As of January 1, 2019, AmeriHealth now offers a new acupuncture benefit to
all AmeriHealth Pennsylvania members. In addition, we are working to expand our network to include acupuncture providers to better serve all AmeriHealth New Jersey and AmeriHealth Pennsylvania members.
Benefit details
AmeriHealth Pennsylvania members
Acupuncture will be considered medically necessary for certain conditions, limited to:
- Headache (migraine and tension)
- Post-operative and chemotherapy-induced nausea and vomiting
- Nausea of pregnancy
- Low back pain
- Pain from osteoarthritis of the knee and hip
- Chronic neck pain
The use of acupuncture for other conditions is considered experimental/investigational and will
not be covered.
Verifying member eligibility
Members with employer group coverage will
not have the benefit until the effective date of the group renewal. Providers should use the Eligibility and Benefits Inquiry transaction on the NaviNet® web portal to confirm member benefits.
AmeriHealth New Jersey provides coverage for acupuncture for consumer and small group members as a substitute for anesthesia.
Providers should use the Eligibility and Benefits Inquiry transaction on the NaviNet web portal to confirm member benefits.
Acupuncture network
If you are licensed to practice acupuncture in your state, you may join the AmeriHealth network. For information on our network credentialing process and credentialing criteria, please visit the websites for
AmeriHealth New Jersey or
AmeriHealth Pennsylvania. You can apply by completing the online
Practitioner Participation Form for
AmeriHealth New Jersey or
AmeriHealth Pennsylvania.
Note: The licensing rules for acupuncturists differ by state. Providers should refer to their state’s licensing board for guidelines.
If you meet the criteria to join our network, your information will be displayed in our Find a Doctor tool for
AmeriHealth New Jersey or
AmeriHealth Pennsylvania. We ask that you submit your application early to allow AmeriHealth time to review and process your credentialing request.
If you have questions about the network or credentialing process, please email us at
ahnjcontracting@amerihealth.com for AmeriHealth New Jersey or at
prvrequests@amerihealth.com for AmeriHealth Pennsylvania.
Updated policy (for AmeriHealth Pennsylvania only)
Effective January 1, 2019, Medical Policy #12.00.01f: Acupuncture (AmeriHealth Pennsylvania) was updated to include information related to this new benefit for AmeriHealth Pennsylvania members.
To view this policy, visit our
Medical Policy Portal and select
Accept and Go to Medical Policy Online. Then select
Commercial Policies, and then type the policy name or number in the Search field.
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