AZ Blue Best Life Plus (HMO): Acupuncture for Chronic Low Back Pain

Acupuncture for long-term back pain relief. Even those with a fear of needles are able to embrace this ancient procedure.

Access all my benefits
Get more personalized support for free with Helpful.

Get insurance benefits, legal documents, and medical records in one place

Cost
$30 copay per visit
Prior Authorization Required
Yes
Provider Referral or Order Required
Yes

How To Receive

Details on how to apply

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

  2. The member 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. If no improvement or there is regression, the sessions must be stopped.

  6. The health plan provides up to 12 visits in 90 days.  With authorization, an additional 8 sessions are covered for those demonstrating improvement.  No more than 20 acupuncture treatments may be administered annually.

    • The AZ Blue Best Life Plus Team at 1-800-446-8331 (TTY 711) must be contacted again for continued authorization.

Availability
Annually, up to 12 visits in 90 days for beneficiaries meeting criteria and no more than 20 per year
Access all my benefits

Get more support and guidance on insurance benefits, medical records and legal forms.

Helpful brings together your insurance benefits, legal documents, and medical records in one personalized place — so you always know what you have, and never have to search again.

banner

Chronic back pain originates from a previous injury, long-term repetitive motion or stress, and medical conditions of the spine or chest.  While back 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, may still need additional help getting that pain under control.  Many people who have chronic back pain, especially low back 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 at 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 back 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.

For back pain that has lasted 12 weeks or longer, is non-specific (has no identifiable systemic cause such as metastatic, inflammatory, or infectious disease), is not associated with surgery, and is not associated with pregnancy.

Access all my benefits

Simplifying Healthcare, Supporting Mental Health

An all-in-one solution to help navigate the complexities of healthcare and support for mental health, for you or your loved one.

sync

Manage All Your Health Info in One Place

Learn More

therapy

In-Network Mental Healthcare

Find a Therapist

legal

Create Legal Documents to Guide Your Care

Learn More

call insurance

Let Us Call Your Insurance So You Don't Have To

Learn More

insurance

Maximize Your Insurance Benefits

Learn More

money

Manage a Health Condition with Confidence

Learn More