropractic care for certain conditions. This coverage is specifically for spinal manipulation to treat a diagnosed vertebral subluxation, a misalignment of the vertebrae.
For this coverage to apply, the treatment must be deemed medically necessary, as confirmed through a doctor’s examination or X-ray. It is essential to note that Medicare does not cover chiropractic care for reasons other than correcting a vertebral subluxation causing back pain.
When it comes to coverage details and out-of-pocket costs, Medicare Part B pays for 80% of the Medicare-approved amount for chiropractic adjustments after you meet the Part B deductible, which in 2025 is $257. You are responsible for the remaining 20% coinsurance and the deductible.
There is no limit to the number of covered chiropractic visits, as long as each is deemed medically necessary. However, Medicare does not cover other chiropractic services like massage therapy, ultrasound, traction, or diagnostic tests ordered by the chiropractor (unless ordered by a medical doctor).
In summary, Medicare Part B covers spinal manipulation for vertebral subluxation only, with no limit on the number of visits if each is deemed medically necessary. After meeting the Part B annual deductible, Medicare covers 80% of eligible chiropractic care, leaving you responsible for modest out-of-pocket costs aligned with the deductible and coinsurance.
It is important to note that Medicare may cover other back pain services, medical treatments, and alternative therapies. Chiropractic treatments can help relieve musculoskeletal conditions, including neck, joint, and back pain. Chiropractors can treat back pain, conditions affecting the joints, ligaments, and muscles, headaches, and neck pain.
However, it is crucial to remember that Medicare does not cover X-rays that a chiropractor may request. The cost of chiropractic care per episode of care ranges from $264 to $6,171, with a median of $712.
[1] Medicare.gov, "Chiropractic Services," accessed on 10th March 2023. [2] Medicare.gov, "Acupuncture Services," accessed on 10th March 2023. [3] Medicare.gov, "Physical Therapy Services," accessed on 10th March 2023. [4] Medicare.gov, "Medicare Costs," accessed on 10th March 2023. [5] Medicare.gov, "Medicare Coverage Database," accessed on 10th March 2023.
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