Quick Answer
No. Medicare does not cover naturopathic medicine or visits to naturopathic doctors (NDs). However, Medicare provides limited coverage for some services associated with naturopathy: acupuncture for chronic lower back pain, chiropractic care for spinal misalignment, and nutrition counseling for certain conditions.
Coverage Comparison by Plan Type
| Plan Type | Coverage | Notes |
|---|---|---|
| Original Medicare (Part B) | Not Covered | Does not cover naturopathic doctors or naturopathic medicine |
| Original Medicare (Part B) | Limited | Covers acupuncture (back pain only) and chiropractic (spine only) |
| Medicare Advantage | Varies | Some plans offer additional alternative medicine benefits |
| Medigap | Not Covered | Only covers services that Original Medicare approves |
| Medicare Part D | Not Applicable | Does not cover naturopathic remedies or supplements |
Understanding Your Coverage Options
Original Medicare (Part a & B)
Medicare does not cover naturopathic medicine, visits to naturopathic doctors (NDs), or alternative medicine treatments. While some services that fall under naturopathy have limited Medicare coverage, they must be performed by specific licensed practitioners, not NDs.
Acupuncture is covered only for chronic lower back pain, and it must be performed by a licensed acupuncturist or physician. Chiropractic services are covered only for manual manipulation to correct a misaligned spine. Nutrition counseling is covered only for diabetes or kidney disease.
Osteopathic medicine (DOs) is fully covered by Medicare because doctors of osteopathic medicine complete the same training as MDs, including medical residencies. Medicare covers visits to a DO the same way it covers visits to an MD.
What It Covers
- Acupuncture for chronic lower back pain (up to 12 sessions in 90 days)
- Chiropractic care to correct spinal misalignment (manual manipulation only)
- Nutrition counseling for diabetes or kidney disease
- Visits to doctors of osteopathic medicine (DOs)
What It Doesn't Cover
- Visits to naturopathic doctors (NDs)
- Naturopathic medicine, remedies, or supplements
- Acupuncture for conditions other than chronic lower back pain
- Chiropractic care for conditions other than spinal misalignment
- Homeopathic medicine or functional medicine
- Medical marijuana or CBD products
Covered services: 20% coinsurance after $283 annual deductible (2025). Naturopathic services: 100% out-of-pocket.
Medicare Advantage (Part C)
Medicare Advantage plans must cover at least the same services as Original Medicare. Some plans go further by offering additional alternative medicine benefits, such as expanded acupuncture coverage, additional chiropractic visits, or wellness programs.
While most Medicare Advantage plans do not cover naturopathic doctors, some plans in certain states may offer limited coverage for alternative therapies. Check the plans available in your area for specific benefits.
Medicare Supplement (Medigap)
Medigap plans only cover services that Original Medicare approves. Since Medicare does not cover naturopathic medicine, your Medigap plan will not cover it either. You will pay 100% out-of-pocket for naturopathic services.
However, Medigap does cover the cost-sharing for the limited alternative therapies that Medicare approves, such as the 20% coinsurance for covered acupuncture or chiropractic visits.
Medicare Part D
Medicare Part D does not cover naturopathic remedies, herbal supplements, or homeopathic medications. Part D only covers FDA-approved prescription drugs. Any naturopathic supplements or remedies must be paid for out-of-pocket.
Naturopathy and Alternative Medicine Costs with Medicare
| Service | Typical Cost | Medicare Coverage |
|---|---|---|
| Naturopathic doctor visit | $100 - $300 | Not covered |
| Acupuncture (chronic back pain) | $75 - $150/session | Covered at 80% (Part B) |
| Acupuncture (other conditions) | $75 - $150/session | Not covered |
| Chiropractic (spinal manipulation) | $30 - $200/visit | Covered at 80% (Part B) |
| Chiropractic (other services) | $30 - $200/visit | Not covered |
| Nutrition counseling (diabetes/kidney) | $100 - $200/session | Covered at 80% (Part B) |
| Herbal supplements/remedies | Varies | Not covered |
✦ Exceptions and Limitations
Acupuncture Coverage is Limited
Medicare only covers acupuncture for chronic lower back pain. Up to 12 sessions in 90 days are covered, with 8 additional sessions if improvement is demonstrated. Acupuncture for any other condition is not covered.
Chiropractic Coverage is Limited
Medicare only covers manual manipulation of the spine to correct a misalignment. Other chiropractic services such as X-rays, massage, or physical therapy performed by a chiropractor are not covered.
Osteopathy vs. Naturopathy
Doctors of osteopathic medicine (DOs) are fully covered by Medicare because they complete the same training as MDs. Naturopathic doctors (NDs) do not complete medical residencies and are not recognized by Medicare.
Medicare Advantage May Offer More
Some Medicare Advantage plans in certain states offer additional alternative medicine benefits beyond what Original Medicare covers. Check plans in your area for specific coverage details.
✦ Frequently Asked Questions
David Haass
AuthorDavid Haass is the Chief Technology Officer and Co-Founder of Elite Insurance Partners and MedicareFAQ.com.
Ashlee Zareczny
ReviewerAshlee Zareczny is a licensed Medicare agent in all 50 states dedicated to educating those eligible for Medicare.


