Insurance.
If you plan to use any type of insurance or employer sponsored savings account, you must let me know BEFORE your appointment. I take a limited amount of L&I and PIP clients at a time, due to the increased paperwork and time necessary to manage these claims. To learn more about various insurance options, please read through the menus below.
A note on Prescriptions:
Depending on the type of insurance you’ll be using, a written prescription from a doctor is generally required for massage therapy sessions to be covered. See individual insurance categories below for specific recommendations.
If you think you need a prescription, you can save time by asking your doctor to include all the information required by insurance for massage therapy:
Diagnosis code (ICD 10) - this states the exact area or condition that would benefit from massage (ex: M54.2 Cervicalgia). This is important so you receive treatment in the area your doctor recommends for your injury/condition.
Duration of Appointments - this states how long each session of massage therapy you’re recommended for (ex: 60 minutes). Mostly this is to ensure you’re not over treated, such as if your doctor thought it would only be healthy to have manual therapy applied to your shoulder for 30 minutes at a time.
Frequency of Appointments - this states how often you’re recommended for massage therapy (ex: 2 times per week). Again, this is to ensure you’re not over or under treated for your injury/condition.
Number of Appointments - this states how many sessions you’re recommended for massage therapy (ex: 12 appointments). This is important to ensure you’re not over or under treated for your injury/condition. Note that L&I/Workers Comp claims only approve up to 6 sessions at a time, regardless of how many is written on the prescription, so don’t get too excited if your doc writes you up for 100 sessions.
Example Perfect Prescription:
Ms Jane Doe is prescribed massage therapy for her neck pain (M54.2) - 1 hour sessions twice per week, for 12 appointments total. Thank you and goodnight.
Health Insurance:
Out-Of-Network Coverage
**Often requires a written doctor’s prescription and even then is not always covered.**
I do not file work directly with any of the health insurance providers (Aetna, Regence, Premera, etc). Instead, if you want to use your insurance you would pay at the time of service and then submit to your insurance company to be reimbursed. I am classified as an out-of-network provider and can print you a “superbill” receipt, which would have all the necessary information (my NPI number, billing code, etc) for you to submit for reimbursement. As a heads up, it’s a bit of a crap shoot on whether they’ll pay up for out-of-network providers. It’s the main reason I don’t bill personal insurance directly myself.
*Please call your insurance company before you come in* to make sure your plan covers massage therapy appointments with out-of-network therapists and ask them how much of the cost your plan will cover as it will not be 100%. If you want an example of a superbill receipt before-hand so you can also ask if they would accept it, I'd be happy to email one to you. Simply drop me a line here.
Workers Comp: L&I Claim
**ALWAYS requires a written doctor’s prescription to be covered.**
Prescribed in tandem with physical therapy, chiropractic, or primary care work for injuries sustained on the job and filed through a Washington State Labor & Industries (Workers Compensation) Claim. I do not start claims myself, therefore to be covered for your massage therapy visits you must already have started the claim with your PT/DC/PCP and they would have to write you a prescription for massage. As a massage therapist, I am not legally able to write prescriptions or diagnose your injury, therefore insurance will not cover your appointments unless a doctor has already seen you. See the information on prescriptions and their requirements at the top of this page.
**You must pay out-of-pocket for all appointments until you obtain a written prescription.**
Automotive: PIP Claims
**ALWAYS requires a written doctor’s prescription to be covered.**
Prescribed after injuries sustained in a motor vehicle collision and filed through your auto insurance company. As a massage therapist, I am not legally able to write prescriptions or diagnose your injury, therefore insurance will not cover your appointments unless a doctor has already seen you. See the information on prescriptions and their requirements at the top of this page.
**You must pay out-of-pocket for all appointments until you obtain a written prescription.**
Employer Sponsored Account: HSA/FSA
**Sometimes requires a written doctor’s prescription to be covered.**
For debit card accounts - I can directly run these cards at the time of service with previous notice before you arrive for your appointment. For non-debit card accounts - I can provide you with a receipt that you can submit for reimbursement to your employer sponsored account.