Physical and manipulative therapy for restoration versus maintenance
Physical and manipulative therapy benefits, including chiropractic benefits, are only covered with habilitative or rehabilitation diagnoses and as part of a restoration course of treatment.
Some plans may opt to cover these benefits as part of a maintenance program. However, most plans consider maintenance a noncovered service.
Please contact your assigned Anthem Blue Cross and Blue Shield Provider Relationship Management account manager.
March 2023 Anthem Provider News - Indiana