Insurance Billing Services
The services of a licensed massage therapist may be covered by your health insurance company. A number of health insurance plans are now recognizing therapeutic massage as an eligible medical treatment, and therapies provided as part of a prescribed treatment by a physician or other qualified medical professional are often covered.
We are preferred providers for several major health insurance companies with plans that may cover massage therapy including Regence BCBS, Cigna/Great West, ASHN, and United Healthcare. Other companies we are in-network with, such as Providence and Aetna, may offer discount programs that often include massage treatments.
Contact your health insurance company to find out if your benefits include coverage for services provided by a licensed massage therapist (CPT code 97124), or contact us and we can help you. We will need to verify coverage before your first appointment.
In order to confirm your eligibility we will need the following information from you:
Although, we are happy to help find out benefits information for you, please keep in mind the information we gather may not be 100% accurate. We suggest that you contact your insurance company to confirm your benefits.
Motor Vehicle Collision (MVC/MVA) Insurance
Oregon law requires motor vehicle insurance companies to provide Personal Injury Protection (PIP) coverage on all policies. PIP includes coverage for any "reasonable and necessary" medical expenses related to motor vehicle collision injuries. See Oregon's automobile insurance requirements here.
If you are injured in a motor vehicle collision in Oregon, it is your right to seek treatment from providers of your choice. Before seeking therapeutic massage services, your primary care physician or a licensed medical doctor must evaluate the extent of your injuries and determine whether massage therapy is an appropriate treatment for you.
Massage therapy treatments, if approved by a qualified medical professional, are covered by your PIP even if another party is at fault. EVEN IF YOU ARE ON YOUR BIKE.
Your auto insurance will pay for treatments related to your MVA injury for up to one year from the date of the incident OR until your PIP benefits are exhausted. Check with your auto insurance company to find out the specifics of your policy.
Prior to coming in for your appointment, you must obtain a prescription for Massage Therapy from your primary care physician. The prescription must state a diagnosis code, the number of treatments prescribed, and a 97124 or 97140 CPT code in order for massage therapy treatments to be covered. You can use our template Massage Therapy Referral Form to ensure we get all the appropriate information.
Along with your personal information, we will also need the following:
Please download and complete a copy of our MVA Intake Form for your first appointment, and be sure to bring or send us your physician's referral as well.
Insurance Billing Rates
Due to the amount of work, extra time, and costs involved in insurance billing, we charge a rate of $40-50/15 minute unit when we bill third parties for your treatments. MVA/PIP patients typically have no out-of-pocket costs, while health insurance patients are responsible for their co-pay due at the time of the appointment. We will take care of all of the billing for our services, while you focus on what's most important -- you.