Care Designed for Depth, Not Limitations

For several years, I worked within insurance-based systems to make care more accessible. Over time, it became clear that those systems placed limits on how thoroughly I could assess, support, and respond to complex or evolving needs.

To practice with clinical integrity, safety, and individualized attention, Sustainable Alignment now operates as a Direct Care (cash-based) practice.

This model allows for:

• Focused, one-on-one care guided by clinical need—not billing codes
• Transparent pricing without surprise bills or insurance-driven restrictions
• Thoughtful care plans tailored to your body, history, and goals
• Scheduling that supports depth, continuity, and nervous system regulation

I am currently completing the transition out of most insurance contracts. During this time, you may still see my name listed as a participating provider; this will change as contracts conclude.

If you have out-of-network benefits, I can provide a superbill for possible reimbursement. If you are an existing patient, I’m happy to help you understand your options and navigate this transition with clarity.

This approach allows me to offer care that is present, precise, and aligned—with my values and with what your body truly needs.

Care & Payment Options

Sustainable Alignment now operates as a Direct Care (self-pay) practice, which allows visits to be guided by clinical need rather than insurance rules.

You may choose between:

Self-Pay
or
ChiroHealthUSA (CHUSA) — a voluntary discount medical program that provides access to reduced chiropractic rates.

Why many patients choose ChiroHealthUSA

While self-pay is always an option, many patients appreciate CHUSA because it offers:

  • Lower per-visit costs

  • Clear, predictable pricing

  • Simple billing without insurance authorization or visit limits

ChiroHealthUSA is not insurance and does not replace insurance coverage. It is a membership program designed to make high-quality chiropractic care more accessible within a direct-care setting.

Out-of-Network Benefits

If your insurance plan includes out-of-network benefits, a superbill can be provided for possible reimbursement. Reimbursement is determined by your insurer and is not guaranteed.

If you have questions about which option may be the best fit for you, we’re happy to talk through them and help you make an informed decision.

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CHUSA

Motor Vehicle Accident / Personal Injury

Sustainable Alignment is designed to support thoughtful, nervous-system–informed care within a direct-care model. Because of this focus, we do not routinely accept new motor vehicle accident (MVA), personal injury, or Workers’ Compensation cases.

In limited circumstances, established patients or referrals may be considered on a case-by-case basis when the care required aligns with the scope, structure, and clinical intent of this practice.

If care is accepted following a motor vehicle accident, relevant medical claim information will be requested at the first visit to support appropriate documentation and communication. This includes:

  • The auto insurance company

  • The medical claim number
    (This is often different from the auto claim number. Please notify your insurance company that you have been injured and are seeking medical care.)

  • Your claims adjuster’s name and contact information

  • Your attorney’s name and contact information, if applicable

If you’re unsure whether your situation is a good fit for care at Sustainable Alignment, we recommend contacting the office prior to scheduling so we can guide you clearly and respectfully.