Answers to questions about insurance, fees, prescriptions and more.
Is there a fee if I need to cancel my appointment?
We ask that you give us 24 hours notice before cancelling your appointment. If you have to cancel last minute or do not show up there is a 40.00 cancellation charge.
Can I have massage therapy when I am pregnant?
Yes! Massage therapy is a great option for pregnancy aches and pains. Just let us know when you make your appointment that you are pregnant and how far along you are.
Will my insurance cover massage therapy?
Depending on your insurance plan, you may or may not have coverage. Our office can do a complimentary benefit checks for you. Depending on volume it may take a few days for it to be completed. A benefit quote is not a guarantee of coverage. It is ultimately your responsibility to know your benefits.
What do I need to have for you to bill my insurance for massage therapy?
We will need a copy of your insurance card, valid identification, and a prescription from a qualified provider, such as a doctor or chiropractor.
Is there a difference between a prescription and a referral
Yes. A referral is an order from a doctor to have you go see a specific healthcare provider. In contrast a prescription has diagnoses codes for what areas need to be treated and the number and duration of visits.
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 LMT’s scope of practice to diagnose and therefore we are required to have RX from a qualified provider.
I still need to see my PCP or am waiting on an RX, can I still make an appointment?
We ask you to wait to schedule your massage until you have an RX, this helps eliminate the risk of a bill being rejected by your insurance and you being held responsible for the bill.
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
What is an out of pocket?
An out of pocket is the most you will pay for covered services in a year. Once you have met this amount your insurance will pay 100% of all covered services.
What is a coinsurance?
A coinsurance is an adjusted amount you pay after your deductible has been met. Example, you pay 20% of the total billed to your insurance and the insurance company pays the remaining 80%. You pay that adjusted amount until you have reached your insurance out of pocket max. Our office has to bill out to your insurance and as soon as we have the adjusted amount we will send you a bill.
Can you tell me what my bill will be for my coinsurance?
We will not know what the exact amount will be until your insurance company sends the claim back to us.
When do I pay my copay?
Your copay is an amount set by your insurance company and is due at the time of service.
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. Copays are due at time of service.
Is there anything I have to do after my first appointment for my massages to continue to be covered by insurance?
Yes, every time you come in we will have a daily intake form for you to fill out. This will inform your therapist on your progress, how you are feeling, and is extra information for if your insurance company requests a report on your progress. You will also need to make sure your RX is up to date and keep track of how many visits you have used.