VNS Health EasyCare: 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.

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Cost
$0
Prior Authorization Required
No, though limitations apply
Provider Referral or Order Required
No

How To Receive

Details on how to apply

  1. Contact the VNS Health EasyCare Team at (866) 783-1444 (TTY 711) for prior authorization.

  2. Locate a qualified network provider: Click on the Specialists tab on the page, then click on Acupuncture.

    • 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 20 visits in 90 days.  With authorization, an additional 8 sessions are covered for those demonstrating improvement. 

    • The VNS Health EasyCare Team at (866) 783-1444 (TTY 711) must be contacted again for continued authorization.

Availability
Annually, up to 20 visits in 90 days for beneficiaries meeting criteria

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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.

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