Aliksandra accepts any insurance that covers out-of-network acupuncture treatments

Coverage can vary depending on your policy, so please be sure to complete the form below so that we can connect with your insurance provider for the details of your coverage. All information submitted through the website will remain confidential. Policies vary, so it is important to fully understand the following when researching coverage:

  • Whether you are covered

  • Whether your policy limits the number of visits per year

  • Whether your policy limits the types of ailments it covers

  • What your deductible is and whether it has been met

  • What percentage of the cost your insurance company will cover

Once you have complete this form, we will contact you within 2 -3 business days to outline the details of your exact coverage. All payment is due at the time of visit until coverage is verified. 


Patient Name *
Patient Name
Please provide the name of the person seeking to verify insurance coverage
Policy Holder Name
Policy Holder Name
Please provide the name of the policy holder if different from the patient
Month, Day, Year
Address 1
Address 2
City
State
Zip Code
Country
Blue Cross, Blue Shield, Cigna, United Health etc.
Please provide all numbers and letters
Please provide all numbers and letters
This number should be listed on the back of your insurance card
Please feel free to ask any additional questions