Heavensfield

As a massage therapist, I am a preferred provider for the following medical plans:

• ACN Group
• Aetna
• Alternare
• American Specialty Health
  • Puget Sound Health Partners Medicare Advantage Members
• American Wholehealth
• CIGNA
• Corvel - LMP - Cov
• First Choice Health Network
  • Puget Sound Electrical WOrkers Health & Welfare Trust Fund
• Healthways Whole Health
• Lifewise of Washington
• Premera Blue Cross
• Uniform Medical Plan - Cov
• OptumHealth
• United Healthcare
  • Secure Horizons
  • PacifiCare Health Plan
• Washington State Labor and Industries (L&I)

I also accept MOST Personal Injury Protection (PIP) payments if you are injured in an auto accident.

Yes, you will need a prescription for massage if you want to go through your health insurance plan

Even though your insurance plan may allow you to self-refer for massage therapy, a prescription is ALWAYS required in order to bill for services rendered. Please ask the prescribing physician, chiropractor or other health professional to indicate the number of visits, and the ICD-9 code (what they would like me to treat).

In the state of Washington, licensed massage practitioners are not allowed to diagnose your health related concerns. In order to get reimbursed by insurance, I am required to submit a diagnosis code which can only be provided by a practicing medical professional. Therefore, all clients seeking medical massage therapy will need to get a prescription from their doctor, chiropractor or other licensed professional. In this way, I am obeying the law by providing massage therapy that is "medically necessary."

I require payment at time of service until the first claim is paid by your insurance company.

With the proliferation of payors on individual healthcare plans, it's difficult to know if massage therapy is a covered treatment option by your insurance payor. I suggest that you contact your provider (using the information on the back of your insurance card) and ask them if they cover the following services:

• 97124 - Massage Therapy
• 97140 - Manual Therapy

In addition, you may want to confirm with them that I am a preferred provider on your plan. If your plan does cover manual and massage therapy and I am not a preferred provider with your plan, some agencies will cover your massage therapy services at a discounted rate (oftentimes this is in the 50% range).

It's also helpful if you ask how many visits you are allowed per year. This varies widely and is often dependent on the contract your organization has agreed to cover with the health insurance company.