Chiropractors from across the Commonwealth are reporting a disturbing trend. Insurance companies are refusing to pay chiropractors for radiological procedures in cases governed by the Motor Vehicle Financial Responsibility Law (Act 6). They claim that since Medicare does not pay for radiological procedures by chiropractors, Act 6 does not require them to do so.

While this issue has not been the subject of a binding appellate decision in Pennsylvania, the better view is that Section 69.21 of the Insurance Code requires payment for necessary procedures within a provider’s scope of practice even if he would not be paid by Medicare. If an insurance company is refusing to pay you for radiological procedures, you do not need to accept that determination. Contact my office for information on how you can protect your rights.