New Patient Appointments
Are you a candidate for Dr. Elster's care? Please contact Dr. Elster with questions about your case. To request a new patient appointment, please complete this online form.
The first visit includes discussion of your health history, a spinal exam including Paraspinal Digital Infrared scans, and a review of medical records including x-rays, MRI's, lab tests, etc. The first visit requires approximately 45 minutes to complete. In addition, Dr. Elster will request Upper Cervical X-rays from Maui Diagnostic Imaging at their Kahului Triangle Square location - 425 Koloa Street #102.
The second visit includes a review of the x-ray findings and treatment plan. In addition, the first upper cervical adjustment and follow-up infrared scans are performed. The second visit requires approximately 60 minutes to complete.
After the first adjustment, follow-up care begins, which involves infrared scans on each visit, as well as an upper cervical chiropractic adjustment as needed. Follow-up visits require 30-60 minutes to complete. The goal of care is to correct the misalignment of the upper cervical spine until it stabilizes in its correct position thereby allowing injured nerves, muscles, and soft tissue to heal.
Most patients achieve initial results within the first two to four weeks of care and continue to improve over the following weeks or months of care. Healing time varies and depends upon several factors including the age of the patient, severity of the condition, and the length of time the condition has been present.
Average care regimen for adults: On average a patient is seen two times per week for two to four weeks; one time per week during the second month; once every other week for the third month; and once per month until complete stabilization of the injury occurs. However, each individual's care plan is specifically designed for his or her case. Pediatric cases typically require less care than adults.
Compatibility with Existing Health Care: The restoration of proper nerve function through upper cervical care is consistent with other health care you may currently be receiving. You should not discontinue any other health care and/or medications without first consulting your other providers. Dr. Elster encourages you to continue to consult with any such providers to coordinate your health recovery and maintenance.
Insurance and Fees
Fees are payable in the form of cash, check, or credit card when service is rendered.
FEES FOR SERVICES RENDERED (Effective June 1, 2013 and subject to change):
- First Visit / New Patient Consultation (45 minutes) - $115
- Routine Office Visit (30-60 minutes) - $65
- Upper Cervical X-rays (billed separately through Maui Diagnostic Imaging) - $99
INSURANCE: Dr. Elster does not bill insurance companies but she will provide you with an insurance receipt (superbill) that you can send directly to your company to request reimbursement. Dr. Elster is NOT a participating provider with any insurance companies including PPO's, HMO's, Kaiser and Medicare. Please be advised that insurance coverage for chiropractic varies and your company may or may not cover chiropractic services, may have limitations on the number of paid visits, and may have a deductible or exclusions.
X-RAY: Dr. Elster has arranged for the necessary x-rays to be taken at Maui Diagnostic Imaging in Kahului. Due to the specificity of the views, it is not possible to have the x-rays taken elsewhere. Please note that MDI is an insurance provider and will bill insurance on your behalf.
MEDICARE PATIENTS: Please be advised that Dr. Elster is not a Medicare provider. Therefore, according to Medicare laws, Dr. Elster is not permitted to provide service to any patient on Medicare (Medicare Benefit Policy Manual, Chapter 15, Section 40.4.) Dr. Elster apologizes for this inconvenience.
Travel From Neighbor Islands
Dr. Elster welcomes patients interested in traveling from neighbor islands.
The office is conveniently located five minutes from the Kahului, Maui airport. Overnight accomodations near the Kahului airport are available at the Courtyard Marriott.