Since 2005
MORGANTOWN'S FIRST
COMPLETE PHYSICAL MEDICINE FACILITY
MEDICARE CHANGES ARE COMING
Medicare & Your Chiropractic Care: What You Need to Know for 2026
Big changes are coming to Medicare Advantage (MA) plans in 2026. Over one million Americans— including many of our patients—will be impacted as major insurers exit or reduce coverage for these plans. We want to help you stay informed and maintain uninterrupted access to chiropractic care.
Medicare Basics: Understanding Your Options
Original Medicare:
This is the traditional health coverage offered directly by the federal government, consisting of Part A (hospital insurance) and Part B (medical insurance).
Medicare Advantage (MA) Plans:
Also known as Part C, these are plans offered by private insurance companies. They often include extra benefits (vision, dental, prescription drugs) and
have their own networks and coverage rules.
Medigap (Supplement) Plans:
These are additional policies to help pay costs not covered by Original Medicare—such as copays and deductibles. They’re offered by private insurers.
Medicare & Your Chiropractic Care: What You Need to Know for 2026
What’s Changing in 2026?
Many large and small MA plans—including UnitedHealthcare—are leaving the market starting January 1, 2026.
If your MA plan is terminated, you must select a new plan or you will automatically revert to Original Medicare without prescription drug coverage or extra benefits.[1]
Key enrollment dates:
October 15 – December 7, 2025: Standard Medicare open enrollment for most.
October 15 – December 31, 2025: Special window for those losing a MA plan to choose a new plan.
If moving to Medigap, special “guarantee issue” rights may apply—no medical underwriting required if you act promptly.[1
How Will This Affect Your Chiropractic Coverage?
Original Medicare continues to cover manual manipulation of the spine when medically necessary. Other therapies are generally not covered unless medically justified and billed according to Medicare rules.
MA Plans replacing your current coverage may have different provider networks and rules for chiropractic visits, prior authorization, and number of covered treatments.
Action Needed Now: Review your coverage options, pay close attention to all mailed plan notices, and contact our office with questions about your benefits or for help with plan selection.
What You Should Do
• Check your mail and email for notifications about changes to your Medicare Advantage plan.
• Make sure your 2026 plan choice allows you to continue care with our office and covers the services you need.
• If switching to a supplement plan, act within your “guaranteed issue” window for the best options.
• Attend our upcoming informational workshop on Medicare options (date to be announced)! We are here to help!
Join us for our In-Person Workshop on Medicare Changes
Covered Topics:
- Medicare and Chiropractic Coverage
- Medicare Options for Medicare Advantage Plans
- WV Highmark BCBS Changes to Medicare Market
- Selecting the best medigap plan for you
- Maintaining chiropractic coverage
Plus a Q&A session!
Featured Speaker: Matthew Heater
Matthew is a seasoned healthcare professional with over 12 years of experience in the industry, including 10 years specializing in medical billing and coding, after completing a medical insurance billing and office administration program.
As a certified professional coder and insurance specialist, he excels in navigating complex reimbursement systems, with a particular expertise in Medicare coverage. Holding prestigious credentials including CPC (Certified Professional Coder), CBCS (Certified Billing and Coding Specialist), and CHS (Certified HIPAA Specialist), Matthew empowers organizations and individuals to optimize billing accuracy and compliance.
In his workshop, he shares practical insights to demystify Medicare for providers and patients alike.
Our in-person event is scheduled for:
Friday, Oct 24, 2025 from 4-6pm
699 Burroughs Street |Morgantown, WV 26505
Fill out the form below to RSVP and secure your spot!
S
First talk scheduled for:
Get In Touch
Email: frontdesk@advantagehealthandwellness.com
Address
Office: 699 Burroughs Street, Morgantown, WV 26505
Office Hours
Monday: 12–6 PM
Tuesday: 7:30–1 PM
Wednesday: 7:30 AM–12 PM, 3–6 PM
Thursday: 12–6 PM
Friday: 7:30 AM–1 PM
Saturday & Sunday Closed
Phone Number:
304-225-9355
