Will my insurance cover massage?
Depending on our insurance plan you may or may not have massage benefits. Our office can check for you but ultimately it is your responsibility to know your benefits.
Is there a difference between a prescription and referral?
Yes, a prescription is an order with diagnosis codes from your Doctor or Chiropractor which tells the LMP what area you need treatment for. A referral is an order also with diagnosis codes which your Primary Care Doctor (PCP) submits to your insurance to authorize your visits before you are seen for massage.
Why do I need a prescription when my insurance does not require it?
For insurance to pay for massage it has to be deemed “medically necessary”. In order for our office to prove medical necessity, we must submit bills with diagnosis codes pertaining to what is being treated and why. It is out of a LMP’s scope of practice to diagnose and therefore we are required to have prescription from a Doctor or Chiropractor.
What is a deductible?
A deductible is the amount you pay for health care services before your health insurance begins to pay.
Example: Let’s say your plan’s deductible is $500. That means, you’ll pay 100 percent of your medical bill until the amount you pay reaches $500. After that, you share the cost with your plan by paying coinsurance and copays.
Will you bill me for my portion of the bill?
Yes, we will bill you for any co-insurance, deductible amount or if insurance denies to pay for your visit. Copay’s are due at time of service.