At Classic Body Restoration, we work with several insurance companies to help make massage more accessible.
Here are the plans for which we are in-network or accept:
MODA – In-network with Connexus, OHSU PPO, OHSU EPO (Tier 2) Synergy, Community Care Network and Beacon
Blue Cross
Providence- Self funded plans, PEBB, PPS, Intel
All Auto/Car Insurance Plans- Referral from Doctor is required.
Flex spending and health savings cards (FSA and HSA)
Out of network but still able to bill:
Aetna
United
Please note that we do not bill HealthNet, Cigna or workman's comp.
Deductibles: In accordance with our contracts with insurance companies, patients will be charged the amount that is applied toward their deductible. We have contracts with most of the insurance companies that we bill, so the amount a patient is responsible for depends on the company. We bill all insurances $184 for a 60-minute therapeutic massage.
When scheduling an insurance-covered massage, there are a few things to keep in mind:
12 visits per year will be submitted. More visits may be approved with prescription from doctor depending on medical necessity.
Most plans only cover massage for treatment specific care. They do not cover for chronic pain or relaxation massages.
Plans change every year.
Massage Is often covered by group plans but not individual plans.
Some plans may only cover massage if it is conducted with or by a chiropractor or physical therapist.
Some plans require a prescription.
Some plans require you to have met your deductible before massage is covered.
We can always bill your insurance then reimburse or give you a credit if they pay.
Many plans require a preauthorization.
Questions to ask your insurance company about your massage coverage:
Do I have insurance coverage for massage therapy that can be performed by an LMT NOT working under/or with a chiropractor, or physical therapist?
Is massage covered or included under physical therapy benefits when billed as 97140?
Do I need a prescription or a referral?
Is massage subject to my deductible?
How many total visits do I have for massage?
Is the number of visits shared with any other care like acupuncture or physical therapy?
Many insurance plans cover massage, let’s see if your insurance is one of them.
Checking your massage benefits.
You may need to pay for your massage session upfront and then be reimbursed after we get confirmation from your insurance company. Or you can check with your insurance company and ask if you are insured for massage. If you would like, we can check some plans online; insurance is tricky, but we are happy to help you navigate the process.
A note on motor vehicle accident massage coverage:
Motor Vehicle massage and recovery is billed to the individual’s insurance at the Oregon Workman’s comp rate. It includes an initial evaluation, extensive SOAP notes, regular range of motion testing, and advanced myofascial and deep tissue techniques. Several insurance companies do not require a doctor’s prescription, however we require one to ensure payment from the insurance company and eliminate any chances of you (the client) being liable. If a prescription is not on hand at the first appointment, you will be responsible for payment at time of service. We look forward to getting you and your body restored!
Regarding flex spending and health savings accounts:
In these accounts, money is set aside pre-tax by your employer. These funds are set aside specifically for medical expenses. If you are paying for you massage with these funds, a prescription may be required. Also, an additional detailed receipt may be needed. Let us know if this is the case and we can create one for you at the time of your massage.
If you have any questions, don't hesitate to give is a call at 503.239.2639.