Injury Treatment and Insurance

Injury Treatment

Injury Treatment plans usually require consistent, multiple sessions and are intended for those with a diagnosed medical condition. Your treatment plan will be tailored to your individual condition. A variety of advanced treatment techniques may be used including, but not limited to, cross fiber friction, neuromuscular technique, soft tissue release and fascial release.

All massage sessions billed to insurance require a doctor's prescription which includes injury diagnosis, frequency of treatment, number of visits, start and end dates. Note that insurance does not pay for relaxation massage.

Insurance Accepted

Personal Injury Protection (PIP) insurance claims accepted. I do not accept third party PIP claims.

I am a Preferred Provider for the following insurance companies:

  • Aetna
  • Cigna
  • Corvel
  • LifeWise Health Plan of Washington
  • Premera Blue Cross
  • Uniform

Insurance billing provided

I am able to bill your insurance company for you. If you would like to receive treatment and bill out of network, I can provide you with a receipt which you can submit to your insurance company.

Why a prescription is always needed to bill your insurance company

Some insurance companies require a prescription for treatment and others claim that you can “self-refer”. All insurance companies require that treatment is medically necessary and request diagnosis codes in order to bill.

It is outside the scope of a massage practitioners practice to determine whether massage is medically necessary and/or diagnose conditions. Therefore, even if your plan says that you are not required to obtain a prescription and that you can self refer they will still require a physician to diagnose a condition, provide appropriate diagnosis codes and decide that massage therapy as treatment is medically necessary. This is sometimes phrased as requiring a “formal written treatment plan” (AKA: a prescription). This is not typically an issue when you visit other health care practitioners (i.e. LAc., D.C, M.D, P.T, D.O, etc.) because it is in their scope of practice to diagnose conditions and determine medical necessity.

This is a confusing aspect of insurance benefits for many massage practitioners and patients. If you have a plan that says you can self refer and you call the customer service department, most likely you will be told that you don’t need a prescription. However, they often don’t realize or know that LMP’s have to rely on other physicians for diagnoses. It is unlawful and unethical for any health care professional to practice outside of their scope and to do so could jeopardize our license and business.

HIPAA Compliant

This office is HIPAA compliant.

I invite you to call or email to schedule a massage.