Forms

Complete the Health Questionnairebelow and bring it to your first visit accompanied by the Insurance forms if you intend to bill insurance for your visits.

Health Questionnaire (pdf)

 

Health Insurance

In Washington State, most health insurance plans cover acupuncture treatment. Contact your insurance company and complete the form included in the Health Questionnaire before your first visit to clearly determine the details of your acupuncture benefit.

Amy is contracted as a preferred provider with most insurance companies including, but not limited to:

  • – Aetna
  • – Cigna
  • – First Choice Health Network
  • – Group Health Options
  • – Lifewise
  • – Premera Blue Cross
  • – Regence Blue Shield
  • – Uniform-Regence
  • – United

 

Payment

Amy accepts payment at time of service by cash and check.  Fee Schedule (1 pg. pdf)

 

Health Savings Accounts (HSAs)

Amy accepts cash and checks in clinic.  She does not accept credit or debit cards.  For patients with a HSA debit card, payment is collected by cash or check at the time of treatment. Amy will issue a receipt which can be submitted to your HSA for reimbursement.

For insurance companies with whom Amy is not contracted, she can bill out of network or you can pay for each visit and, as with the HSAs, submit the receipt to your insurance company for reimbursement.

If you have additional questions about insurance coverage, please contact Amy or her billing company Diversified Medical Billing at 206. 772.5315.