How to Verify Your Molina Acupuncture Benefits
- Call the member services number on your Molina ID card.
- Ask if acupuncture is covered under your specific plan and state.
- Confirm covered diagnoses, visit limits, and cost-sharing.
- Ask whether prior authorization is required before treatment.
- Verify whether your provider must be in-network.
- Request the benefit reference section from your Evidence of Coverage.
Frequently Asked Questions
Does Molina Healthcare cover acupuncture?
It depends on the plan and state. Some Medicaid plans cover acupuncture for specific pain conditions, and many Medicare Advantage plans cover acupuncture for chronic low back pain under Medicare rules.
Is prior authorization required?
Often yes, especially for Medicaid plans. Authorization rules vary by state and plan.
How many visits are covered?
Visit limits vary. Medicare Advantage plans typically allow up to 20 visits per year for chronic low back pain when criteria are met.
Is acupuncture covered for wellness?
Generally no. Coverage is usually limited to medically necessary treatment for covered diagnoses.
What if my plan documents don’t list acupuncture?
If acupuncture is not listed, it is typically not covered and may require self-pay.