AZ Blue Best Life Classic (HMO): Acupuncture

Acupuncture may help relieve chronic pain intensity. Even those with a fear of needles are able to embrace this ancient procedure.

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Cost
$15 copay per visit
Prior Authorization Required
Yes
Provider Referral or Order Required
Yes

How To Receive

Details on how to apply

Covered services include acupuncture evaluation and management; acupuncture and acupressure; modalities and therapeutic procedures for treatment of pain, musculoskeletal conditions, and nausea.

  1. Contact the AZ Blue Best Life Classic Team at 1-800-446-8331 (TTY 711) for prior authorization.

  2. Your loved one must use a qualified participating provider from American Specialty Health (ASH).

    • Call American Specialty Health (ASH) at 1-800-848-3555.

    • AHS may also help with prior authorization.

    • Qualified providers are physicians, and nurse practitioners, physician assistants, or clinical nurse specialists with a master's or doctorate degree in acupuncture or Oriental Medicine from an accredited school.

  3. Schedule the sessions with the qualified network provider.

  4. Attend the sessions and complete the treatments.

  5. The health plan provides up to 30 combined visits per year (acupuncture, chiropractic, and therapeutic massage services).

Availability
Annually, up to 30 combined visits per year

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Chronic pain originates from a previous injury, long-term repetitive motion or stress, and various medical conditions.  While chronic pain is commonly manageable with some combination of surgery, medications, physical therapy, and home exercise, many people cannot endure surgery or tolerate medications, and even those who can, they may still need additional help getting that pain under control.  Many people who have chronic pain have found acupuncture to be helpful when other treatments aren’t achieving the desired level of pain relief.

Acupuncture is an alternative or adjunct therapy in the treatment of chronic pain.  It has been used in Chinese medicine for 2,500 years.  Acupuncture involves inserting very thin, wirelike needles into the skin to various depths at strategic points on the body.  Once inserted, the needles can be manipulated by hand or with small electrical currents (electroacupuncture) by the acupuncturist.

While the research on acupuncture is growing, proper scientific evidence on its effectiveness remains weak, though many scientists and medical professionals support it and the National Center for Complementary and Integrative Health reports that an analysis of data from 20 studies (over 6,000 participants) reported that the beneficial effects of acupuncture continued for a year after the end of treatment (except for neck pain).

While acupuncture does involve inserting these wirelike needles into the skin, there is typically no bleeding or bruising, though if there is - it is minimal.

Chronic pain often does not resolve completely and that should not be the goal.  The goal is to manage it to a point where the individual can function well and do the things they want to do with tolerable pain.  To illustrate, people tend to find that a pain level of 3–4/10 does not limit their abilities or enjoyment.

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