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Flex 2002 News: New Limits for Chiropractic Services

Currently the Merck Medical Plan’s 90/10, 80/20, POS and PPO options provide benefits for an unlimited number of chiropractic care visits. Coverage is available for care provided by a licensed chiropractor and related to the diagnosis and treatment of a misalignment or dislocation of the spine—including any strained muscle or related ligaments. (Chiropractic maintenance therapy is excluded.)

In keeping with clinical protocols and industry standards—and to simplify the administration of these benefits—starting in 2002 all non-HMO medical options will continue to cover the same chiropractic services (described above), subject to a new calendar year maximum of 25 chiropractic visits (per person).

What This Change Means To You
If you are covered or are planning to elect coverage under the 90/10, 80/20, POS or PPO option, and you are being treated by a licensed chiropractor, keep in mind:
  • Chiropractic care for currently covered services and spinal subluxation benefits will continue; however, effective January 1, 2002, a new calendar year maximum of 25 visits (per person) will apply.
  • Depending on the medical option you elect, chiropractic benefits may require primary care physician (PCP) referral and may be subject to copayments, deductibles, coinsurance, etc.
  • Non-covered expenses associated with chiropractic care may be funded—on a pre-tax basis—through a health care spending account. And, if you’ve previously funded your health care account based on receiving certain chiropractic services and coverage, you may want to adjust your 2002 contributions.


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