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.
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. If the provider is in network you will be required to pay a certain amount based on verifying your insurance benefits. If you are out of network you will be required to pay the same day payment at time of service but the clinic will submit your claim to your insurance company. We most verify all insurance prior to service and all require a referral or prescription with diagnosis and treatment schedule.
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 we will submit your claim on your behalf to your insurance company.
For any health insurance that we are “not in-network” and insurances that 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-referrals are “required” for all in-network, out of network, PIP and Labor & Industry and prior approval is required even if your insurance says you do not need one. Some insurances like Regence, Premera and Group Health now require pre authorizations 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 additional or increased out of pocket fees.
The first steps to get started:
Many times using the term Therapeutic massage vs Clinical massage vs Medical massage are interchanged. 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.