Insurance and Payment Options

What is changing on August 1, 2026, what is not changing, and every way to pay for care at our Lakewood Ranch, Sarasota, and Palmetto offices.
Direct-pay chiropractic wellness membership providing affordable care without insurance across three Florida locations.

Insurance & Payments

Insurance Coverage & Payment Options

Hornback Chiropractic & Wellness is in-network with Aetna, Meritain, Medicare, MultiPlan/PHCS, and the VA Community Care Network (VACCN). As of August 1, 2026, the practice is out-of-network with Blue Cross Blue Shield. Cigna and UnitedHealthcare are already out-of-network. HSA and FSA funds, CareCredit, payment plans, cash, and major cards are accepted at all three locations.

If your plan is not named on this page, or your Medicare plan is a Medicare Advantage plan administered by another carrier, call your office and the team will verify what your plan covers before your visit. Your initial consultation is free. The front desk can give you a cost range by phone, and your exact costs are quoted at your visit once the doctor makes recommendations, before any treatment begins.

Plan Updates

What is changing on August 1, 2026?

As of August 1, 2026, Hornback Chiropractic & Wellness is out-of-network with Blue Cross Blue Shield; Cigna and UnitedHealthcare are already out-of-network.

This does not mean your care has to stop or that you need to find a new chiropractor. It means the practice no longer bills BCBS directly. You can continue seeing your doctor as an out-of-network patient: you pay at the time of service, and the office can submit the claim to your plan on your behalf or provide a superbill for you to submit, for possible out-of-network reimbursement depending on your plan’s benefits. Every payment option on this page is available to you, and the team will walk you through exactly what your visits will cost before you commit to anything.

Have BCBS, Cigna, or UnitedHealthcare and questions about your situation?

On your next visit, or in a five-minute call, the front desk can tell you what your visit will cost and what your options are.

What Remains

What is not changing?

Payment Options

How can I pay for care?

Payment and insurance options at Hornback Chiropractic & Wellness
Option How it works
Aetna In-network. The practice bills Aetna directly. Bring your card to your first visit.
Meritain In-network. The practice bills Meritain directly.
MultiPlan / PHCS In-network. The practice bills plans in the MultiPlan/PHCS network directly.
VA Community Care Network (VACCN) In-network. Veterans: call your office and the team will walk you through eligibility and referrals.
Medicare In-network. Call your office to verify your specific plan, especially Medicare Advantage plans administered by other carriers.
BCBS, Cigna, UnitedHealthcare, or any plan the practice does not participate with Out-of-network. You pay at the time of service and may submit the office’s documentation to your plan for possible reimbursement, depending on your benefits.
HSA / FSA Chiropractic care is generally an eligible expense. Use your HSA or FSA card at any office.
CareCredit Accepted at all locations for spreading the cost of care over time.
Payment plans Available. Ask the front desk about arrangements that fit your situation.
Cash and major cards Accepted at all locations.

Cost Differences

What does out-of-network actually mean for my costs?

Out-of-network means the practice does not bill your insurance plan directly. In practice, three things happen: you pay at the time of service, the office provides documentation of your visit on request, and depending on your plan’s out-of-network benefits, you may be able to submit that documentation to your plan for partial reimbursement. Whether and how much a plan reimburses varies by plan, which is why the team verifies your situation by phone rather than guessing.

What out-of-network does not mean: it does not mean care is unavailable to you, and it does not mean costs are a surprise. You will know what a visit costs before it happens.

FAQs

Frequently asked questions

Yes. The practice is in-network with Aetna, Meritain, Medicare, MultiPlan/PHCS, and the VA Community Care Network (VACCN). As of August 1, 2026, the practice is out-of-network with Blue Cross Blue Shield, Cigna, and UnitedHealthcare. For any other plan, call your office and the team will verify what your plan covers.

Since August 1, 2026, the practice is out-of-network with BCBS, and the same applies to Cigna and UnitedHealthcare. Patients on these plans can continue care as out-of-network patients, pay at the time of service, and may submit the office’s documentation to their plan for possible reimbursement, depending on their benefits.
Yes, the practice is in-network with Medicare. Plan details vary, especially Medicare Advantage plans administered by other carriers, so call your office to verify network status with your specific plan before your visit.
It depends on your care, which is why the team quotes it plainly on your visit, prior to care being received. You pay at the time of service, and HSA and FSA funds, CareCredit, and payment plans are all available.
Yes. Chiropractic care is generally an eligible HSA and FSA expense, and both are accepted at all three offices, along with cash, major cards, CareCredit, and payment plans.
Yes. The practice accepts PIP (personal injury protection) coverage for auto accident patients, and PIP claims are not based on the practice’s in-network or out-of-network status with health plans. Whether PIP applies to your crash depends on your policy and the date of your accident, so call your office and the team will walk you through your specific situation.
Call your office before your first visit. These situations depend on the details of your case and your coverage, and the team will tell you exactly how your situation is handled and what to bring.

Locations

Call your office to verify your coverage

Insurance participation and coverage details can change. The information on this page is current as of the date August 1, 2026; your office will verify your specific coverage by phone. This page is not a guarantee of coverage or reimbursement.

Jessica H.

Patient · Lakewood Ranch
"I have had back pain ever since I can remember thanks to Dr. Cindy I am finally comfortable again."

Verified Patient

Google Review · 5 Stars
"Dr. Hornback and her team truly care about their patients. I have been coming here for years and would not go anywhere else."

Michael T.

Patient · Lakewood Ranch
"After my car accident I did not know where to turn. They got me in the same week, handled all the paperwork, and I am back to working out."

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