Insurance I accept insurance as an out-of-network provider. To see if your plan covers acupuncture, fill out the form below. Patient's email address * Patient name and sex (as shown on ID) * DOB * Patient's mailing address * Insurance company name * Insurance company provider line phone number * Insurance policy ID number * Policy holder's name and sex (if other than patient) Policy holder's DOB (if other than patient) Patient's relation to policy holder Policy holder's mailing address (if other than patient) Policy holder's place of employment * Thank you!