Dear Patient:

As you may be aware, for the last two years our office has been participating in the Medicare Chiropractic Demonstration (mandated by Section 651 of the Medicare Prescription Drug Improvement and Modernization Act of 2003.) This Demonstration provided for expanded coverage of chiropractic services including the following additional services:

• Examination
• Xray
• Extraspinal manipulation (manipulation of a body part other than the spine)
• Physical medicine (e.g. ultrasound, electrical stimulation, massage)
• Muscle testing
• Nerve conduction studies
• TENS (Transcutaneous electrical nerve stimulation)

The purpose of this letter is to inform you that the Demonstration will end on March 31, 2007. After that date, these services will no longer be covered by Medicare and will, again, be the financial responsibility of the patient and/or other covering insurance payor. Coverage remains the same for the spinal manipulation services previously covered under Medicare before the demonstration began.

Please accept our thanks for your participation in the Demonstration and for your continued support.

Sincerely,

(Doctor’s Name)