Some plans have limitations or exclusions applicable to chiropractic care. Please check benefit plan descriptions for details. If no improvement is documented within the initial 2 weeks, additional chiropractic treatment is considered not medically necessary unless the chiropractic treatment is modified. If no improvement is documented within 30 days despite modification of chiropractic treatment, continued chiropractic treatment is considered not medically necessary. Once the maximum therapeutic benefit has been achieved, continuing chiropractic care is considered not medically necessary. Chiropractic manipulation in asymptomatic persons or in persons without an identifiable clinical condition is considered not medically necessary. Chiropractic care in persons, whose condition is neither regressing nor improving, is considered not medically necessary.
Moreover, they stated that further studies with larger groups are needed to better clarify the role of chiropractic. Kendall and colleagues noted that dizziness in the elderly is a risk factor for falls.
Neck pain is associated with dizziness and responds favorably to neck manipulation. However, it is unknown if chiropractic intervention including instrument-assisted manipulation of the neck in the elderly with neck pain could also improve dizziness.
This parallel 2-arm pilot trial was conducted in Melbourne, Australia over 9 months October to June Participants aged 65 to 85 years, with self-reported chronic neck pain and dizziness, were recruited from the general public through advertisements in local community newspapers and via Facebook.
Participants were randomized using a permuted block method to 1 of 2 groups: Activator II-instrument-assisted cervical and thoracic spine manipulation plus a combination of: Participants were blinded to group allocation. The interventions were delivered weekly for 4 weeks. Assessments were conducted 1 week pre- and post-intervention. Clinical outcomes were assessed blindly and included: Feasibility outcomes included recruitment rates, compliance with intervention and outcome assessment, study location, success of blinding, costs and harms.
Compliance was satisfactory with only 2 participants lost to follow-up; thus, post-intervention data for 12 chiropractic intervention and 10 sham intervention participants were analyzed; blinding was similar between groups. Mild harms of increased spinal pain or headaches were reported by 6 participants. The data showed a trend favoring the chiropractic group in terms of clinically-significant improvements in both NDI and DHI scores. The authors concluded that recruitment of participants in this setting was difficult and expensive.
However, a larger trial may be feasible at a specialized dizziness clinic within a rehabilitation setting. Compliance was acceptable and the outcome measures used were well accepted and responsive. Budgell and Yee noted that debate concerning chiropractic management of female infertility occurs largely in the absence of reference to the extant literature. These investigators carried out a scoping review of primary data publications on the chiropractic management of female infertility based on searches of the Index to Chiropractic Literature and PubMed, supplemented by papers from one author's archive.
A total of 10 articles, all case studies, met the review's inclusion criteria and documented the experiences of 11 women mean age of 31 years; mean period of infertility 3 years. Pregnancy occurred, on average, after 5 months of treatment with spinal manipulation and adjunctive modalities.
No adverse events AEs were reported. There are very few original data articles documenting responses of infertile females treated with spinal manipulation. The authors concluded that in the absence of a robust body of primary data literature, the use of spinal manipulation for the management of female infertility should be approached with caution. According to the National Upper Cervical Chiropractic Association, the NUCCA procedure frees the nervous system of interference by using a precise, non-invasive, gentle touch technique.
The NUCCA procedure brings several generations of clinical research to correcting the serious problem of the atlas subluxation complex. By using precise and objective x-ray views of the head and neck, mathematical measurement and analysis are made of the misalignment. Once the misalignment is understood by the doctor, there is no need for further x-rays because correlating the relationship between posture and upper cervical misalignment allows posture to then be used thereafter to judge alignment.
There is also often less need for repeated corrections because returning the bones of the neck to a normal position also normalizes function in the body. To begin, most doctors offer a consultation so that you can experience the office and make sure the people and process are a comfortable match to your needs.
This gives the doctor a chance to hear a bit about your situation, make some measurements, and discuss the potential of NUCCA treatment. The supine leg check, which shows leg length inequality, is the basic standard to determine if you have an upper cervical misalignment. Some doctors may use other devices including the Gravity Stress Analyzer and hip calipers.
Any other health problems, injuries, motor vehicle accidents, surgeries, along with other treatment programs, which include diagnostic tests and x-rays, are also evaluated and assessed. After this initial process, the doctor will begin the steps necessary in determining if your spinal column is significantly misaligned or out of balance. There is insufficient evidence to support the use of the NUCCA procedure for the management of various health conditions.
Bakris et al noted that anatomical abnormalities of the cervical spine at the level of the Atlas vertebra are associated with relative ischemia of the brainstem circulation and increased blood pressure BP.
Manual correction of this mal-alignment has been associated with reduced arterial pressure. This pilot study tested the hypothesis that correcting mal-alignment of the Atlas vertebra reduces and maintains a lower BP. Patients received no anti-hypertensive meds during the 8-week study duration. The study cohort had a mean age Lateral displacement of Atlas vertebra 1.
No adverse effects AEs were recorded. The authors concluded that restoration of Atlas alignment was associated with marked and sustained reductions in BP similar to the use of 2-drug combination therapy.
The authors stated that this pilot study had limitations including the fact that it was dependent on the skill of one practitioner to do the manipulation. It was designed, however, to test the concept that non-surgical manipulation could alleviate elevations in BP, thus it could not be generalized until confirmed in a larger trial, which is being planned.
Westersund et al stated that clinical observation and anecdotal reports suggested changes could occur to dental occlusion following intervention with the NUCCA procedure. This case-controlled study discerned if occlusion changes are measurable using a dental force plate T-Scan following an adjustment to the cranio-cervical junction CCJ.
A degree of case control was established by active patients being assessed twice prior to and following intervention. Before-after intervention assessment included posture evaluation and dental occlusion T-Scan. Findings suggested that changes in posture and occlusion could be observed after the NUCCA chiropractic procedure.
Not all patients demonstrated a more balanced contact pattern following the adjustment, indicating a need for further investigation. The authors concluded that these findings may suggest interconnectivity between the CCJ and an individual's occlusal contacts and support the need for further integration between chiropractors and dentists seeking to co-manage temporo-mandibular joint TMJ disorders.
Review History. Clinical Policy Bulletin Notes. Links to various non-Aetna sites are provided for your convenience only. Aetna Inc. Chiropractic Services. Print Share. Aetna considers chiropractic services medically necessary when all of the following criteria are met: The member has a neuromusculoskeletal disorder; and The medical necessity for treatment is clearly documented; and Improvement is documented within the initial 2 weeks of chiropractic care. Aetna considers the following chiropractic procedures experimental and investigational: Aetna considers the following diagnostic procedures experimental and investigational: Background Chiropractic is a branch of the healing arts that is concerned with human health and prevention of disease, and the relationship between the neuroskeletal and musculoskeletal structures and functions of the body.
Neuromusculoskeletal conditions commonly treated by chiropractic physicians include: Non-infectious inflammatory disorders of the joints, muscles, and ligaments of the spine and extremities. Osteoarthritis -- Intervertebral disc disorders of the spine such as disc protrusion, bulging, degeneration, and displacement. Chiropractic care for children. Arch Pediatr Adolesc Med. Ernst E.
A systematic review. Bull World Health Organ. Complementary therapies: Have they become accepted in general practice? Med J Aust. Current trends in the integration and reimbursement of complementary and alternative medicine by managed care organizations MCOs and insurance providers: Am J Health Promot.
Meeker WC. Public demand and the integration of complementary and alternative medicine in the US health care system. J Manipulative Physiol Ther. Haldeman S. Neurological effects of the adjustment. Hadler NM.
Rheum Dis Clin North Am. Vickers A, Zollman C. ABC of complementary medicine. The manipulative therapies: Osteopathy and chiropractic. Br Med J.
May 31, - Find Aetna Chiropractors & Providers with verified reviews. Make an appointment online instantly with Chiropractors that accept Aetna insurance. Summary of Benefits and Coverage: What this Plan Covers & What it Costs .. Chiropractic care - Coverage is limited to 30 visits induction to 6 attempts per oldseaportinn.com Summary of Benefits and Coverage: What this Plan Covers & What it Costs. Coverage for: If you use an in-network doctor or other health care provider, this plan will pay .. Chiropractic care - Coverage is limited to 20 visits.
A review of the incorporation of complementary and alternative medicine by mainstream physicians. Arch Intern Med. Origins, controversies, and contributions. Conlon J. Chiropractic treatment of neck and back disorders: A review of selected studies. Ottawa, ON: Shekelle PG.
What role for chiropractic in health care? N Engl J Med. Primary care physicians and complementary-alternative medicine: Training, attitudes, and practice patterns. J Am Board Fam Pract. Manipulative therapy in lower back pain with leg pain and neurological deficit. Treatment of symptomatic lumbar disc herniation using activator methods chiropractic technique.
Use of chiropractic manipulation in lumbar rehabilitation. J Rehabil Res Dev. Complementary medicine: Use and attitudes among GPs. Fam Pract. Shekelle PG, Coulter I. Cervical spine manipulation: Summary report of a systematic review of the literature and a multidisciplinary expert panel.
Find Aetna Medicare network doctors, pharmacies, dentists, and hospitals of plan benefits, exclusions, limitations and conditions of coverage. share the cost for covered health care services. NOTE: oldseaportinn.com, and view the Glossary at oldseaportinn.com . Chiropractic care. Find, Compare, and Connect With Chiropractors who accept Aetna Insurance. Read Ratings & Reviews from Other Patients. More than 3 million health.
J Spinal Disord. Turow VD. Chiropractic for children. Spinal manipulation for low back pain. An updated systematic review of randomized clinical trials.
Integrating chiropractic in managed care. Manag Care Q. Gordon JS. Alternative medicine and the family physician. Am Fam Physician. Patient characteristics, practice activities, and one-month outcomes for chronic, recurrent low-back pain treated by chiropractors and family medicine physicians: A practice-based feasibility study.
Triano JJ, Hondras M. Differences in treatment history with manipulation for acute, subacute, chronic and recurrent spine pain. Proceedings World Federation of Chiropractic, Toronto, Abenhaim L, Bergeron AM.
Twenty years of randomized clinical trials of manipulative therapy for back pain: A review. Clin Invest Med. Acute low back problems in adults. Clinical Practice Guideline No. Rockville, MD: Cost per case comparison of back injury claims of chiropractic versus medical management for conditions with identical diagnostic codes. J Occup Med. Randomized clinical trial of manual therapy and physiotherapy for persistent back and neck complaints: Subgroup analysis and relationship between outcome measures.
The treatment of acute low back pain -- bed rest, exercises or ordinary activity? Low back pain of mechanical origin: Randomized comparison of chiropractic and hospital outpatient treatment. Morton ME. Manipulation in the treatment of acute low back pain. J Manipulative Ther.
Aetna health insurance chiropractic coverage
A feasibility study of chiropractic spinal manipulation versus sham spinal manipulation for chronic otitis media with effusion in children. Nyiendo J. Patient characteristics, practice activities, and one month outcome for chronic, recurrent low back pain treated by chiropractors and family medicine physicians: A practice based feasibility study. Recovery pattern of patients treated with chiropractic spinal manipulative therapy for long-lasting or recurrent low back pain.
Vernon HT. The effectiveness of chiropractic manipulation in the treatment of headache: An exploration in the literature. J Manipulative Physiol Therapeut. Manipulation and mobilization of the cervical spine: A systematic review of the literature. Spinal manipulation for low back pain: The effectiveness of chiropractic for treatment of low back pain: An update and attempt at statistical pooling. A critical analysis of randomised clinical trials on neck pain and treatment efficacy: A review of the literature.
Scand J Rehabil Med. An evaluation of beta-blockers, calcium antagonists, nitrates, and alternative therapies for stable angina. Complement Therap Med. Efficacy of spinal manipulation for chronic headache: A systematic review of physical interventions for patellofemoral pain syndrome. Clin J Sport Med. Stevinson C, Ernst E. Risks associated with spinal manipulation. Am J Med. ACA Definitions.
Public Policy on Insurance. Arlington, VA: ACA; Available at: Accessed June 24, Manual therapy for asthma. Cochrane Database Syst Rev. Astin JA, Ernst E. The effectiveness of spinal manipulation for the treatment of headache disorders: A systematic review of randomized clinical trials. Hughes S, Bolton J. Is chiropractic an effective treatment in infantile colic? Arch Dis Child. Spinal manipulation for lower back pain.
A selected inventory of abstracts for systematic reviews on chiropractic services. Serious adverse effects of unconventional therapies for children and adolescents: A systematic review of recent evidence.
Eur J Pediatr. Hestboek L, Leboeuf-Yde C. Are chiropractic tests for the lumbo-pelvic spine reliable and valid: A systematic critical literature review.
Conservative treatment for repetitive strain injury. Scand J Work Environ Health.
Conservative treatment options for carpal tunnel syndrome: A systematic review of randomised controlled trials. J Neurol. Efficacy of spinal manipulative therapy for low back pain of less than three months' duration.
Ernst E, Harkness E. Spinal manipulation: A systematic review of sham-controlled, double-blind, randomized clinical trials. J Pain Symptom Management. Randomised controlled trial of infantile colic treated with chiropractic spinal manipulation.
Systematic review of conservative interventions for subacute low back pain. Clin Rehabil. Manipulation and mobilisation for mechanical neck disorders. Cochrane Database Systematic Rev.
Spinal manipulation for infantile colic. Technology Report Issue Chiropractic care in asthma and allergy. Ann Allergy Asthma Immunol. Patterson J. Spinal manipulation for chronic low back pain. Bazian Ltd.
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London, UK: Oduneye F. Spinal manipulation for chronic neck pain. Chiropractic biophysics lateral cervical film analysis reliability. Chiropractic biophysics technique: A linear algebra approach to posture in chiropractic.
The routine use of radiographic spinal displacement analysis: A dissent. Gore DR. Roentgenographic findings in the cervical spine in asymptomatic persons: A ten-year follow-up.
Chiropractic management of Ehlers-Danlos syndrome: A report of two cases. Costs and outcomes of chiropractic treatment for low back pain. Technology Report No. Wyatt K. Premenstrual syndrome. Clinical Evidence. Binder A. Neck pain. Kilgour T, Wade S. Infantile colic. Low back pain acute. Low back pain chronic. Herniated lumbar disc. Influence of active release technique on quadriceps inhibition and strength: A pilot study.
Ricotti V, Delanty N. Use of complementary and alternative medicine in epilepsy. Curr Neurol Neurosci Rep. Spinal manipulation for primary and secondary dysmenorrhoea. Patient perceptions of chiropractic treatment for primary care disorders. Operational characteristics of an antibody-immobilized QCM system detecting Salmonella spp. Biosens Bioelectron. PulStar differential compliance spinal instrument: A randomized interexaminer and intraexaminer reliability study.Aetna Insurance Coverage North Seattle Chiropractor
Zhang B, Fu W. Advances in piezoelectric quartz crystal biosensor and its applications. Anovel piezoelectric quartz micro-array immunosensor based on self-assembled monolayer for determination of human chorionic gonadotropin.
Detection of sulfamethoxazole by a piezoquarz immunosensor. Antibiot Khimioter. Halamek J, Pribyl J, Makower A, Sensitive detection of organophosphates in river water by means of a piezoelectric biosensor. Anal Bioanal Chem. Piezoelectric biosensors: Strategies for coupling nucleic acids to piezoelectric devices.
A biosensor for estrogenic substances using the quartz crystal microbalance. Anal Biochem. Comparison of a piezoelectric contact sensor and an accelerometer for examining mechanomyographic amplitude and mean power frequency versus torque relationships during isokinetic and isometric muscle actions of the biceps brachii.
J Electromyogr Kinesiol. Pro-Solutions for Chiropractic, Inc. Welcome to the World of Pro-Adjuster [website]. McMurray, PA: Pro-Solutions; Accessed November 10, Sense Technology Inc. The Next Generation of Chiropractic Instrumentation [website].
To obtain your Insurance ID Card, please visit oldseaportinn.com . Does the Aetna Student Health Insurance Plan cover pre-existing conditions? Yes. Chiropractic benefits with an in-network chiropractor are covered at 90% of the. Aetna* health benefits plans cover most types of health care from a doctor or .. need a referral from your PCP to access chiropractic benefits covered under. Aetna considers chiropractic services medically necessary when all of . modalities yield additional benefits over spinal manipulation alone.
Murrysville, PA: Sense Technology; Polkinghorn BS. Treatment of cervical disc protrusions via instrumental chiropractic adjustment. A pilot randomized clinical trial on the relative effect of instrumental MFMA versus manual HVLA manipulation in the treatment of cervical spine dysfunction. Chiropractic treatment of temporomandibular disorders using the activator adjusting instrument: A prospective case series.
Status of activator methods chiropractic technique, theory, and practice. Pilot study of patient response to multiple impulse therapy for musculoskeletal complaints. A randomized trial of chiropractic and medical care for patients with low back pain: Eighteen-month follow-up outcomes from the UCLA low back pain study.
A randomized trial of medical care with and without physical therapy and chiropractic care with and without physical modalities for patients with low back pain: Second Prize: The effectiveness of physical modalities among patients with low back pain randomized to chiropractic care: Findings from the UCLA low back pain study.
Dose-response for chiropractic care of chronic low back pain. Spine J. Effectiveness of four conservative treatments for subacute low back pain: A randomized clinical trial. Variability of force magnitude and force duration in manual and instrument-based manipulation techniques. Comparison of mechanical force, manually assisted Activator manipulation versus manual side posture HVLA manipulation in patients with low back pain.
J Chiropract Med. Effects of chiropractic treatment on blood pressure and anxiety: A randomized, controlled trial. Modern management of acute otitis media. Pediatr Clin N Am. Chiropractic manipulation for non-spinal pain -- a systematic review. N Zealand Med J. Adverse events associated with pediatric spinal manipulation: Ernst E, Canter PH. A systematic review of systematic reviews of spinal manipulation. J R Soc Med. A systematic literature review of nonsurgical treatment in adult scoliosis.
McElroy-Cox C. Alternative approaches to epilepsy treatment. Pilot study of the effect of a limited and extended course of chiropractic care on balance, chronic pain, and dizziness in older adults. A protocol. A retrospective analysis of self-reported symptoms from consecutive new patients presenting to a Neuro Emotional Technique chiropractic clinic. Complement Ther Clin Pract.
A randomized, placebo-controlled clinical trial of chiropractic and medical prophylactic treatment of adults with tension-type headache: Results from a stopped trial. A preliminary path analysis of expectancy and patient-provider encounter in an open-label randomized controlled trial of spinal manipulation for cervicogenic headache. Lack of efficacy of manual therapy in children and adolescents with suspected cervicogenic headache: Results of a prospective, randomized, placebo-controlled, and blinded trial.
Ferrance RJ, Miller J. Chiropractic diagnosis and management of non-musculoskeletal conditions in children and adolescents. Chiropr Osteopat. Ohm J. About the Webster protocol. Discover coverage that takes a total approach to health.
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In the event of a personal emergency, accident, illness or incarceration, the State of California will require the signature of a guardian before hospitalization or legal counsel can be obtained.
If you are under the age of 18, you are required to have your parent submit a signed form informing California College of the Arts who will be your appointed guardian. You can find this form here. In an emergency, California College of the Arts is concerned with getting a student to the hospital as quickly as possible. In the event that the college is billed for medical care a student received, the college reserves the right to directly bill the student or their family for portions of the bill which may have been paid up front by CCA.
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Registered students are covered for all medical conditions while enrolled in the plan. More information can be found here: Online Waiver FAQ. For full-time students who are enrolled in the CCA student health plan. An insurance fee is charged at registration each semester. However, other options do exist. Students are encouraged to see what options are available on the insurance marketplace.
Financial assistance may be available. All degree-seeking students who are registered at 12 or more units per semester 9 units per term for all graduate students are automatically enrolled in the Aetna Student Health Insurance Plan and One Medical membership. If you do not submit an online waiver application by the specified date, insurance premiums are automatically charged to the student's account. Dental coverage is not included. Students may purchase a separate dental plan through any carrier, such as Delta Dental.