Frequently Asked Questions (FAQs) About Chiropractic Care
What chiropractic services are covered?
Each member's health benefit plan defines the type of chiropractic services that are covered, limited, and/or excluded. Therefore, members and their providers are encouraged to consult their benefit plan and member handbook to determine whether any specific limitations or exclusions for this service apply. Please note that although a service or supply is authorized, certified, or found to be medically necessary, this does not mean that the service or supply will automatically be paid for or covered.
How does the member qualify for chiropractic coverage?
In order to qualify for chiropractic coverage, you must have a painful and acute muscular skeletal condition that is not life threatening. Further, any proposed services or procedures must not be inappropriate for the condition or outside the practitiooners clinical scope of practice.
In general, what conditions typically do NOT qualify for chiropractic coverage?
• Services that are not medically necessary
• Services that are outside the practitioner's scope of practice
• Services that have not been proven effective
• Conditions or diseases where chiropractic treatment is contraindicated
• Investigational and/or experimental services or treatment
• Maintenance, Preventative or Wellness Care unless the member's plan provides such benefits
Does Palladian have licensed chiropractors on staff?
Yes! Palladian employs Clinical Peer Reviewers (CPR) who hold unrestricted licenses and registrations to practice chiropractic. Each CPR has a minimum of five (5) years experience and has been appropriately trained in the principles, procedures, and standards of Palladian Muscular Skeletal Health. CPRs are available to speak with practitioners during regular business hours to discuss the facts of a case. In addition, if an urgent situation exists regarding a member's treatment, Palladian's Clinical Director can be reached 24 hours per day.
How can I contact Palladian?
Please contact our Customer Service Department, Monday through Friday, between 8:30 am and 5:00 pm EST.
