I accept Regence Blue Shield and Premera Blue Cross. Both Companies require that you have a pain condition AND a loss of function.
That means that you MUST also have some degree of not being
able to sit, stand, walk, stair climb, lift, work, personal care, drive, or sleep because of or in addition to your pain.
Each has different requirements and benefits that you will need to know and be responsible for. Please read more at these pages: Regence Blue Shield and Premera Blue Cross
ALL Plans require that massage therapy be medically necessary and each plan has their own specific definition of what that means. Check your policy. Here are some sample definitions of medical necessity.
All insurance claims must have a prescription from your doctor with a diagnosis in order to be processed, no matter what the insurance company says. A prescription is different from a referral. Some plans will say that you do not need a referral, but you still will need a prescription. A prescription will provide a diagnosis code and a treatment plan stating the number of sessions the doctor is prescribing and the duration. (Example: 1x a week for 6 weeks)
You will be allowed 6 sessions to be completed without prior-authorization. After that, your insurance requires that I obtain a prior-authorization from a company they have hired called eviCore, before completing more sessions.
Insurance will only cover
massage if there is an injury or condition that makes it medically
necessary to get a massage. Medically necessary massage therapy is done once or twice a week depending on the prescription and condition.
It does not cover massage just for stress, anxiety or depression.
It does not cover maintenance or preventative massage. Each insurance company has their own definition of maintenance massage. I define it as massage therapy done once a month, every three weeks or every other week. Massage must be done (time allowing) once a week for massage to give the best benefits. I have to show that there is improvement in your condition.
It does not cover soreness due to exercise.
Some of the conditions that massage can help and that your health insurance will cover are:
Use this handy insurance verification form (PDF) if you call your insurance to investigate your massage therapy benefits.
What do I have to bring or do for my first massage?
Nothing! Just arrive on time! I will start with a group of questions to access your condition and what you want out of your massage. You will be asked to undress to the level of your comfort. If you have any special needs for comfort, those can be addressed on a one by one basis. You will be laying down on a massage table and covered by sheets that provide for privacy. Read more about your first massage.
What kinds of things does massage help with?
The most common of course is back or neck/shoulder pain from long days at the computer or driving in cars or any other repetitive motions. It can also help with things like depression/anxiety, carpal tunnel syndrome, stress, Herniated discs, headaches and fibromyalgia. I have written articles on various things that massage can help with.
Do you take Insurance?
Yes I am a provider with Regence Blue Shield and Premera Blue Cross. Your health insurance may also cover your massage if you have a condition that can be helped with massage. It needs to be medically necessary which means you have to have some sort of pain AND a loss of function/movement. You will need a prescription from your doctor. Find out more about insurance coverage.
How often do you recommend massage?
In general, it depend on the severity of the issue that you are dealing with. Usually once a week or once every other week. Massage can be very preventative and help you lead a better life by helping you to feel better! Getting a massage once a week is really a necessity!
What types of massage do you do?
I have been trained in triggerpoint therapy which is working with the 'knots' in the muscles that feel like bumps in the muscles. They are usually the cause of pain and other dysfunctions. I also do deep tissue massage. I also have been trained in Structural Integration which takes posture and balance into consideration and use these principles when doing my massage sessions.
What about all of the low cost massage places like Massage Envy, Massage Heights and Elements?
Those are franchise businesses that usually hire entry level massage therapists. The massage therapists there are usually paid about $15-$20 an hour, which is not really a living wage especially here in the Seattle area. You can go there and get monthly massage for a fee. It can help with general stress, but my work differs in that I work with each client to focus on their individual problem areas. I also am self-employed and this is my own business! I have extensive experience (25 years) and 1000 hours of additional training.
If you have any other questions, please feel free to contact me .
You can also make your appointment directly online! (Click the Orange Button Below!)