It is your responsibility to know your insurance coverage and the providers in your network. We have an insurance benefit form that we ask you to fill out after calling your insurance company.Information we receive about your benefits is no guarantee of coverage. You are personally responsible for any unpaid balances regardless of the information we have received from your company. We very often get incorrect information from insurance companies or they change their policies without letting providers know. Some companies even expressly say they will not give us information regarding your coverage. If you are looking for massage and would like to use your insurance please read the requirements below.
We have practitioners who are in network with the following insurance companies. In-network status varies by practitioner. Please ask when scheduling who is in your network. Often out of network coverage is very good as well.
- Premera-Acupuncture, Massage, Chiropractic, Naturopathy
- LifeWise-Acupuncture, Massage, Chiropractic, Naturopathy
- First Choice-Acupuncture, Massage, Chiropractic, Naturopathy
- Aetna-Acupuncture, Massage, Chiropractic, Naturopathy
- Cigna-Acupuncture, Massage, Chiropractic, Naturopathy
- Uniform– Acupuncture, Massage, Naturopathy
- Regence– Acupuncture, Massage, Naturopathy
- Group Health-Acupuncture, Chiropractic, and Naturopathy are out of network but are often covered.
- Great-West Healthcare– Naturopathy
- HealthAllies & UnitedHealth Allies-Naturopathy
- Medical Resource, LLC-Naturopathy
- Reserve National Insurance Company-Naturopathy
- United-Acupuncture, Massage, Chiropractic, Naturopathy
- Trusteed– Chiropractic
- PacifiCare– Naturopathy
- PIP (auto injury cases)– Acupuncture, Massage, Chiropractic, Naturopathy
- L and I– Massage, Chiropractic
- Medicare/ Medicade not covered
- Community Health Plan– Acupuncture, Naturopathy
We ask that you notify us 48 hours before your scheduled appointment should you need to cancel. If you need to cancel your appointment with less that 48 hours notice you may be charged a fee of $60.
Medical Massage Through Insurance
1) Prior to making an appointment for medical massage, please call your insurance company to verify that you have benefits and the provider that you would like to see is in-network.
Please note that we very often get incorrect/ incomplete information, and it is best to call your company yourself. You will be responsible for any unpaid charges from your insurance company
2) We will need a current prescription for Massage Therapy prior to your treatment. If it is not on file the day of your treatment we will either charge a missed appointment fee of $60, or you can pay our time of service rate. If you bring a prescription that includes that date of service in the future the charge will be refunded.
In Washington State, licensed massage therapists cannot legally diagnose. Whenever you use your insurance, we will need to have a prescription on file before your appointment that tells the therapist what they are treating. This is true whether it is your personal health insurance, an auto claim or Personal Injury Protection (PIP.) You will have to have a diagnosis code to use for billing. Since your therapist cannot legally diagnose, it will need to come from a qualified provider, in the form of a prescription.
Your prescription must be on file before your treatment begins. It’s important to make sure that your massage prescriptions stay up to date to avoid denials from your insurance. Your prescription will be under Files in your Jane account so that you may access it at any time to see if it needs to be renewed.
If you do not provide us with a valid prescription at your first visit, you may be responsible for the entire cost of the visit, as we cannot bill without the required code on the prescription.
Some insurance policies do not require a prescription. However, in order to bill your insurance company, we must have diagnosis code(s), which are on the prescription.
What is a prescription for Massage Therapy
A prescription indicates how many massages you can use, how often, and for what condition or diagnosis code. It is necessary for all massages billed to insurance in the state of Washington.
Information required on prescription:
- Date issued
- Diagnosis and ICD-10 code(s)
- Number of massages prescribed
- Start and end date and duration ( i.e., 6 visits at 1 visit per week 1/1/22-3/1/22)
- Provider name and physical/electronic signature
A prescription is different from a referral. A referral just says you can see a specific provider and is not enough information without these details.
Dealing with insurance is not fun! Trust us we know! Hopefully this page will help make your experience a little easier. Let us know if we can answer any questions for you.
Personal Injury Protection (PIP) – Automobile Insurance Claims
If you have a car, you will have Personal Injury Protection (PIP) unless you have waived it. It entitles you to money toward medical expenses if you have been in an accident. If you have been involved in an auto accident, your auto insurance will cover your medical expenses regardless if the accident is your fault or not.
You will need a prescription from your doctor, a claim number, the date the accident occurred, and the name and telephone number of the insurance adjuster from your personal auto insurance company.
Department of Labor and Industries (L&I) Claims
Washington State Labor and Industry states that if you are injured on the job you are entitled to medical care that is covered by your employer. You must complete forms at work and then be seen by a medical doctor for evaluation. You will then receive a claim number, notify Washington State Department of Labor and Industries, and get a prescription from your primary care physician stating your diagnosis and length of time required for treatment.