Insurance Coverage Checklist

Call the customer service phone number on the back of your insurance card and ask the following questions:

Is Seth Touchet L.Ac in-network with my plan?

Acupuncture

• Acupuncture coverage? (Yes/No)
• Prior authorization required? (Yes/No)
• Limits to coverage?  Number of visits or dollar amount?
• Co-pay or co-insurance? How much?_____________
• Is acupuncture subject to a deductable?  If so, How much has already been met this year?