Insurnace Policy | Hopespring Wellness

Hopespring Wellness Insurance &
Payment Information

Accepted Insurance Plans

At Hopespring Wellness, we currently accept and are in-network with only the following three insurance plans:

✅ Premera
✅ Regence
✅ Aetna

If your insurance provider is not listed above, please call or text us at 425-392-8881. We’ll be happy to discuss available payment options with you.

Insurance Plans We Are Not In-Network With

We are not currently in-network with or accepting the following plans:

❌ Cigna
❌ Kaiser
❌ UnitedHealthcare (UHC) Community Plan
❌ Medicare plans
❌ Medicaid, including Molina, Amerigroup, and Apple Health
❌ Any insurance plan used as a supplemental or secondary plan to Medicare or Medicaid
❌ EPO plans within Blue Cross/Blue Shield

Please note that this list is not exhaustive. If you have an insurance plan other than Premera, Regence, or Aetna, please contact our office before scheduling if you have questions about coverage or payment options.

Understanding Your Insurance Benefits

Even if we are in-network with your insurance company, your specific plan may have different benefits, exclusions, deductibles, visit limits, or requirements for acupuncture services.

As a courtesy, our office may verify your insurance benefits. However, information provided by an insurance company is not a guarantee of coverage or payment. Final coverage is determined by your insurance company after a claim is processed.

We understand that insurance can be confusing and that many patients may not be fully aware of the details of their coverage. Ultimately, each patient is responsible for understanding their individual insurance benefits and for any charges not covered by their insurance plan.

If you would like to confirm your coverage before your visit, call the customer service number on the back of your insurance card and ask:

✅ Is Hopespring Wellness (Hopespring Oriental Medicine PS) an in-network provider under my specific plan? You may also provide the insurance representative with the name of your treating provider.

✅ Does my plan include acupuncture benefits?

✅ Are my acupuncture benefits combined with chiropractic, massage therapy, physical therapy, or other services?

✅ Do I have a deductible, and does the deductible apply to acupuncture services?

✅ How many acupuncture visits are covered per calendar year or benefit year?

✅ Do I have a copay or coinsurance for each visit?

✅ Is there a separate copay or coinsurance for an initial evaluation or office visit (such as CPT code 99203) in addition to acupuncture treatment?

✅ Is prior authorization, referral, or pre-certification required before receiving treatment?

✅ Have I met my deductible or out-of-pocket maximum for the year?

📌 Helpful Tip: When speaking with your insurance company, ask for the representative’s name and a reference number for the call. Keep this information for your records.

Medicare, Medicaid, and Supplemental Insurance

Hopespring Wellness does not accept Medicare or Medicaid, including plans administered through Molina, Amerigroup, Apple Health, or similar programs.

We also do not accept commercial insurance plans when they are being used as a secondary or supplemental plan to Medicare or Medicaid, even if that insurance company is otherwise one of the plans we accept.

For example, if Premera, Regence, or Aetna is secondary to Medicare or Medicaid, we are unable to bill or accept that plan for your treatment.

Patients in this situation are welcome to ask about our available self-pay options.

Out-of-Network & Cash Payment Options

If we are not in-network with your insurance plan, you may still have out-of-network benefits that provide partial reimbursement for your visits. Please call the customer service number on the back of your insurance card to ask whether your plan includes out-of-network acupuncture coverage.

For patients without insurance coverage, patients whose plans do not cover acupuncture, or those who prefer not to use insurance, we offer self-pay options.

We also offer discounted cash rates for Medicare and Medicaid patients and a senior discount for patients age 65 and older.

Discounted rates apply when an appropriate treatment plan is agreed upon in person and payment arrangements are made according to clinic policy. Payment is generally due on the day services are provided unless an approved payment plan has been arranged.

A valid photo ID may be required for treatment and insurance verification.