Advanced Bodywork & Massage for Pain Management, Rehabilitation and Improved Athletic Performance in Bellevue, WA. Call:  206-946-2040

Medical Massage Using Health Insurance


Medical Massage incorporates many different modalities and is only through health insurance as prescribed by a Physician, Naturopath, Physician Assistant, Registered Nurse, Chiropractor, Physical Therapist or other medical professional and differs from regular massage and bodywork. It is specific treatment based only and is specifically directed to resolve conditions diagnosed by a medical professional with a prescription or referral for medical massage therapy that contain diagnosis codes. Medical Massage is for rehabilitation of injuries and dysfunction and not meant for a regular maintenance or relaxation massage. A variety of advance massage techniques are use during the medical massage treatment, but the focus of the treatment is only on the specific areas related to the diagnosis on your prescription provided.  This enhances the body’s natural self-healing process and reduces the needed recovery time from injury. This is also the health care law that applies when using your health insurance benefits towards massage therapy.

 In-Network Health Insurance Provider 

Please Note: Please not that as of July 1st 2017 the practitioner has requested removal as an in network provider for all insurance companies except United Health Care at this time and should be effective approximately July 31st 2017. You will be required to pay the same day payment at time of service and the clinic will provide you a super bill to submit to your insurance company.

  • Cigna  
  • Aetna  
  • Group Health PPO
  • United Healthcare   
  • L and I – Labor and Industry
  • Insurance companies with out of network benefits for massage therapy

*Out Of Network Health Insurance Provider

  • Premera
  • Regence
  • First Choice
  • PIP – Personal Injury Protection

Healthways Wholehealth Living Affinity Program

Discount cash program for Healthways Wholehealth Network members on services not covered by any health insurance. Simply show your HWHN group ID Card or HWHN discount Card. Discounts do not apply to  co-payments or deductibles for covered services only, it only applies to full priced same day payments.

We accept Personal Injury Protection insurance PIP,  Labor and Industry L&I insurance and some Health Insurances. If we are not an in-network provider for your insurance company a Super Bill with the CPT codes and fees will be provided to you at time of service/payment. Your super bill can be submitted to your insurance company for possible reimbursement of the medical massage.

*Out of Network Insurance

For any health insurance that we are “not in-network” with and that does not have out of network benefits for massage therapy will require payment upfront at our same day payment rate, but we will submit your claim to your insurance company on your behalf. You can also call us and we can investigate if you have out of network benefits and have met your deductible.  You will not need to submit a super bill for possible reimbursement because we will do it for you.

Note: Prescriptions are “required” for all in-network and out of network insurances and prior approval even if your insurance says you do not. Some insurances like Regence, Premera and Group Health now require pre autherizations too, which we will get for you. There are so many denied cases that we must make sure we will get paid and we want to make sure this would not cause you out of pocket fees.

Book An Appointment

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The first steps to get started:

  1. Visit your Washington State primary care doctor, orthopedic doctor-surgeon, urgent care doctor, pain management doctor, chiropractor or other.
  2. Have your injuries examined and diagnosed.
  3. Get the doctor to write you a prescription with the ICD 10 diagnosis code, frequency (as to number of sessions per week/month and duration of time (as to how long such as 12 months or 4-6 weeks). The prescription must be for diagnosis codes that are reimbursable for massage therapy.
  4. If using insurance check to make sure your Insurance covers Massage Therapy and how many visits(If not PIP or  L&I/Workman’s Compensation). Are you a Co Pay or Co Insurance. Have you met your deductible? After meeting your deductible what is your percent coverage i.e. 80%?
  5. Call our office and set up your appointments.
  6. Text, fax or e-mail your prescription to us prior with your online intake form. Suggested time frame to get us this is at least 4-5 days prior to your desired appointment.
  7. We must pre approve and pre authorize all insurance due to so many denied claims.
  8. We will give you a super bill after each visit with the CPT codes on it to submit to your insurance if we are not a in network provider.

Many times using the term Therapeutic massage vs Clinical massage vs Medical massage are interchanges. They mean the same thing just different words to describe them. For our website we have broken up the terms for ease of the different types of massages that are either less clinical vs more clinical.

Here are some articles on scientific research done using Therapeutic massage therapy.

Prescription Form For Treatment

If you are needing a prescription for services that will either be billed to Health Insurance, Personal Injury Protection or Labor and Industry, here is a form to bring or email to your Doctor. They may require you to go in for an appointment for the Rx but some if you have been in recently will provide over the phone. The Rx can then be e-mailed or faxed back to our office.

Many Health Insurances will claim you can self refer but due to the fact that Massage Therapists can not diagnose, an Rx is needed. We must be sure it is medically necessary so that the insurance will not come back and deny payment which would cause you out of pocket expenses to us.

Benefits for massage therapy covered by health insurance is for rehabilitation massage only and not for maintenance massage. Maintenance massage is not covered by any health insurance as it is not medically necessary.