I HAVE INSURANCE
Most insurance plans are accepted at our office. We accept auto accident, workers’ compensation, personal injury and most health insurance plans. Since there are so many plans and coverage varies widely, please call us to find out if your plan covers care in our office.
We are In-Network with the following insurance companies:
- Anthem Blue Cross Blue Shield
- Blue Cross Blue Shield Illinois
- United Health Care
- Aetna
- Cigna
I DO NOT HAVE INSURANCE
For patients who have little or no insurance coverage, flexible payment programs can be arranged. If you have no insurance or do not have benefits, there is still a way for you to receive the care you need. Many patients pay directly for care, as they discover our care to be extremely cost-effective and affordable.”
Two choices of Health Care Services:
Active Care
Active Care is meant to treat current active problems complicated with poor movement, symptoms of pain, tingling, numbness, lack of range of motion, or weakness. Active care consists of physical rehab, mechanical therapy, and chiropractic services. Active Care is the only type of care considered by the insurance industry to be medically necessary and is covered by insurance benefits.
What is Active Care?
Active Care includes 3 steps of a 4 step treatment plan.
- Reduce the Symptoms
- Maintain the Reduction of Symptoms
- Recovery of Function
The first step of reducing the symptoms requires identification of the pain mechanism which produces majority of the symptoms. For example, similar to fires, identification of the type of fire will dictate what is needed to put the fire out. Wood fires require water, but spraying water on a gasoline fire will only make it worse. The same applies to pain. The pain mechanism of your condition should be identified to understand whether or not you will need pain medication, rehab, or a combination of both.
Have you ever take ibuprofen or pain medication and it not help your pain? It is because the pain mechanism was not identified correctly. Inflammation, mechanical, or a combination of both properties needs to be identified in order to resolve the problem appropriately.
The second step of maintaining the reduction of symptoms requires education and a progression of the therapeutic exercises. You as the patient will need to understand your condition regarding movements, postures, and activities. Certain movements, postures, and activities make your symptoms worse and, others make your symptoms better. Understanding what movements and postures you temporarily have to avoid, and what movements and postures you temporarily have to perform more will successfully maintain the reduction of symptoms.
The third step is recovery of function and is the pivotal step in active care. Recovery of function means to re-introduce the movements and postures that were provoking. Correct application of this step is necessary to ultimately, once and for all, resolve your condition. In order to determine whether or not something is resolved is to test it. The best tests are the established baselines of symptoms, biomechanics, and functional activity. Successfully testing these three baselines will help the patient return to their pre-injury activities.
Maintenance Care
Maintenance Care is meant to prevent future relapses and maintain healthy states after the condition has been treated. This is also known as Wellness or Preventative Care. Maintenance Care is considered by the insurance industry as non-medically necessary and is not covered by insurance benefits. For example, a comparison would be car insurance not covering oil changes and tune ups for proper vehicle maintenance.
What is Maintenance Care?
Maintenance Care is the 4th step in the treatment plan.
- Prevention
This includes periodic check-up visits in order to prevent future relapses and/or maintain healthy states. Maintenance care is great because it is entirely based on the individual to come as much or as little as they wish to continually prevent relapses. Individuals who choose regular monthly visits are easier to monitor and help maintain healthy states because of consistent instruction using tools to promote range of motion, stability, strength, and body awareness.
The insurance industry considers maintenance care to be non-medically necessary and is not covered by insurance benefits. For these reasons, we have made maintenance care service costs extremely affordable for everyone stay healthy preventing previously reoccurring problems. For example, a comparison would be car insurance not covering oil changes and tune ups for proper vehicle maintenance.
Non- medically necessary is an insurance definition that entails a large spectrum of possibilities.
You are considered non-medically necessary if:
- You have pain, but no longer make improvements within an appropriate timeframe as demonstrated by clinical guidelines, therefore you are just maintaining your current state; in other words, a plateau
- You have no pain or limiting functional problem to move
- You want to prevent relapses of past conditions
- You want to receive care and information regarding how to actively stay healthy
Maintenance care is the worth the investment because as the saying goes, “an ounce of prevention, is better than a pound of cure.”