Mine does after we meat our deducible. But we do have a cash price which is cheaper then w/ ins. We pay 40.00 a visit. I save my change and when I get 40.00 I go, unless I have a real issues which I sometimes do. The chiropractor often gives me a free visit for mothers day, x mas, or my birthday or he just pretends I didn't come and doesn't charge me. If I go and it will take several visits in order to get things straightened out again he will say how about $100.00 and we'll just work until we get the issue settled down. A 100. 00 cash and knowing he is going to get paid sometimes is worth to him and avoiding all the red tape that comes w/ the insurance.