Treatment Massage and Insurance Coverage
While we believe deeply in the value of massage therapy as part of an overall preventative and wellness plan, as we understand it, health insurance coverage for massage therapy is generally limited to addressing acute musculoskeletal issues (joint pain, muscle pain, back pain, neck pain, headaches, muscle strain/sprain, muscle spasms, etc) that are expected to improve with consistent care over a set period of time. With this in mind, we will be setting goals with you and documenting your progress; we will also ask you to commit to a consistent treatment plan. If scheduling proves to be too challenging, we may refer you on to another clinic to ensure that you receive the care you need in a timely fashion. Preventative care and care for relaxation/stress reduction is almost never covered, even if your doctor recommends the care for these reasons.
Am I covered?
Please note that coverage varies widely from plan to plan so we ask that you call your insurance company or talk to your company’s HR department in advance to verify coverage and learn the details. We recommend that you do so every year, as plan details are subject to change. You are ultimately responsible for the cost of your care, regardless of what happens with your insurance claim.
Good questions to ask your insurance company or HR department:
- Is massage therapy covered with a licensed massage therapist? (Sometimes, it is only covered with a PT, DC or MD.) Is my massage therapist considered in-network with this plan? If not, do I have out of network coverage?
- Do I have a deductible (an amount of money that you pay out each year before your coverage kicks in)? If so, has it been met yet? Does it apply to massage therapy coverage?
- Is there a visit limit or monetary limit? And, do other forms of care count towards the visit limit? (Often, massage is part of a rehab benefit, which includes PT and other forms of care, or an alternative care benefit, with acupuncture and nutrition.)
- Do I have a copayment? Or coinsurance? How much is it?
Injuries from Car Accidents
Massage therapy can be a great resource for treating common injuries sustained in an automobile accident, such as whiplash, headaches, neck pain, fatigue, sleeplessness and back pain. LMPs at Therapy Works are highly skilled, experienced, and trained to give you the special attention needed following your accident.
See your doctor
First, see your doctor or chiropractor for an exam and assessment and to discuss your treatment options. If your doctor feels massage therapy could be helpful, ask for a prescription for massage. (Your doctor may fax it to us at 509.888.6682)
Injuries at Work
After an injury at work, your doctor may recommend massage therapy. We are affiliated with the Department of Labor and Industries and can bill them for services. Private employer insurance welcome also.
See your doctor
First, see your doctor or chiropractor for an exam and assessment, and let them know that the injury occurred at work. If your doctor feels massage therapy could be helpful, ask for a prescription for massage. (Your doctor may fax it to us at 509.888.6682)
NOTE: In Washington, worker’s compensation laws pace your care in six session increments, and we need prior authorization from your claims manager as well as your doctor.
Health insurance accepted for Preferred providers, non-preferred providers, private insurance, auto/ MVA, L&I/ Workers comp