All posts by Meg Sawyer

Chiropractic Care 101

Chiropractic Care

Chiropractic care isn’t what it used to be. With a variety of approaches and techniques, chiropractors have an ever evolving number of tools in their arsenal to treat all manner of ailments. 

Not only is it an effective method, but chiropractic care can also be a less invasive, more affordable option for treatment. 

It’s important to know what factors can influence your cost of care to ensure you’ve budgeted appropriately.

What kind of conditions can be treated by a chiropractor?

Everything. Really. As a Seattle chiropractor, we’re here for all your needs/

Whether it be a longstanding injury you sustained playing the sport of your choosing, a joint replacement, stubborn pain as a result of a car accident or work injury, or just general bad patterning, we’ve got you covered. 

In case you don’t believe us, check out our frequently asked questions page for any more clarification you may need.

How much does a Chiropractor cost in Seattle?

Chiropractic care can range greatly in expense depending on services rendered at time of visit.

From the initial consultation, which is generally complementary, to any imaging that may be necessary, your out of pocket cost can vary widely. 

The severity of the condition being treated will also have an effect on your overall cost of treatment. 

It’s safe to say that no condition is resolved overnight, so repeated visits over a short period of time will increase the effectiveness of the chiropractic method, especially when coupled with rehabilitative work. 

Most of all, what will effect your out of pocket cost per visit will be the specifics of your insurance plan. Should you decide to move forward with chiropractic care, we will provide more detailed information as part of our intake process to ease any financial concerns you may have. 

Can I pay out of pocket for chiropractic care?

You sure can! We believe that everyone deserves quality care and insurance is most certainly not a requirement. 

We’ve created a myriad of options to make for easy and convenient payment for treatment plans. First and foremost, we always encourage full disclosure with the doctors who will ensure that your recommended frequency of visits is comfortable for you. 

Once that’s been decided, there are two options. If you prefer to pay for your treatment plan all at once, we are happy to provide a 5% discount off the total cost of care. 

If a payment plan is more your speed, we have a very flexible billing department that will get you set up for an automatic payment to be debited for the agreed upon amount of time. 

What else can I expect during my first visit?

At Tangelo our primary goal is to create a tailored experience for every current and prospective client. 

As a new patient, our intake process is streamlined and efficient. Once scheduled, you’ll be sent paperwork electronically to provide some basic medical background information and insurance information. 

Once this information has been received, we’ll get to work on verifying your applicable benefits to discuss in detail before you go back to see the chiropractor. 

We’ll tell you everything you need to know; what your deductible looks like, if you have a copay, how many visits your insurance company will allow, the works. 

Not sure what some of this lingo means? Not to worry, feel free to reference our post on chiropractic health insurance that will break down the foreign language that is insurance. 

Once the administrative obligations are out of the way, the fun begins. Your chiropractor will give you the lay of the land as they walk you back to the bay so you can get a feel for the overall style of the clinic. 

Your first visit will include extensive discussion regarding cause of injury, any previous treatment methods, and, most importantly your goals for treatment. 

Your doctor will then take you through a certified functional movement screen to assess any compensation patterns that may be contributing to your condition. 

Once those areas for improvement have been identified, you’ll receive soft tissue treatment using any one of our various therapies. Finally, after the exam, the chiropractor will introduce you to your rehab team. 

Your chiropractor and rehab specialist will put their heads together to create a customized plan for you to make fundamental changes that will work in tandem with the soft tissue treatment to undo old patterns and establish new, healthier patterns.

What kind of chiropractic techniques do you use?

All three of our clinics in the Seattle area employ multiple techniques to get you back in fighting shape. Here is a brief overview of what treatments you can expect to have at your disposal.

  • Graston technique – uses a small tool to brush over the muscle that will break up any existing scar tissue and alleviate pain/tightness.
  • Active Release Techniques – a tactical treatment that combines manipulation and movement to break up scar tissue and increase blood flow to promote faster healing.
  • Cupping – creates localized suction to aid in pain management, inflammation, and tightness relief.
  • Kinesiology taping– provides stabilization and support to muscles while reducing swelling and increasing muscle function.
  • DMS – deep muscle stimulator that uses vibration to reach into the muscle tissue and relieve pain.

How are these techniques different from traditional chiropractic care?

An adjustment, or spinal manipulation, can be a bit of a jarring experience for some. 

While our chiropractors are well trained in both styles of chiropractic care, having a plethora of options to choose from gives us a greater opportunity to customize your care. 

Traditional chiropractic can often mean a need for repetitive follow up visits to realign your skeletal system, whereas our inclusion of functional rehabilitation is meant to train you to move better on your own. 

Our ideal outcome is to teach you to be cognizant of your movement and provide you with longterm tools to troubleshoot and sticking points that may arise. 

Keeping Seattle Employees Healthy with Chiropractic Care and More

Like most chiropractors, we want our patients to live healthier, happier lives. We provide discounted rates to employees at the following Seattle businesses who are also helping keep Seattle residents healthier. 

  • Bala Yoga
  • Barre3 
  • Barry’s Bootcamp 
  • Bohemian Studios 
  • City Sweats 
  • Crossfit Loft 
  • Cue Crossfit 
  • Flywheel 
  • FUELhouse 
  • HIIT Lab
  • Ian Fitness
  • Inspire Pilates 
  • Kettlebility 
  • Life Float 
  • Modo Yoga  
  • Momentum Climbing (SODO) 
  • NW Crossfit (Greenlake) 
  • NW Fitness Project 
  • Northwest Jiu-Jitsu Academy (NWJJA)
  • Orange Theory Fitness 
  • PureBarre
  • Seattle Pilates Collective 
  • Soul Cycle 
  • South Seattle Crossfit 
  • Stoneway Crossfit
  • Studio 3 
  • The Six (Queen Anne/Ballard) 
  • Z Ultimate 

Sounds good. How do I book an appointment?

So glad you asked! With three convenient locations in the greater Seattle area, there’s something for everyone. 

Click here to book in Green Lake

Click here to book in Fremont

Click here to book in West Seattle

We can’t wait to meet you!

Insurance 101

Ooohhh, insurance.

Some people love it, some people hate it. And mostly everyone who has it is a 50/50 mix of both.

I’ll admit, when I first started on the Tangelo team I knew absolutely nothing about insurance and the benefits that came with it. Words like co-insurance, deductible and premium sounded like a foreign language. I thought I would never begin to understand.

Nearly three years later I definitely wouldn’t define myself as an expert by any means, but I do know enough that I feel confident explaining benefits to our clients.

When most clients go to schedule their first appointment, one of the common questions I get is “Do you accept my insurance?” We are in-network with most major insurance companies however, the cost per visit varies from client to client. It is purely dependent on the type of plan and benefits that you have.

The goal of this blog post is to answer the common questions about insurance coverage so you have more knowledge about what your benefits can do for you.

Now, I’ll walk you through some common terms in the world of insurance benefits.


What’s a premium? A premium is the amount that (you) a subscriber  pays each month to have active insurance coverage. The cost of a monthly premium can vary based on the type of plan that is chosen. Therefore, it is important for you as a client to research and decide how often you think you’ll be using your insurance benefits while balancing the overall costs.


What’s a deductible? Your deductible is a specific amount of money that you, as the subscriber must pay before your benefits kick in for specific services. Think of the deductible as a down payment for your year of insurance coverage. For example, if your plan deductible is $500 you will pay 100% for any services rendered until that amount is met. After that, the cost of medical services is shared between you and your insurance carrier. Thankfully, depending on your plan, the deductible doesn’t always apply…for instance, it may not apply to an office visit with your Primary Care Physician or favorite Tangelo Clinic (wink, wink). Keep in mind that if there are multiple members on one plan (ex: employee plus spouse and kids) the deductible may be higher and shared between everyone.


What’s a copay? A copay is a flat rate that you pay at the time of service. If you have a co-pay, typically your deductible will not apply! The copay amount does not change regardless of the number or type of services that are billed out for each visit. At Tangelo we commonly bill out both chiropractic care and physical therapy codes, this is due to the combination of adjustments, soft tissue work and rehab exercises done during your visit. However, even though multiple types of services are being billed to your insurance plan, only one copay will apply to your cost per visit (in most situations).


What’s a co-insurance? Co-insurance is a percentage amount (dependent on your plan) that you pay at each visit. If the co-insurance is 20% that means that the plan will cover the remaining 80% of whatever the total visit cost is. In general, the deductible will need to be met before co-insurance kicks in. The total amount owed is determined by the charges billed and allowed amounts by your insurance company for the services provided.


What’s the difference between calendar year vs. plan year? A calendar year plan will run from January 1st thru December 31st and then visit limits and deductibles will start over again. On a rarer occasion some people will have a plan year, which is usually based upon when a subscriber enrolls in their benefits…ie: July 1 2016-June 30 2017. With that said, don’t let your insurance benefits go to waste!! If it’s June and you have a calendar year plan and your deductible has already been met, take advantage of next six months and get the care you need!


What’s a visit limit? Visit limits vary from plan to plan. Your insurance company often times will give you a certain number of visits to use year for each type of service (chiropractic, PT, Massage, acupuncture, etc.). Remember, you are paying a premium for your insurance so be sure to use your visits before your plan re-sets!


What’s an out of pocket max? Often times the out of pocket max is double the amount of your deductible, but it can vary. This represents the maximum amount of money that you have to pay for medical services throughout the year. If and when you meet your max, the insurance plan will cover any additional approved services for the year at 100% (no client responsibility). This rule generally has a number of stipulations, so it would be advisable to call your insurance company to learn more about this topic.


What’s an EOB? An EOB stands for Explanation of Benefits. After your plan processes a claim (usually 2-4 weeks), you will receive an EOB in the mail showing the services billed to your insurance and what the client responsibility is. If you paid a co-insurance or co-pay at the time of service, and your EOB says there is a “Client Responsibility” don’t fret, they don’t know you have already paid your provider!

Well, there you have it; those terms are essentially the basics of every insurance policy.

Knowledge is power and I would highly encourage each client – existing and new – to dive into their benefits to learn as much as possible. The more you know the more you can take advantage of the insurance you have and plan for the insurance you will need.

If you still have lingering questions about your coverage don’t hesitate to ask the Client Experience Coordinator at your clinic. As always, the Tangelo Team is here to help in any way we can so you’re able to get back to the things you love.