If you choose to go through insurance, please bring your insurance card and drivers license with you to your appointment. We will use these to verify your insurance coverage and gather the information necessary to secure your potential insurance coverage specific to RAK Chiropractic.
Your insurance coverage will then be reviewed and explained to you in GREAT detail during your follow up, second appointment along with how your insurance coverage influences your chiropractic care at RAK Chiropractic.
Until we have been able to complete your insurance verification process, you will be required to pay for your care. Once all insurance information has been gathered and your insurance coverage has been verified, any payments you have made will be applied to your co-payment, co-insurance, deductible, or uncovered services. This could result in a portion or a credit. Coverage will then be confirmed upon the review of your Explanation Of Benefits, once they are received. If you have 100% coverage, payments will be refunded.
There may be guildelines, limitations, and restrictions with insurance you may be unaware of.
Most health policies are designed and intended to only take care of acute conditions deemed ‘medically necessary‘. Insurance will only cover a painful, neuromuscular skeletal condition caused by subluxations that prevent your daily living activities.
If you are planning to use insurance, we ask that ALL of the following paperwork to be completed in full detail.
Please print, fill out these forms and bring to your appointment. If you cannot do them ahead of time we ask that you arrive 30 minutes prior to your appointment.
*We do not accept and or participate with UCare, Medicaid, and Medicare
The majority of our patients choose this option because it is the simplest and easiest route, therefore these patients typically achieve better results.
New Patient Intake Form
Child Form (for any under 10)
At RAK Chiropractic, your health is a concern for us. Therefore we have great investment savings plans for not only just an individual but for the ENTIRE family! Most patients use their Health Savings Account, Flex Spending Account or their own personal funds for our savings plans.
RAK Chiropractic offers:
- Pay Per Visit
- Investment Savings Plans
- Affordable Monthly Payment Plans