Subscribe To This Site

Insurance Coverage for Massage Therapy in Seattle

All Insurance Claims require a prescription from a Doctor with a diagnosis in order to be processed. That includes all plans, even ones that say they are a self referring plan. Billing Insurance requires that a condition be medically necessary which requires a diagnosis. As a massage therapist I am not able to diagnose conditions. Please download the insurance verification form and call your insurance company if you have any questions. You can also ask me if you have any questions about this. Thanks! Julie

Your Health insurance may cover your massage therapy services if you are dealing with a specific injury or condition that can be resolved or improved by getting massage therapy - in the insurance companies words it must be "medically necessary" and the massage sessions must show improvement in your condition.

Medically necessary treatment is usually defined something like this:

Massage therapy may be considered medically necessary when performed to meet the functional needs of a patient who suffers from physical impairment due to disease, trauma, congenital anomalies, or prior therapeutic intervention. Maintenance programs are considered not medically necessary.

Therefore, insurance does not cover massage for stress relief, soreness due to exercise or things like that. It also does not cover "maintenance massage".

Please check with your insurance company to get your definition of medically necessary as the definitions will vary with each company and to find out what your policy allows for as far as getting massage therapy. Please download and fill out this Insurance Verification form (pdf) and call your insurance company to find out what your massage benefits are. Also bring the filled out form with you to your first appointment along with your insurance card and prescription.

I am an insurance provider for Aetna, Uniform Medical, Regence Blue Shield and Premera Blue Cross. You will need a prescription from your doctor stating the diagnosis of your condition along with their recommended treatment plan (the number of sessions per week and how long sessions should continue for.) Some insurance companies require that you pay a copay or a coinsurance payment. You can call your insurance company and ask them these questions or feel free to call me with any questions and I will try to help you as best I can.

If you have been in a Motor Vehicle accident, massage may be covered by your auto insurance Personal Injury Protection Coverage. As with any covered service, a prescription from your doctor is necessary. You will need to bring me your claim information including the claim number, billing address and claim representative. More info: motor vehicle accidents and massage.

If you have any questions about billing your insurance company for massage therapy services, please contact me at the phone number below.

footer for insurance page