Decompression treatment (SpineMED spinal decompression) is generally not covered by standard health insurance plans as a standalone procedure. However, the answer depends on your specific plan, insurer, and how care is billed — so it is always worth asking Dr. Chiungos and your insurance provider directly.
Does Medicare Cover Spinal Decompression?
Medicare does not typically cover non-surgical spinal decompression as a standalone service. Medicare Part B may cover chiropractic spinal manipulation (adjustment) when medically necessary, but SpineMED table decompression sessions fall outside current Medicare coverage guidelines. Dr. Chiungos will review your Medicare coverage with you before starting care and explain exactly what to expect cost-wise.
What About BCBS (Blue Cross Blue Shield)?
Blue Cross Blue Shield plans vary significantly by state and plan type. Some BCBS plans include chiropractic benefits that cover related services, but most classify spinal decompression as investigational or not medically necessary under their criteria. If you have BCBS, bring your insurance card to your first visit and our team will help you verify your benefits.
Harvard Pilgrim Health Care
Harvard Pilgrim covers chiropractic care at varying levels depending on your plan, but spinal decompression via the SpineMED table is generally not a covered benefit. Routine chiropractic adjustments, physical therapy referrals, and other related services may apply toward your deductible or copay — Dr. Chiungos will discuss which components of your treatment plan may qualify.
Tufts Health Plan
Tufts Health Plan participants should review their specific chiropractic benefit tier. Tufts covers chiropractic adjustments for most plans, typically requiring a referral or pre-authorization depending on your plan level. As with other insurers, the decompression component itself is often excluded. We will work with you to maximize any covered services within your plan.
UniCare
UniCare (offered through Blue Cross Blue Shield of Massachusetts for state employees and others) follows similar guidelines. Chiropractic manipulation may be covered, while decompression therapy is generally not a covered benefit under most UniCare contracts.
What Will I Pay Out of Pocket?
If Dr. Chiungos recommends spinal decompression as part of your care plan, he will sit down with you before treatment begins to review all costs, discuss any available payment plans, and make sure you receive full informed consent. No surprises. His priority is that you understand exactly what your investment looks like so you can make the best decision for your health and your budget.
To check your specific benefits or get a pre-treatment cost estimate, call our Chelmsford office at (978) 256-5900.







