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Important Insurance Network Update

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UnitedHealthcare Coverage Change at Triskelia Wellness

Triskelia Wellness is announcing an upcoming insurance network change that may affect patients covered under UnitedHealthcare.

Effective April 1, 2026, Triskelia Wellness will no longer participate as an in-network provider with UnitedHealthcare.

This announcement is being shared in advance to provide adequate time for patients to review their coverage, evaluate care options, and make informed decisions regarding their treatment.

What This Means

  • Appointments prior to April 1, 2026 will be processed normally through UnitedHealthcare.
  • Beginning April 1, services will be provided on a self-pay basis for UnitedHealthcare members.
  • Claims will no longer be submitted directly to UnitedHealthcare.
  • Patients may submit superbills independently for potential out-of-network reimbursement, depending on their specific plan benefits.

Reimbursement eligibility and amounts are determined solely by the insurance carrier.

Why This Change Is Being Made

After careful evaluation, this decision was made to support a care model that prioritizes:

  • Extended appointment time and individualized treatment
  • Greater clinical flexibility without insurance limitations
  • Transparent and predictable pricing
  • Reduced administrative burden that can interfere with patient care

The goal is to maintain a patient-centered environment focused on clinical outcomes rather than billing constraints.

Care Options Available

Patients impacted by this change have two primary options.

Option 1: Continue Care at Triskelia Wellness

To maintain affordability and consistency of care, structured membership plans are available.

Root Path — $109 per month

  • 2 visits per month
  • Included therapy sessions
  • 10% discounts on select services

Renewal Path — $199 per month

  • 4 visits per month
  • Included therapy sessions
  • 10% discounts

Flourish Path — $279 per month

  • 6 visits per month
  • Included therapies
  • 15% discounts
  • Family visit sharing

Additional options include prepaid care packages and single-visit self-pay pricing.

For many patients, membership pricing is comparable to — or lower than — typical insurance copays, particularly when deductibles are considered.

Option 2: Transition to an In-Network Provider

Patients who prefer to remain in-network may choose to transition to another provider.

Triskelia Wellness will provide:

  • Complete medical records upon request
  • Care summaries to support continuity
  • Assistance with documentation during the transition

There is no obligation to continue care, and support will be provided regardless of the decision made.

Cost Considerations

Insurance plans often include:

  • $50-$100 copays per visit
  • Annual deductibles ranging from $1,000-$3,000+
  • Visit limitations

Example scenario (2 visits per month):

Insurance copays: $100-$200 monthly
Root Membership: $109 monthly

Example scenario (4 visits per month):

Insurance copays: $200-$400 monthly
Renewal Membership: $199 monthly

Patients with out-of-network benefits may receive reimbursement ranging from 50-80% of visit cost after submitting a superbill.

Patients are encouraged to contact the member services number on their insurance card and ask:

  • Do I have out-of-network chiropractic benefits?
  • What percentage is reimbursed?
  • How do I submit claims?

Frequently Asked Questions

Does this affect Medicare patients?

No. Triskelia Wellness remains a Medicare-enrolled provider.

Will treatment protocols change?

No. Clinical care remains the same. The change primarily affects billing structure and insurance submission.

Can membership be canceled?

Yes. Memberships are month-to-month and may be canceled with 30 days’ notice.

What if cost is a concern?

Flexible options and limited hardship accommodations are available. Patients are encouraged to discuss financial concerns directly with the office.

Why is Triskelia Wellness going out-of-network with my insurance?

This decision allows us to focus on what we do best—providing personalized, effective care without insurance restrictions. It means more time with you, more treatment flexibility, and transparent pricing. We believe this will ultimately serve you better.

Did my insurance company drop you?

No. This was our decision, made thoughtfully and with your best interests in mind. We want to build a practice model that prioritizes your wellness above administrative requirements.

When does this take effect?

April 1, 2026. Any appointments before this date will be processed normally through your insurance.

What if I want to keep seeing you?

We’d love to continue caring for you! We offer several affordable options:
– **Membership Plans** (Root, Renewal, or Flourish)
– **Care Packages** (prepaid bundles)
– **Single-Visit Pricing** (pay per visit)
Most patients find that membership provides the best value and consistency.

What if I need to find an in-network provider?

We completely understand, and we’re here to help. We’ll provide:
– Your complete medical records
– Referrals if you’d like recommendations
– Answers to any questions about your care
There’s no judgment—your health comes first.

Can I try membership for a month and decide later?

Absolutely! Our memberships are month-to-month with no long-term commitment. You can cancel anytime with 30 days’ notice.

Will this cost me more money?

Not necessarily—and sometimes it’s actually **less expensive**. See the comparison chart below. Many insurance plans have high copays, deductibles, and visit limits that make membership more affordable.

Can I still get reimbursed from my insurance?

Possibly. Many insurance plans offer out-of-network benefits. You would:
1. Pay at time of service
2. Submit a receipt/superbill to your insurance
3. Receive reimbursement directly (if your plan covers out-of-network care)

We’ll provide the necessary documentation. However, we cannot guarantee coverage or reimbursement amounts—that’s between you and your insurance.

What if I can’t afford care right now?

Please talk to us. We offer:
– Flexible membership options at different price points
– Care packages you can use over time
– A limited Financial Assistance Program for temporary hardship situations
We never want cost to be a barrier to your wellness.

What’s included in the memberships?

Each membership includes:
– A set number of chiropractic visits per month
– Included therapy sessions (Basic and/or Advanced)
– Discounts on Healing Arts, Shockwave, Needling, and Supplements
– Annual orthotic credit
– Predictable monthly pricing
See the comparison chart for details.

Do unused visits roll over?

No. Memberships are designed for consistent care each month. Visits don’t roll over because regular, steady care produces the best results for your body.

Can I share my membership with family?

The **Flourish Path** includes family sharing for visits (not discounts). Other memberships are individual.

How do I sign up for a membership?

Just ask at the front desk, call us, or mention it at your next appointment. We’ll walk you through your options.

Will my care change?

Your **treatment** won’t change—you’ll still receive the same high-quality chiropractic care. What will change is more time and flexibility during your appointments, since we won’t be bound by insurance limitations.

What if I have a current treatment plan?

We’ll honor your current plan and help you transition smoothly. If you’re in active care before April 1st, we’ll work with you to make sure there’s no interruption.

Will you still accept Medicare?

Yes. We remain a Medicare-enrolled provider. This change only affects [Aetna/UnitedHealthcare] members.

What should I do now?

Review the Cost Comparison Chart below
Check if your insurance has out-of-network benefits (call the number on your card)
Decide which option feels right for you
Talk to us! We’re happy to answer questions and run the numbers with you

Who can I talk to if I have more questions?

Call us at **(603) 432-3333**, reply to the email, or ask at your next visit. We’re here to help you make the best decision for your health and budget.

What About Deductibles?

Many insurance plans require you to meet a **deductible** before coverage kicks in. If your deductible is $1,000-$3,000+, you may be paying **full price** for chiropractic visits early in the year anyway.

Example:

– Insurance plan with $2,000 deductible
– Chiropractic visits billed at $150 each
– You pay $150/visit until deductible is met
– **Membership saves you money immediately** while deductible is building

What About Out-of-Network Reimbursement?

If your plan offers out-of-network benefits, you might get reimbursed for **50-80%** of the visit cost.

Example:

– You pay $55/visit (self-pay rate)
– Insurance reimburses 70% = **$38.50 back**
– Your actual cost = **$16.50/visit**

Check your plan: Call the number on your insurance card and ask:

– *”Do I have out-of-network chiropractic benefits?”*
– *”What’s my reimbursement rate?”*
– *”How do I submit claims?”*

The Bottom Line

For many patients, **membership costs the same or less** than insurance copays—and includes therapies, discounts, and more personalized care.

Let us run the numbers with you.** We’re happy to help you compare your specific insurance plan to our membership options—no pressure, just honest conversation.

Still have questions? Let’s talk.
📞 **(603) 432-3333**

Next Steps

Patients covered under UnitedHealthcare should:

  • Review their insurance benefits
  • Consider membership or self-pay options
  • Contact the office with any questions

For additional information:
📞 (603) 432-3333
📍 16 Route 111, Suite 9, Derry, NH 03038

Triskelia Wellness remains committed to providing high-quality, personalized care and appreciates the trust placed in the practice.

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Important Insurance Network Update | (603) 824-6121