Insurance Inquiries
Receipts and Reimbursement
For clients with insurance who:
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have been in a motor vehicle accident (MVA)
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have a Labor and Industries (L&I) claim open from a work related injury or
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have private insurance with massage benefits (ie Aetna, Cigna, Premera etc)
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want to use your FSA or HSA accounts
I do not currently bill insurance, but am happy to provide you with a receipt of payment that you can submit to your insurance for reimbursement.
About Insurance Reimbursement
Although I will not be billing your insurance directly, I have spent nearly 10 years learning about how private insurances in the Unites States operate and would like to help make this process as seamless for you as possible.
If you plan to bill your insurance to access your massage benefits, you will need a doctor's or chiropractor's prescription (Rx) (AKA "treatment authorization note"). This prescription is a plan of care that outlines the massage treatment that we will follow. In this prescription you will need the following:
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Patient's (your) Name (as listed on your insurance card)
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Date prescription was written/treatment start date
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Expiration date (if any)
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Frequency and duration of treatment (for total of 12 massage sessions weekly for 12 weeks or 2x/wk for 6 wks)
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Signature of authorizing Doctor/Chiropractor
Note: Some insurances will tell you that you DO NOT need a prescription to receive massage, HOWEVER, they WILL need a diagnostic code in order to process the billing. This code can only come from a licensed physician or chiropractor NOT a massage therapist. Therefore, before you book an appointment which you want to bill to your insurance, YOU MUST obtain a doctor's prescription with the above details written before or on the date of your massage appointment or your insurance will not honor it.
I understand that navigating insurance plans can be confusing and frustrating. While I am not an expert, if you have any questions about how you can get reimbursed for your appointments, please let me know and we can discuss prior to your appointment.
Pricing
For an additional fee of $40/session
you can receive the following...
Receipts
Submit receipts for each session to your insurance company for reimbursement
SOAP Notes
Insurance grade SOAP notes (Subjective/
Objective/Assessment/
Plan) track your plan of care with detailed records of each session's progress, findings, and health goals which insurance companies look at to determine medical necessity
Progress Reports
Progress reports can be sent to the rest of your healthcare team (with your prior authorization) or submitted to your insurance to improve chances of reimbursement
What This Means for You as a Client
For clients hoping to have their insurance cover the costs of their massage treatment, you'll want to find out what your specific company/plan considers medically necessary. Unfortunately, most companies will not consider "stress relief" medically necessary at this time (although we know a lot about how prolonged stress can impact the heart, immune system and so many other serious conditions), therefore, when considering using your insurance, make sure your needs fall within the parameters of what they will cover before booking your appointment. If it doesn't align with your insurance's definition, no problem! You can still book an appointment and get the care you need, it just won't be covered by your insurance.
If you decide you would like to submit receipts to your insurance and seek out reimbursement, please understand:
1) You are still responsible for paying the full rate for each session at the time of your appointment
2) Submission of receipts to your insurance is NOT a guarantee of reimbursement.
If your insurance agrees to reimburse you for your massage session(s), it could be weeks or months after your appointment. Please make sure to calculate this into your budget when booking appointments that you plan to bill to your insurance.