- What do I need to do to use my health insurance to cover massage or acupuncture visits?
- Is massage therapy covered by all insurance plans?
- What insurance do you take?
- Do you accept Aetna?
- What is the difference between In-Network and Out-of-Network coverage?
- How many visits will be covered under my insurance?
- How much will my visits cost?
- I don’t see my insurance listed. What should I do?
- When can I schedule an appointment under my insurance?
- Where can I get a prescription?
- Why do I need a prescription?
- What is the difference between a prescription and a referral?
- What happens if I do not have a prescription by the time of my first appointment?
- What do I need to bring with me to my first appointment?
- What can I expect at my first visit?
- Does acupuncture require a prescription?
1. What do I need to do to use my health insurance to cover massage or acupuncture visits?
- Submit your insurance information via the correct form located at the bottom of this page. Or, email [email protected] with the following information:
- A photo of your insurance ID (front and back)
- A photo of your driver license (front and back)
- Best phone number to follow up
- Get a prescription from your doctor, chiropractor, or physical therapist. Your prescription can be faxed to (206) 267-0814 or emailed to [email protected]
We need to confirm your benefits in advance to ensure that your insurance company will cover your treatments. There are no exceptions to this policy.
2. Is massage therapy covered by all insurance plans?
Massage therapy is not covered by all insurance plans. While a large number of plans do provide coverage for it, it is lumped into a category called “Out Patient Rehab” services. This means that while you have massage therapy services, you also have speech, cardiology, naturopath and chiropractic services under this large umbrella. For example, if you have 16 visits of this type allowed per year, all of the services under this umbrella count toward those 16 visits. Acupuncture is typically covered separately.
3. What insurance do you take?
- First Choice/Kaiser PPO
- Regence* (we do not accept Regence Medicare or Medigap Supplement Plan, or plans that begin with the prefix WAI, UDW, WAC)
- Providence Health Plan
- Out-of-State BlueCross BlueShield
- Personal Auto Injury Protection Claims (PIP) (1st Party Only)
- Workers Compensation L&I Claims (on-the-job injuries)
4. Do you accept Aetna?
We do not currently accept Aetna.
5. What is the difference between In-Network and Out-of-Network coverage?
To help you save money, most health plans provide access to a network of doctors, facilities, and pharmacies. These doctors and facilities must meet certain credentialing requirements and agree to accept a discounted rate for covered services under the health plan in order to be part of the network. These health care providers are considered in-network.
If a doctor or facility has no contract with your health plan, they're considered out-of-network and can charge you full price. It's usually higher than the in-network discounted rate.
6. How many visits will be covered under my insurance?
Once we confirm your benefits, this information will be provided to you. You can also call your insurance provider directly and they will provide that information to you.
7. How much will my visits cost?
Each individual insurance plan has variable cost. At most, you will pay our cash rate for your specific visit. For example, a 60 minute massage costs $123.
8. I don’t see my insurance listed. What should I do?
We DO NOT accept the following plans:
- Secondary Insurance Plans
- United Healthcare
- Kaiser HMO
- Care First
- Third-Party PIP Claims
- L&I Claims through the Federal Department of Labor
If you do not see your carrier listed and you have out-of-network benefits associated with your plan, you may have coverage for our services. Please email [email protected] with a photo of your insurance ID and driver license, both front and back, along with your phone number.
9. When can I schedule an appointment under my insurance?
Once you have submitted your insurance information via the “PATIENT DETAILS” form at the bottom of this page, the benefit confirmation process can take approximately 14 business days depending on your plan. When your benefits have been confirmed, we will contact you to schedule your first appointment.
10. Where can I get a prescription?
Prescriptions for massage therapy can be provided by any medical professional licensed by the State of Washington to diagnose physical ailments, including:
- Primary Care Physician
- Physical Therapist
- Physicians Assistant (PA)
- Nurse Practitioner (NP)
- Naturopathic Doctor (ND)
- Licensed Acupuncturist
Your provider can fax a copy of your prescription to us directly via our secure fax, 206-267-0814.
A prescription must have the following information:
- Client's Name and DOB
- Date Issued
- Area of Treatment and/or Diagnosis ICD-10 codes
- Number of massage visits prescribed
- Duration or expiration date ( i.e.: 6 visits at 1 visit per week)
- Provider name
11. Why do I need a prescription?
In order to bill through your insurance, they require diagnostic and treatment codes, which are provided in a prescription. Insurance will not accept treatment provided without a prescription and you may be responsible for the entire cost of the visit.
12. What is the difference between a prescription and a referral?
Prescriptions tend to have the most detailed information required for services, whereas referrals are generally recommendations from treating providers for alternative service providers.
13. What happens if I do not have a prescription by the time of my first appointment?
Typically, you will not be able to be seen without a prescription. If you do not provide us with a valid prescription at your first visit, you will be responsible for the entire cost of the visit or for the cancellation fee of $85.
14. What do I need to bring with me to my first appointment?
Please bring a copy of your driver’s license and your insurance card.
15. What can I expect at my first visit?
Please arrive 15 minutes early for your first insurance visit to complete the necessary paperwork. You will need to do so even if you have been to the clinic before as a cash client.
You can expect a thorough intake session with your massage therapist or acupuncturist before your treatment begins; together you will formulate a treatment plan that follows your prescription.
16. Does acupuncture require a prescription?
Acupuncture treatments do not require a prescription, but any information available to your therapist will help in your treatment.
Below is a list of common health insurance terms that could make this all a bit easier to navigate:
Premium – what you pay each year or each month to your insurance company for your health insurance policy.
Provider – physician or other person who provides your medical care and creates your prescriptions.
Network – a group of providers that work with a specific insurance carrier.
Benefits – covered medical services to which you are entitled from providers in your network.
Out of Network Benefits – some plans allow medical services to be performed by providers not in your network. Deductibles and copayments/coinsurance are usually higher for out-of-network benefits.
Deductible – the amount of money you must pay every year to providers before the insurance company will begin paying for medical expenses – not the same as your premium or co-payments/co-insurance.
Copayment – a specific amount of money you must pay on each visit to Dreamclinic.
Coinsurance – the amount of money you must pay on each visit to Dreamclinic, based on a percentage of the total bill.
Explanation of Benefits (EOB) – every time you use your health insurance, your insurance company will send you an EOB. It is important to go over it to ensure that you understand how your benefits are being used. While these are not bills or statements, they will show you when a service gets applied to your deductible.
IMPORTANT: You are the manager of your plan and benefits. Dreamclinic staff provide a courtesy benefits check and will bill insurance visits on your behalf. If you have detailed questions about your benefits coverage, call the Customer Service Representatives for your insurance provider to ensure you have the correct information. They can review your Explanation of Benefits (EOBs), your plan coverage, deductible, and more. You are ultimately responsible for tracking your visits and payments.