Insurance Coverage &
Understanding insurance can feel overwhelming. At Aligned Modern Health, we work with many major insurance plans and help you understand what to expect before, during, and after your care.
In-Network by Service
In-network status varies by plan, service, and location. This chart reflects common coverage patterns but does not guarantee coverage. Final determination is made by your insurance provider.
In network
Not listed as in-network
In network
Not listed as in-network
Insurance plan
Acupuncture
Chiropractic Care
Functional Medicine
Hormone Health
Peptide Therapy
Aetna
Blue Cross Blue Shield HMO (Referral required)
Blue Cross Blue Shield PPO
Cigna
TriWest / VA (Referral required)
United Healthcare
Aetna
- ✓ Acupuncture
- ✓ Chiropractic Care
- ✓ Functional Medicine
- ✓ Hormone Health
- ✓ Peptide Therapy
Blue Cross Blue Shield HMO (Referral required)
- â—‹ Acupuncture (Not listed as in-network)
- ✓ Chiropractic Care
- â—‹ Functional Medicine (Not listed as in-network)
- â—‹ Hormone Health (Not listed as in-network)
- â—‹ Peptide Therapy (Not listed as in-network)
Blue Cross Blue Shield PPO
- ✓ Acupuncture
- ✓ Chiropractic Care
- ✓ Functional Medicine
- ✓ Hormone Health
- ✓ Peptide Therapy
Cigna
- ✓ Acupuncture
- â—‹ Chiropractic Care (Not listed as in-network)
- ✓ Functional Medicine
- ✓ Hormone Health
- ✓ Peptide Therapy
TriWest / VA (Referral required)
- ✓ Acupuncture
- ✓ Chiropractic Care
- â—‹ Functional Medicine (Not listed as in-network)
- â—‹ Hormone Health (Not listed as in-network)
- â—‹ Peptide Therapy (Not listed as in-network)
United Healthcare
- ✓ Acupuncture
- ✓ Chiropractic Care
- ✓ Functional Medicine
- ✓ Hormone Health
- ✓ Peptide Therapy
Don’t see your insurance plan? We also accept additional plans, including CHAMPVA, Harvard Pilgrim, Medical Mutual, Priority Health, and UPMC. Contact our team to confirm participation for your specific plan and service.
Before You Schedule
- Plan participation and appointment availability vary by plan, provider, service, and state.
- Contact our team first to confirm provider availability and appointment timing for your plan and service.
- Confirm benefits directly with your insurance provider before scheduling. Final coverage is determined by your insurance provider.
How Insurance Works at Aligned Modern Health
We guide you through each step so you know what to expect before, during, and after your visit.
STEP 1
Before Your Visit
- Copays: Collected before your appointment when required by your plan.
- Coverage: Confirmed directly with your insurance provider.
- Deductibles: If you haven’t met yours, you’ll likely pay the full contracted rate until it’s met. We will bill you after insurance processes.
STEP 2
During Your Care
- We submit your covered services to your insurance on your behalf.
- Some specialty testing, services, and prescriptions are not covered by insurance.
- Your doctor or clinical care coordinator reviews these details with you before ordering.
STEP 3
After Insurance Processes
- Once your claim is processed, you’ll receive an email and text with a detailed statement in your patient portal.
- The statement shows what your insurance covered and what you owe.
- Your card on file is charged the same day or within a few days, and a receipt is emailed.
Understanding Common Insurance Terms
Copay
A fixed amount you pay for a visit or service, typically due at the time of care.
Deductible
The amount you pay out of pocket before your insurance begins covering eligible services.
Coinsurance
Your share of costs for covered services after your deductible is met, usually expressed as a percentage.
Self-Pay
Paying out of pocket for your care, without involving an insurance provider.
Labs, Testing & Specialty Services
Some services fall outside standard office visits and are billed separately.
Labs
Some or all of your lab costs may be part of your insurance benefits. Please note depending what lab tests are ordered, you may receive billing from both Aligned Modern Health and our lab partners.
Self-Pay & Specialty Test Kits
Please note specialty test kits are not reimbursable by insurance.
Medications & Compounded Prescriptions
Your personalized compound prescription and nutraceuticals will not be covered by insurance and will be reviewed with you before ordering.
Service-Specific Coverage
Coverage varies by service and plan. Our team can help clarify and answer your questions before care begins, however coverage must be confirmed by your insurance provider.
Schedule an Appointment
Fill out the form below and our team will get back to you as soon as possible. For immediate assistance, please call 773-598-4387.
