Shockwave therapy has gained prominence as a non-invasive treatment option for chronic musculoskeletal issues like stubborn tendonitis, plantar fasciitis, and calcific shoulder problems.
But one of the first questions people ask is- Will my insurance cover it?
If you live in Airdrie, the answer is- it depends.
Shockwave therapy in Airdrie as a standard treatment is not covered mostly. According to local clinics, shockwave therapies are not included in the Alberta Health Care Insurance Plan (AHCIP)’s procedure list.
So, if you are hoping for full coverage through AHS (Alberta Health Services), you’ll likely need to pay out-of-pocket or rely on private or extended benefits. Clinics typically do not bill AHS directly for shockwave treatments.
Private Insurance/ Extended Health Benefits
This is where things often get more promising.
Many clinics in Airdrie and greater Calgary report that extended health insurance plans (employer benefits, private plans) often offer partial or full reimbursement for physiotherapy services, and shockwave therapy is often billed under physiotherapy.
If your benefits plan includes a physiotherapy clause, there’s a good chance you’ll get some coverage.
What to Do if You’re Considering Shockwave Therapy in Airdrie
- See if you have extended health benefits that cover physiotherapy, especially treatments labelled “modalities” or “rehabilitation services.”
- Many physiotherapy clinics in Airdrie can check your benefits for you and tell you what portion the plan covers.
- Ask if direct billing is available as this can save you the trouble of upfront payment and reimbursement.
- If required by your insurer, a doctor’s or physiotherapist’s referral might be necessary.
To sum it up, shockwave therapy is not covered by the provincial health plan under normal circumstances. But if you have private or extended health insurance that includes physiotherapy, you likely have a chance of coverage, at least partial. Always check your individual policy, clinic costs, and whether direct billing is offered to avoid surprises.
FAQs
- Is Shockwave Therapy covered by insurance?
Coverage depends on your insurance plan—most do not cover it as it’s considered a non-surgical treatment. - Why isn’t Shockwave Therapy usually covered by insurance?
It’s often classified as an elective or experimental procedure. - Can I claim reimbursement for Shockwave Therapy?
You can try submitting a claim, but approval varies by provider and policy. - How can I find out if my plan covers Shockwave Therapy?
Contact your insurance provider and ask about coverage for “extracorporeal shockwave therapy.” - Are there payment options if insurance doesn’t cover it?
Yes, many clinics offer self-pay discounts or flexible payment plans.
