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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. Since 2015, the majority of insurance carriers have begun allowing massage therapists to bill for massage and manual therapy under their own licensure.

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. Accepted providers include physicians, naturopaths, chiropractors, nurse practitioners, physician assistants, and certified nurse midwives.

 

We do not accept referrals written by physical therapists, medical assistants, or registered nurses.

Referral Form

A referral order must include the following: 

  • The patient's name and date of birth 

  • A diagnosis/diagnoses that is within the scope of a massage therapist's license to help treat

    • Example: M54.50 (low back pain) ​

  • A duration and frequency of treatment that does not exceed 6 months in length 

    • Example: 1 visit per week for 12 weeks ​

  • Provider's name and signature 

  • 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. 

Coverage

Our therapists are preferred providers with the following Health Insurance Providers: Aetna, Blue Cross Blue Shield, EBMS, Meritain, and VA/TriWest

Common Insurance Coverage

  • Aetna: Many Aetna plans, including their unions (EBMS, ASEA, Meritain, AK Electric, AK Laborers), cover massage with a 20% co-insurance   

  • Premera Blue Cross: Many plans cover massage with 20% co-insurance with some plans requiring authorization approval from eviCore

  • Federal Blue Cross: Depending on the plan, patients can expect $25 co-pay with 50 yearly visits or $35 co-pay with 75 yearly visits 

  • VA/TriWest: Veterans must request referred care from the Anchorage VA Medical Center; with an authorization on file, veterans are 100% covered

Insurance Plans We Do Not Accept

  • Aetna State of AK Retiree 

  • Blue Cross Blue Shield Anthem, PBQ, and UPA Plans 

  • Medicare 

  • Medicaid 

  • TriCare 

  • Allied Health

  • Cigna 

  • GEHA

Please note that this is general information. We can not be sure of your benefits until they have been verified by our clinic. 
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