Insurance Coverage

Understanding insurance coverage can be confusing and overwhelming (even for us, at times!), but that shouldn’t stop you from receiving the care you need. We help our patients identify their individual coverage and, from there, develop an appropriate and accessible plan of care, regardless of any potential coverage restrictions.

Please see below for detailed information regarding our accepted health insurance plans.

AETNA

CIGNA

FALLON

HARVARD PILGRIM

BLUE CROSS BLUE SHIELD

  • An authorization form may be required at or after your 13th visit, depending on your specific plan type under Blue Cross Blue Shield of MA.

MASS GENERAL BRIGHAM (MGB)

  • We are not in network with their ACO Plan (Medicare/MassHealth) or their ASO Value HMO Plan.

  • We are in network with their Commercial and ASO Plan.

TUFTS COMMERCIAL PLANS

  • We are not currently in network with Tufts Health Connector or Tufts Direct/BMC Plans.

  • If you are unsure which type of Tufts plan you have: If there are letters in your Member #, we are not in network with that plan type.

UNITED HEALTHCARE / OPTUM HEALTH

  • An Optum authorization form may be required to complete, depending on your specific plan type under United Healthcare.

MEDICARE

  • Medicare will not cover: Initial Assessment / Additional Therapies, including trigger point release, therapeutic massage, electric stimulation, etc. There is an additional form to sign when in the office, required by Medicare. It is called an Advance Beneficiary Notice (ABN) of non-covered services that will further explain coverage information.

  • If you don’t have a supplemental insurance, Medicare will only cover 80% of the covered services, meaning you will have a 20% co-insurance on those services.

  • If you have a supplemental insurance, most of the time your supplemental insurance will cover the 20% co-insurance but will not cover the additional therapies as stated above. This would require you to pay out of pocket should you choose to utilize those therapies. More on this information is included in the ABN.

*Some treatments/therapies may not be covered by your insurance and may result in an out-of-pocket expense to cover the difference. While these enhance the benefits of chiropractic adjustments, you always have the option to opt out of these treatments.

Don’t see your insurance plan above?

If you do not see your insurance plan listed above but are interested in receiving care through your insurance, please email us at hello@wynnewellness.com. We are always happy to reach out to our credentialing team in a effort to inquire about joining additional networks.