Billing Massage Therapy to Medical Insurance
Many medical insurance plans cover massage and manual therapy. This benefit is typically covered under either your chiropractic or rehabilitation/physical therapy benefits. Starting in 2015, the majority of insurance carriers have begun allowing massage therapists to bill for massage and manual therapy under their own licensure. If your carrier does not allow licensed massage therapists to bill for massage we may be able to bill your insurance under our supervising chiropractor, depending on your medical insurance policy.
We will be happy to verify your insurance benefits to determine whether or not you have coverage for our services prior to your scheduled appointment and answer any questions or concerns you may have.
Referral Orders
To bill our services to your medical insurance we need a current treatment plan (also known as a referral or prescription) prescribed by an acceptable provider. An accepted provider includes physicians, naturopath, chiropractors, nurse practitioners, physician assistants, and certified nurse midwives. We do not accept referrals written by physical therapists or registered nurses.
A referral order must include the following:
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The patient's name and date of birth
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A diagnosis/diagnoses that is within the scope of a massage therapist's license to help treat
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Example: M54.50 (low back pain)
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A duration and frequency of treatment that does not exceed 4 months in length
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Example: 1 visit per week for 12 weeks
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Your provider's name and signature
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The date the referral was written
Referrals must be received prior to your appointment in order for our services to be billed to your insurance carrier. Without the referral information Advanced Body Solutions will unfortunately not be able to submit a claim on your behalf.
Referral Form
Our Therapists are Preferred Providers with
the below Health Insurance Providers
Aetna, Blue Cross Blue Shield, EBMS/NEA, Meritain, VA/TriWest, and Cigna Health
Common Insurance Coverage
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Aetna: Many plans cover massage with 20% co-insurance
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EBMS: 20 visits yearly with a 20% co-insurance
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Meritain: Many plans cover massage with 20% co-insurance
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Premera Blue Cross: Many plans cover massage with 20% co-insurance with some requiring authorization approval from Evicore
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Federal Blue Cross: Dependent on plan $25 co-pay with 50 yearly visits or $30 co-pay
with 75 visits yearly
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Cigna: Some plans cover massage with 20% co-insurance
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VA/TriWest: Veterans must request referred care from the Anchorage VA Medical Center. With an authorization on file, veterans are 100% covered