Effective January 1, 2019, Independence will offer an
acupuncture benefit to all commercial members. To accommodate this
benefit and better serve our members, we will be expanding our network to
include acupuncture providers.
Benefit details
Acupuncture will be considered medically necessary under certain conditions,
limited to:
- Headache (migraine and tension)
- Post-operative and chemotherapy-induced nausea and vomiting
- Nausea of pregnancy
- Low back pain
- Pain from osteoarthritis of the knee and hip
- Chronic neck pain
The use of acupuncture for other conditions will be considered
experimental/investigational and will not be
covered.
Providers should use the Eligibility and Benefits Inquiry transaction on the
NaviNet? web portal to confirm individual member benefits.
Acupuncture network
If you are licensed to practice acupuncture in your state and would like to
provide acupuncture for the conditions outlined above, you may submit a request
to join the Independence Blue Cross network. For information on our network
credentialing process and credentialing criteria, please visit our website. You can apply by completing the online Provider Participation Form.
Note: The licensing rules for acupuncturists differ by state.
Providers should refer to their state’s licensing board for
guidelines.
If you meet the criteria to join our network, your information will be
displayed in our Find a Doctor tool. We ask that you
submit your application early to allow Independence time to review and process
your credentialing request.
If you have questions about the network or credentialing process, please
email us at specialistsrequests@ibx.com.
Updated policy
Medical Policy #12.00.01f: Acupuncture was expanded to capture information
related to this new benefit. It was posted as a Notification on October 2,
2018, and will go into effect January 1, 2019.
To view the Notification for this policy, visit our Medical Policy Portal
and select Accept and Go to Medical Policy Online. Then select
Commercial under Active Notifications.
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