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.
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 will be provided to you at time of payment unless you have out of network benefits for massage therapy. Your super bill can be submitted to your insurance company for reimbursement of the medical massage.
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.
The first steps to get started:
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.
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.