This policy is consistent with Medicare’s coverage determination. The Company’s payment methodology may differ from Medicare.
Subject to the terms and conditions of the applicable Evidence of Coverage, chiropractic services are covered under the medical benefits of the Company’s Medicare Advantage products when the coverage criteria listed in this medical policy are met. However, services that are identified in this policy as not medically necessary or not covered are not eligible for coverage or reimbursement by the Company.
Additional chiropractic manipulation services may be available based on the member's evidence of coverage.