Complementary and Alternative Medicine Services and Coverage
To meet the rising demand for complementary and alternative care services, Group Health provides options for you to access these services. Coverage varies based on your health plan and benefits. If your plan does not cover these services, you still have access to the Complementary Choices discount program.
Most of our plans cover a limited number of acupuncture, naturopathy, and chiropractic visits without requiring a referral from your personal physician or primary care provider. Massage therapy services require a referral from your personal physician if he or she determines the services are medically necessary. Your personal physician also may provide referrals to acupuncturists or naturopathic physicians if he or she determines the care is medically necessary.
For services that your health plan covers without requiring a referral, we contract with a network of chiropractors, naturopaths, acupuncturists, and massage therapists. All of our contracted providers meet both our credentialing standards and state or local licensing requirements.
Use our Provider Directory to find the type of specialist you are looking for.
Complementary Choices Discount Program
When your care doesn't meet Group Health's coverage or referral criteria or if you've used all your covered visits, Group Health's Complementary Choices program offers a 20 percent discount on services from complementary and alternative medicine providers in our contracted network.
To find massage therapy, acupuncture, naturopathy, and chiropractic providers in our contracted network, use the Provider Directory. You can use your discount whenever you receive non-covered services from these providers.
To receive your discount, you must use a provider listed in our Provider Directory. A provider's inclusion does not constitute Group Health's endorsement of the quality of a provider's work or a guarantee of availability.
Fitness Training, Yoga, Tai Chi, and Pilates
The Complementary Choices program also offers discounts for certain wellness and prevention services that are not covered by our health plans, including personal fitness and exercise trainers and yoga, tai chi, and Pilates instructors. To find a trainer or instructor, go to the Complementary Choices directory and select the type of provider you are looking for.
Some areas may not yet have local availability for all services. We expect the Complementary Choices network to grow and are recruiting personal fitness trainers and yoga, tai chi, and Pilates instructors.
If your favorite yoga, tai chi, or Pilates instructor or personal trainer is not in the Complementary Choices directory, you may nominate them for inclusion. Go to the Complementary Choices directory and search for a provider. At the bottom of the results page is a link for nominating a new provider.
Billing and Payments
It's simple to use your Complementary Choices discount. When you make an appointment, tell the provider that you are a Group Health member. Show your Group Health ID card at the beginning of your visit and ask for the 20 percent discount.
You don't need paperwork or referrals, and no copayments or coinsurance apply. You are responsible for paying the provider at the time of service.
The program covers office visits, classes, and sessions. There are no limits to the number of visits, classes, or sessions to be eligible for the discount. It does not include laboratory tests, X-rays, or any products the provider may recommend, including herbal or nutritional supplements (or nutraceuticals). The discount does not apply to copayments or coinsurance for covered services.