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.
Individual Supervision Sessions are also available and are recommended for massage therapists who are serious about their business and practices. It is a way to get the support that you need to deal with the many issues that come up in the practice of massage.
Supervision is the process of taking a deeper look at the issues that you are faced with on a daily basis.
Supervision provides an effective approach to improving one's own professionalism which is one of the keys to being a successful massage therapist. It provides a sounding board for massage therapists to discuss and reflect on their own vision and values and integrate them into a massage practice.
Meeting regularly (about every three weeks or once a month) is advised to receive the full benefits of support. Getting regular support usually leads to a renewed confidence in yourself and skills as a massage therapist. The more support you are able to get for yourself, the more you are able to support clients through their processes of healing and dealing with pain.
The word supervision is confusing and many think it is someone telling you what to do. It is not about that at all. Supervision is about whatever you need at the moment. It is about taking a deeper look at the issues that often come with being in the helping professions. It can help you in creating clear boundaries which is how you support yourself and take care of yourself. Burnout can be reduced when you are able to get the support that you need to help others.
The therapeutic relationship is at the heart of supervision. Learning about your role as a massage therapist and some of the underlying reasons of why you help can be enlightening. It is a place to process the day to day goings on that you are faced with. In sharing your stories, you will feel less isolated and more supported.
Supervision groups are also offered and one is starting in March 2014.
Individual Sessions are $85 per hour, $130 for one and a half hours. You can contact me for more information or schedule online. (Click the orange button and schedule under the Supervision/Consultations Time.