McCown Chiropractic is accepting Medicare patients
Please complete before your first appointment:
_____________________ is my primary insurance ( bring your card)
If MEDICARE is your PRIMARY call 1-800-633-4227 to determine your chiropractic benefit.
If you ASSIGNED your Medicare benefit to KAISER, call membership services (360-636-2400) to find out the following:
o Yes, I have DIRECT ACCESS /SELF-REFERRAL benefit.
$______ My co-pay?
_______ Number of visits allowed per year?
o No, I do not have a direct access/self referral benefit. To use my Kaiser insurance, I need a referral from my medical doctor.
If you ASSIGNED your Medicare benefit to an insurer such as Regence, Premera, Sterling, Humana, Secure Horizons, or AARP call the number on your card to determine your benefit.
o Yes o No Are Dr. Nancy and Dr. Kelly McCown providers in your plan?
o Yes o No Are examinations covered?
o Yes o No Are x-rays covered?
o Yes o No $______co-pay?
o Yes o No Deductible $____________
_______number of visits allowed per year?
We offer affordable time of service rates if you have no coverage.