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Strength Chiropractic
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Boost Your Health!

🏛️ Federal Medicare Guidelines for Chiropractic Services

🏛️ Federal Medicare Guidelines for Chiropractic Services

🏛️ Federal Medicare Guidelines for Chiropractic Services

According to the Centers for Medicare & Medicaid Services (CMS):

  • Medicare Part B covers only manual manipulation of the spine by a chiropractor to correct a vertebral subluxation.
  • Other services—such as X-rays, massage therapy, acupuncture, and maintenance therapy—are not covered.
  • Chiropractors must be enrolled in Medicare to bill for covered services. 

Texas State Regulations for Chiropractic Services

🏛️ Federal Medicare Guidelines for Chiropractic Services

🏛️ Federal Medicare Guidelines for Chiropractic Services

Under Texas law, chiropractic services are defined and regulated as follows:

  • Chiropractic services include necessary treatment or correction by means of manual manipulation of the spine, using hands only, to correct a subluxation.
  • Benefits are limited to services provided during the first 12 visits to any one eligible recipient by a doctor of chiropractic during any one benefit period.
  • Coverage does not extend to diagnostic or therapeutic services, or adjunctive therapies furnished by a chiropractor or by others under their direction. 

Medicare and Chiropractic Care – What You Need to Know


At Strength Chiropractic, we believe in being upfront about what we can and cannot legally do.

According to federal Medicare law and Texas state regulations, the following applies to all chiropractors:

  • Medicare only covers one chiropractic service: spinal adjustments for vertebral subluxation.
  • All other services we offer (like laser therapy, decompression, dry needling, muscle stimulation, and exams) are not covered under Medicare.
  • In order to legally treat Medicare-eligible patients, a chiropractor must be enrolled in Medicare.

We Are Not Enrolled in Medicare.

That means:

  • We cannot treat patients who are 65 or older (or otherwise Medicare-eligible) for Medicare-covered services — even if you want to pay out-of-pocket or sign a waiver.
  • This is a federal rule, not our personal policy.
  • Signing an ABN (Advanced Beneficiary Notice) does not allow us to bypass this requirement.

If you are currently 65 or older — or will turn 65 soon — we legally cannot continue your care unless we become enrolled (and we are currently not enrolled).

Sources

We Are Not Enrolled in Medicare.


That means:

  • We cannot treat patients who are 65 or older (or otherwise Medicare-eligible) for Medicare-covered services — even if you want to pay out-of-pocket or sign a waiver.
  • This is a federal rule, not our personal policy.
  • Signing an ABN (Advanced Beneficiary Notice) does not allow us to bypass this requirement.

If you are currently 65 or older — or will turn 65 soon — we legally cannot continue your care unless we become enrolled (and we are currently not enrolled).

Sources

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