Their covered visits ran out. Your care didn't —Chiropractic Membership Plans
Most chiropractic patients stop coming the week their insurance visits run out, not the week they stop needing care. A membership plan turns that cliff into a monthly continuing-care relationship: a price the patient already agreed to, a card on file, and revenue that does not depend on a claim being paid. Here is how to design, price and run one.
- Month-to-month
- Revenue that continues after the care plan ends
- 0
- Claims involved — memberships are cash, billed directly
- 100%
- Of the plan, pricing and patient list stays yours
Why a membership beats another care plan
A care plan ends. A membership renews.
A care plan is a finite course of treatment paid down over a few months. When the last visit is used, the financial relationship stops and the patient goes quiet. A membership is a product they join — tiers, benefits, an agreement, auto-renewal — so the relationship keeps going on purpose.
It removes the price conversation from the front desk
Maintenance care declines when every visit is a fresh decision about money. A monthly plan turns the same care into a number the patient already said yes to, so the conversation at checkout is about their progress rather than the total.
It raises the insurance-independent share of revenue
Reimbursement changes, visit caps change, networks change. Membership revenue changes when you decide it changes. Practices that grow this line have something no payer can reprice for them.
It works with your EHR, not instead of it
Notes, coding and claims stay exactly where they are. The membership program runs beside your clinical system — the patient enrolls once, billing runs automatically from there, and nobody double-enters anything.
How to build the plan in your practice
Start with the patient who just finished a care plan
You already know who they are. List what continuing care looks like for them over a year at your normal fees — adjustments at your maintenance frequency, periodic re-exams, any therapy or modality you include. That list is your plan; you are packaging care you already deliver.
Price it from your fee schedule, then check the margin
Take the annual total, divide by twelve, and confirm the margin holds at the visit frequency you actually expect — not the best case. Publish two or three tiers so the patient chooses between plans rather than between a plan and nothing.
Handle the cash and compliance side properly
Memberships are a cash arrangement between the practice and the patient, with a written agreement covering what is included, the term and cancellation. Discount and compliance rules differ by state and by patient type — Medicare beneficiaries in particular need care — so have your plan documents reviewed locally before you enroll anyone.
Make the ask a routine, not an event
The natural enrollment moment is the visit where covered care runs out, and the second is the re-exam. Give the front desk one script and one enrollment link, and track how many of each month's finishing patients were offered the plan.
Automate the billing and watch the member count
Monthly charges run automatically, failed cards retry on a schedule, and plans renew on their anniversary. Active members, renewal rate and monthly recurring revenue land in one dashboard next to member versus non-member visit frequency.
Practices That Got Off The Treadmill.
Select a practice to see how their membership revenue compounded month over month.
“We dropped two of our worst PPO contracts in year one. The membership plan replaced that revenue and then some — and we finally control our own fee schedule.”
- Members
- 612
- MRR
- $38.9K
- ARR
- $467K
- MRR Growth
- +284%
- Write-offs
- -$186K
Questions chiropractors ask
- What is a chiropractic membership plan?
- A monthly cash plan a patient joins directly with the practice. It bundles the continuing care you already provide — adjustments at a set frequency, periodic re-exams and any included therapies — into one recurring payment on a written agreement, billed automatically to a card on file.
- How is this different from a care plan?
- A care plan is a finite treatment course paid down over a few months and then finished. A membership renews. It is designed for the patient after the acute phase, which is exactly where most practices lose people.
- What should I charge?
- Price it from your own fee schedule rather than a benchmark: annual continuing care at your normal fees, divided by twelve, with the margin confirmed at your realistic visit frequency. Two or three tiers usually convert better than one.
- Can I offer a plan to Medicare patients?
- Treat that as a question for your own counsel. Discount, inducement and billing rules differ by state and by payer relationship, and Medicare beneficiaries carry specific requirements. Have your plan documents and pricing reviewed locally before enrolling anyone.
- Do I have to replace my EHR?
- No. BoomCloud™ runs the membership and recurring billing layer alongside ChiroTouch, ChiroFusion, ChiroHD, Genesis or whatever you use today. Clinical records and claims stay where they are.
- Who owns the members if I stop using the software?
- You do. Your brand is on the plan, you set the terms and pricing, and the member list exports at any time — month to month, no setup fee.
Stop losing patients the week their visits run out
Price your first tier free, enroll the patients finishing care plans this month, and watch recurring revenue land whether or not a claim gets paid.
Own your revenue. Starting this month.
Launch a membership plan, enroll your uninsured patients, and watch recurring revenue land every month — no claims, no write-offs.
Free 30 days · Setup help included · Keep every member you enroll