MASSAGE THROUGH INSURANCE.
Our massage therapists are not a doctor or a physical therapist. They are a 'Licensed Massage Therapist' that aims to provide excellent integrative bodywork and self-care education to their clients. Evergreen Massage & Wellness accepts insurance as another form of payment. The quality of massage will not be different from the self-pay client.
We are currently in-network providers for the following carriers: Regence BlueShield, BlueCross BlueShield, Healthcare Management Administrators (HMA), Aetna, Premera BlueCross, LifeWise, Regence Uniform Medical, and Kaiser PPO. In addition, we also see clients who have Personal Auto Injury Protection Claims (PIP) or L & I (on-the-job) injuries.
If you have a carrier with whom we are not currently in-network, and if you have out-of-network benefits associated with your plan, you may have coverage for our services. We will be happy to check this information when we confirm your benefits. Benefit confirmation can take up to 5-7 business days depending on your plan.
(*note: Insurance only covers the session fee, does not include the gratuity to the therapist.)
To use your health insurance
Please follow these steps to schedule Massage at Evergreen Massage & Wellness using health insurance:
1. Before making an appointment – get your specific massage benefits verified by Your Insurance Company
When you decide to come in for medical massage make sure to call your insurance member service to confirm your benefits.
Evergreen Massage & Wellness can assist you by uses the insurance carrier's online portal or telephone services to verify your benefit information as soon as possible prior to your appointment. However, the online system does not show all benefit details and Insurance phone services are only available Monday - Friday. It is best to call your member service and find out the exact massage benefits before you make an appointment. Evergreen Massage & Wellness is not responsible to verify your insurance benefits.
Please provide your legal name and date of birth, the name of your insurance carrier, your member ID number, your Group number and the Customer Service phone number on the back of your card. We need to confirm your benefits in advance.
Please Note: Verification of Benefits is NOT a guarantee of coverage. Final payment determination will be made when your insurance company processes your claim. The client is responsible for full payment of the appointment if insurance denies your claim.
2. For Massage Through Insurance, Have a Prescription or Referral
Get a prescription or written referral for massage therapy from your doctor, chiropractor or other medical professional licensed by the State of Washington to diagnose physical ailments. Your prescription must be on file before your treatment begins. Your provider can fax a copy of your prescription to us directly at our secure fax, (425) 412-6274.
If you do not provide us with a valid prescription at your first visit, you may be responsible for the entire cost of the visit if your insurance carrier does not pay us.
Some insurance policies do not require a prescription. However, in order to bill your insurance company, we must have a diagnosis code, which is on the prescription/referral.
Information required for prescriptions/referrals:
Diagnosis and ICD-10 code
Number of massages prescribed and duration ( i.e.: 6 visits at 1 visit per week)
Provider name and physical or electronic signature
3. Schedule Your First Appointment
After you verify your benefits with the insurance carrier. At that time, you are free to schedule your first appointment.
You can also schedule appointments using our online scheduling. It is important to make sure the practitioner you are seeing is covered under your particular insurance plan. Each time you schedule an appointment, please remind the scheduler of your insurance carrier.
4. Complete Our Insurance Paperwork
Please arrive at least 15 minutes early for your visit to complete the needed insurance paperwork or complete our online intake forms. You will need to do so even if you have been to the clinic before as a cash client. Please click here to complete the online intake forms needed at your first insurance visit.
Bring a copy of your driver’s license, your insurance card and your prescription/referral if it has not already been faxed to us. Provide these and your insurance paperwork to the front desk before your appointment starts.
You can expect a thorough intake session with your massage therapist before your treatment begins; together you will formulate a treatment plan that follows your provider’s referral.
- All Auto Insurances – also called Personal Injury Protection or P.I.P. (we only accept 1st party auto insurance claim)
- L&I – on the job injury insurance, covered by the employer’s Labor and Industry insurance.
- Private Worker’s Compensation Insurance
- Health Management Administrators(HMA)
- Kaiser Permanente (PPO ONLY)
- Premera Blue Cross
- Life Wise
- Aetna PPO
- Cash Patients
- Aetna sister plans: Sadly, Aetna chose to drop their compensation rate (what they pay per massage) to 1998 levels, therefore we only accept Aetna PPO plan.
- Regence Complex Prefix Plans: ZLF, WDR, MBJ
- Anthem (Blue Cross): very complex plan with limited coverage for massage
- Apple Health: does not cover massage by a Licensed Massage Therapist.
- Community Health Plan: does not cover massage by a Licensed Massage Therapist.
- Medicare: does not cover massage by a Licensed Massage Therapist.
- Molina: does not cover massage by a Licensed Massage Therapist.