I do accept insurance, and can bill directly for the following companies: Aetna, Premera, Cigna, United/Optum Health and EBS-RMSCO. I’ll also accept L & I and PIP claims. Any other company, I can write you a itemized receipt for you to submit for reimbursement* (i.e. you pay me after our session, then your insurance pays you back).
If you’d like to see me under your insurance plan, please read all of the following. Thanks!
Most of my sessions are 90 minutes, and insurance companies only recognize 60 of those minutes. This means for you: you’ll pay your co-pay or co-insurance as usual, and 50% again of your insurance rate. (As in: if your insurance is paying $80 an hour total, and your co-pay is $15, you’ll pay me $55 at the time of service [$15 + ($80/2)]. We’ll go over the specifics of your plan together, of course).
It’s best if you have a good understanding of what’s covered, and what’s not, under your plan. Of course, I’ll need to know that information too, though I’ve found it’s best if we’re both on board.
You’ll need a prescription. Please bring in a photocopy, along with your insurance card, to our first session.
This is good to know: as a massage therapist (that’s what I am according to my state license), I can’t determine “medical necessity.” That’s up to your doc. What I can do, as always, is provide the best treatment for you based on what I do know. The prescription, regardless of whether your policy says you need one, is to best prepare for an inquiry into the legitimacy of your claims (a fairly common practice). Of course, the claims may still be denied; again, I can’t determine what they deem medically necessary or not.
The best, most proactive measure we can take is to have a prescription and do good work!
*If you’re with Regence, here’s a link to their Direct Reimbursement Form.
