Massage Through Personal Health Insurance

Massage through personal health insurance.

The world of insurance can be a confusing road to navigate. But hopefully some of the info from this post can help! There are several forms of insurance coverages, such as Auto, L&I, and personal health insurance. But for today we will just be looking at personal health insurance.

Will my personal health insurance cover massage therapy?

The answer to this depends on your individual insurance plan. If you do have massage coverage know that you may have a copay or be subject to your deductible and co-insurance. If you are unsure about the coverage on your plan then you are welcome to bring in your insurance card and we will do a complimentary benefit check for you!

What are the insurance requirements and hoops?

Whenever you submit to insurance you have to have a diagnose to prove medical necessity. In Washington state a Licensed Massage Therapist (LMT) is not allowed to diagnose. So, if we are using insurance for your massage then we will need you to bring in a prescription from a qualified provider at the time of your first massage. There are also some insurance plans that require pre-authorization and medical reviews. At those times they can deny payment stating that the treatment is not medically necessary. It’s important to know this possibility when you start using your insurance.

Scheduling an insurance massage.

So, once you know your benefits and have the prescription for your massage, we are ready to schedule! When scheduling make sure you let the front desk know what insurance company you have so that we can make sure to get you booked with a contracted provider. At the time of each appointment we will have a short form for you to fill out. This form will ask you about your pain scales and physical restrictions and when needed these can be sent to insurance to help provide medical necessity as well as it helps to update your massage therapist.

If you ever have any additional questions in regard to your insurance then you are welcome to call or stop in and we would be happy to help!
Amy Pennington
Insurance Specialist