While massage is a popular long-term self-care tool, it can also be effective in the treatment of injuries, medical conditions, and accident recovery. If you are involved in a car accident, injured on the job, or are under a doctor’s care for a medical condition your massage may be covered by insurance.
BILLING POLICIES FOR MEDICAL MASSAGE
We must have a current prescription for Massage Therapy (not Physical Therapy) on file for you. We are happy to bill your insurance provider for the number of massages and/or the length of time that your prescription specifies. Please let us know that you need medical insurance billing when scheduling your first appointment. Please contact your insurance provider to verify benefits.
Medical massage is billed for up to one hour per visit. You are welcome to schedule a longer massage with the understanding that anything over an hour is your responsibility and is due at the time of service.
We regret that we are unable to bill secondary or third party insurance.
You are responsible for deductible amounts, co-insurance, or co-pay at the time of service. Insurance-covered medical massage is billed at $145 per hour.
All medical insurance clients must sign a copy of our billing policy at the time of service.
Your insurance is a contract between you and your insurance provider. You are responsible for payment of services regardless of the amount your insurance pays.
As a courtesy we will file insurance claims on your behalf. You are responsible for any amount not covered by your insurance provider due to deductible limits, co-payments, or any other reason, and these amounts must be paid at the time of service.
Plan on arriving fifteen minutes early to your first appointment to allow time to complete paperwork necessary for insurance billing.
MORE INFORMATION ON INSURANCE-COVERED MEDICAL MASSAGE
Car Accident Claims – Personal Injury Protection (PIP)
If you own a car and have car insurance, you may have Personal Injury Protection coverage, also known as “PIP” coverage (unless you waived this provision on your policy).
If you have an accident, and you have PIP, normally your auto insurance company will cover your medical needs whether it is your fault or not. You will need a prescription from your doctor, a claim number, the date the accident happened, and the name and telephone number of the adjuster from your personal car insurance company.
If the accident was the fault of the other car, the other driver’s insurance is called “third party coverage.” We do not bill the other driver’s insurance for third-party coverage. We will only bill your own insurance. Please call your car insurance company and ask if they will cover your expenses under your PIP coverage and mediate with the other insurance company for you. In that case, we will bill your auto insurance for your payments. If your insurance company will not do this for you, you can still receive massage by paying when you are in the office for your treatment and seek reimbursement from the other driver’s insurance company when you settle with them.
Labor and Industries (L&I) Claims
If you are injured on the job, you are entitled to medical coverage from your employer. You must first fill out forms at work, go to a doctor to get treatment, get a claim number, notify Washington State Department of Labor and Industry and get a prescription from your primary care physician stating diagnosis and length of time required for treatment. If your doctor is unsure how long it will take, a good measure is to request 6 massages and reevaluate.
We are happy to write reports to keep your doctor informed of your progress and communicate with your claims adjuster to authorize further treatment.
Some of the therapists at Amai Day Spa are preferred providers with Whole Health Network, Aetna, Cigna, and other major insurance carriers. To bill your insurance, please ask to schedule your massage with a therapist who is credentialled with your insurance. Medical insurance companies require that you get a prescription from your primary care physician to demonstrate a medical need for treatment.
Prescriptions should included a diagnosis and a time requirement. An example of this might be “Neck sprain” and “Massage two times a week for six weeks.” Some insurance companies require an authorization from the insurance company itself in addition to a prescription from your doctor.
Copay and any coinsurance payments must be made at the time of the appointment. Please contact your insurance provider for questions about your individual policy.
If Amai Day Spa is not a preferred provider for your insurance company you may be able to self-pay for treatment with us as an out-of-network provider and submit your payment receipts to the insurance company for reimbursement.