EMERGE Insurance verification form

Emerge accepts several out of network insurance plans for acupuncture and NYSHIP insurance (with a prescription) for massage therapy. To see if your plan has coverage and/or what your out of network deductible is, please fill out the form below.

By submitting this form, I authorize Emerge Integrative Wellness to call my insurance carrier on my behalf and verify my benefits and coverage.
Signature is required.

PLEASE NOTE: You will need to bring your insurance ID card and drivers license to your first session so we can make copies at the front desk for billing purposes.