Insurance and Payment Information

Insurance Plans

spineTECH participates with many major insurance plans. Coverage may vary by the patient’s specific plan, service, provider, and network.

• •Medicare
• •Many Medicare Advantage or Medicare replacement plans
• •VA-authorized community care
• •TRICARE-related plans
• •Selected HMO plans
• •Selected workers’ compensation plans

Workers’ Compensation

spineTECH accepts selected workers’ compensation insurance arrangements. Acceptance depends on the claim, authorization, documentation, requested service, and individual plan.

• •Gallagher Bassett
• •Sedgwick
• •TASB — Texas Association of School Boards
• •Independent or out-of-network workers’ compensation plans considered case by case

Additional records, claim information, authorization, and adjuster details may be required before scheduling.

Referrals and Prior Authorization

Some insurance plans require a referral or prior authorization before you can be scheduled or receive certain services.

• •HMO and VA community care plans generally require a valid referral and/or authorization.
• •Some testing, procedures, or surgeries may require prior authorization.
• •Insurance information is reviewed before scheduling or treatment when possible.
• •Verification of benefits does not guarantee payment by your insurance plan.

Have an HMO?

When contacting your primary care provider, you can say:

“I would like a referral to spineTECH for evaluation and treatment of my symptoms. Please send the referral and any required insurance authorization to spineTECH.”

Ask your provider to include relevant records, imaging, or test results when appropriate.

Cash-Pay Services

Services provided by Chun Brace, ND are cash-pay only and are not submitted to insurance.

Contact spineTECH before scheduling for current service and payment information.