Insurance & Coverage | AcuHerb Community Circle
AcuHerb Community Circle

Insurance & Coverage for Acupuncture

We're in-network with UnitedHealthcare, Optum Physical Health, and the VA Community Care Network, and can help you get reimbursed even when we're not. Find your situation below.

In-Network Coverage
Optum, UnitedHealthcare, VA Community Care Network
A credentialed provider in the VA Community Care Network, administered by Optum, and participating with UnitedHealthcare and Optum Physical Health.
Veterans

VA Community Care

Eligible Veterans referred through the VA Community Care Network can receive acupuncture with us. When your care is authorized by the VA, there is no cost to you. We'll help coordinate the referral and authorization.

UnitedHealthcare & Optum

In-Network Members

We're in-network with UnitedHealthcare and Optum Physical Health. Acupuncture benefits vary by individual plan — contact us and we'll verify exactly what yours covers.

Have one of these plans?

Reach out and we'll verify your acupuncture benefits for you before your first visit.

Email: admin@acuherbcommunitycircle.com
Phone: 301-202-4053
Don't see your plan? Many plans reimburse a portion of out-of-network acupuncture. Use the checklist below when you call your insurance, then generate a summary to keep for your reimbursement claim.
Out-of-Network Benefits
How to check your out-of-network benefits:
  1. Call the member services number on the back of your insurance card.
  2. Say: "I'd like to verify my out-of-network benefits for outpatient acupuncture."
  3. Work through the questions below and type the answers as you go.
  4. Before hanging up, get the representative's name and a call reference number.
  5. Click Create My Benefits Summary — it builds a clean summary of just what you entered.

Codes to read to your insurance rep

These are the CPT codes we commonly bill. The rep may ask for them.
97810Acupuncture, initial 15 minutes
97811Acupuncture, each additional 15 minutes
97813Acupuncture w/ electrical stimulation, initial 15 minutes
97814Acupuncture w/ electrical stimulation, each additional 15 minutes
97140Manual therapy
99202–99205New patient evaluation & management
99212–99215Established patient evaluation & management

Provider information for your insurance rep

The rep may ask who the provider is. Read them this.
ProviderJaydee Jacob Robles, DACM, L.Ac.
NPI1013587153 (Individual, Type 1)
LicenseMaryland Licensed Acupuncturist #U02824
PracticeAcuHerb Community Circle
Tax ID (EIN)39-3893977
Address22685 Three Notch Rd, Suite 202, California, MD 20619
Phone301-202-4053
Emailadmin@acuherbcommunitycircle.com

Call details

For your records

Coverage basics

Ask these first
"Do I have out-of-network benefits for acupuncture? The codes are 97810, 97811, 97813, and 97814."
Any provider requirements? Some plans require a specific license type, NPI number, or credentialing.
Diagnosis restrictions? Some plans only cover acupuncture for certain conditions, e.g. chronic low back pain.
"Do I need a referral or prior authorization before starting care?"

Session limits

Costs & reimbursement

The money questions

Additional services

"Are evaluation and management codes covered when billed by an acupuncturist? Specifically 99202–99205 and 99212–99215."
"Is manual therapy — code 97140 — covered when performed by an acupuncturist?"

Submitting your claim

Build a branded summary of just the answers you entered. Keep it for your records and bring it to your first visit — we'll help you make sense of it.

Nothing you type here is sent anywhere or stored — this page runs entirely in your browser.

AcuHerb Community Circle
22685 Three Notch Rd, Suite 202, California, MD 20619
301-202-4053  ·  admin@acuherbcommunitycircle.com
In the print window, choose "Save as PDF" as the destination (on iPhone: pinch out on the preview, then tap the share icon).
AcuHerb Community Circle
Out-of-Network Benefits Summary
22685 Three Notch Rd, Suite 202, California, MD 20619