Frequently Asked Questions
Some Frequent Questions about our Functional, Integrative Medicine Services, and Wellness Based Services
It depends on what you are seeking care for. Check under "Insurance Based Care" tab on our website for services typically covered by insurance. Please note, your insurance does NOT cover chiropractic care for wellness, palliative care, and maintenance care. All services mentioned on our website under "Wellness-Based Care" is not covered by any insurance.
Some providers at Back in Line are In-Network with Blue Cross Blue Shield (PPO), Cigna, Health Partners, Midlands Choice, and Auxiant for traditionally covered chiropractic care and therapies. The providers are NOT-participating with Medicare and you can read more about that here. Some patients elect to seek Chiropractic care for things their insurance deems "not medically necessary" so while they may have chiropractic benefits, their condition or reasoning for seeking chiropractic care would be considered "investigational" or "not medically necessary" for reimbursement by their insurance company.
No. Dr. CJ, Jill Reese, PA-C, Brittney Pfiffner, and Dara Price - are out-of-network at 1212 Dina Court for services they provide.
In-network healthcare providers provide specific services at pre-negotiated rates as agreed upon with insurance companies. Covered services typically address general musculoskeletal issues like neck pain, back pain, and tendonitis. In the chiropractic and manual therapy realms, your care is only covered if there is an active treatment plan in place with focus on getting you to symptom resolve as it pertains to traditionally covered musculoskeletal care. (chiropractic adjustments, manual therapies such as therapeutic exercises, and soft tissue care).
Out-of-network providers aren't restricted by insurance contracts, enabling personalized, wellness-focused care beyond standard coverage. While in-network providers align with insurance guidelines, many patients value the tailored, integrative approach of out-of-network care, often appreciating cost benefits with high-deductible plans. These care plans may include diet and lifestyle adjustments for comprehensive health.
Common non-covered conditions include fertility issues, sinus infections, abdominal scar tissue, gut health concerns, hormone imbalances, thyroid and cardiovascular screenings, and holistic chiropractic care.
No. Providers using functional and integrative medicine at Back in Line don't work for insurance companies because we are not practicing within the standard-of-care. Insurance is diagnosis centered and patients have to have certain symptoms and parameters for lab testing to be covered. Integrative and functional medicine strive to offer individualized care based on many factors specific and unique to each patient. Too many times people have entered our office feeling like garbage but told there's nothing that can be done because their labs are within range or there isn't anything on their imaging that is significant. They are told to go home and wait until the labs go out of range, then they can be labeled with a diagnosis code and submit to insurance for treatment. Waiting until you are sick and symptomatic enough to get treatment isn't healthcare. Additionally, many of our patience appreciate our preventative screening tools and desire to be more informed about their health status right NOW. Patients that seek care with us should know they are a BIG player in their own success of preventing or reversing disease states.
By going outside of insurance, you're in charge. There isn't a third party (your insurance provider) dictating what you can and cannot do based on what will or won't be covered. The decision it between you and the provider. The other reality is that you are paying more by using insurance. The average yearly premium for a family is $12,492. The average family deductible is $8,439. You're paying almost $21,000 per year to finally be able to use your insurance. And what you don't get for that $21K? You get your diagnoses 'managed.' Or, if you don't typically hit your deductible in the first place, you're probably not getting as in-depth of labs and evaluation to prevent major diseases like cardiovascular disease, type II diabetes, and cognitive decline. You feel fewer symptoms as the underlying reason(s) do not get addressed.
Absolutely! We think these are they best type of plans on the market as YOU can decide where you want to spend your healthcare dollars and get tax savings on top.
Most likely yes. It WILL NOT apply towards your deductible but most patients would appreciate much more in-depths lab testing and an individualized approach to their health.
The labs we chose to preform are not diagnostic. They are intended to create understandings of functional deficiencies, inflammation, sensitivities, toxicities, and imbalances that will be addressed diet, lifestyle, and nutritional solutions. Occasionally, someone may need a prescription based on their lab values and our providers are able to manage, or refer when that is necessary. We require our patients to maintain relationships and yearly appointments with their primary care provider. The providers at Back in Line DO NOT replace your PCP.
The traditional labs that your traditional provider orders are great at diagnosing and ruling out immediate danger but they are NOT designed to rule in health.
No. She is a functional medicine trained chiropractor. If your labs indicate a clinical diagnosis, she will tell you and encourage you to follow-up with your PCP. She will often have you sign a release of records and will have the office send to your PCP.
Depends. If it fits within her training and focus with regards to your cardiovascular assessment, yes. If it pertains to thyroid, hormones, or anything else, at this time, no.
