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Health Insurance

PLANS I AM IN NETWORK WITH

Moda OHSU EPO, Moda OHSU PPO, Connexus, Synergy, Affinity, HSC AND OHSU Health, Moda Select, FSA and HSA . Coming soon Regence Blue Cross Blue Shield


You are Responsible for Knowing your Massage benefits

Plans change every year so please remember that it is your responsibility to monitor your insurance benefits for massage therapy each year. The contract for these benefits is between you and your insurance provider, so it's important that you understand the policy's coverage. If you have specific questions about your health plan and benefits, please call the 1-800 number on the back of your insurance card before seeing us.


Flexible Savings and health savings

Federal Savings and Health Savings Accounts can be a valuable tool for managing healthcare costs. If you are enrolled in a high-deductible health plan, you have the option to utilize your health savings account (HSA) to cover qualified medical expenses. Please verify your benefits by calling the 800 number on your FSA card about benefits and inquire if you need MD referral for use.


Billing

Our Massage Menu section is discounted for clients who pay at the time of service. These discounted rates apply only to non-medical and non-physician-referred massages. Medical massage covered by MVA insurance is billed at the usual, customary, and reasonable (UCR) rate. This service is available in 15-minute increments, with a maximum rate of $40.00 per unit. Billing is based on the actual time spent providing treatment and it involves extensive documentation and chart notes to justify billing.

Pro tips for you to ask your insurance company

* Does my plan cover massage therapy when performed by a licensed massage   therapist?  (billing codes are 97214 and 97140. 

* What is my copay or coinsurance for massage therapy sessions

* Do I need to meet my deductible before my massage benefits are available?

* Has my deductible been met for this year? If not, when does my deductible reset?

* Do I need a preauthorization or referral for massage therapy?

*Do I need MD orders for massage?

*Do I need a RX (prescription)?

*What are the limits ?

Lebanon Oregon

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