The Good NEWS!?
Benefits & Drawbacks of direct billing?
Which insurance companies can Sore Spots direct bill their massage therapy services to?
Can I direct bill through the clinic?
Your likely reading this because you have some insurance coverage for massage therapy. Awesome! This means you’ll have some support when that nagging neck pain is creating focus problems for you at work or a sore and stiff lower back is making it hard for you to start your day the way you want to in the morning. We suggest taking note of what you have for coverage and building a plan that includes your coverage but is not limited to your coverage.
Most people spend more money on the bodywork and maintenance of their vehicle in the run of a year than they do their own body. What good is the 4 wheels you drive, when your having problems on the 2 legs you use to walk? Food for thought. Keep a discretionary maintenance fund in mind when it comes to making sure your feeling healthy and able to take full advantage of life as you move through the moments of your everyday.
Benefits:
you don’t pay out of pocket, payment goes directly to clinic
less paperwork or waiting for your treatment payment to be reimbursed
lower credit card fees for our clinic
Drawbacks:
some patients like to collect credit card points for their service fees
not always reliable, you may at times need to pay out of pocket if the direct billing systems are down ~ always come prepared with this in mind!
some plans require a Physician’s referral to bill, always call your insurance provider or speak with your HR/PR department to clarify ~ we can’t bill for you without having a copy of this attached to your file
In addition to the insurance providers listed above, we also direct bill with Sunlife, Blue Cross & Veteran’s Affairs. For Veteran’s Affairs, we will need you to call our office with your K number as well as areas or conditions approved for treatment as approved by your Case Worker. Having your Case Worker’s name and contact information would also prove helpful for long term treatment planning.
In order to direct bill, we need your policy and identification numbers. Please bring your card or have this information readily available.
We are unable to direct bill a secondary plan. If you require a receipt from your primary insurance company to submit to your secondary plan, then please let your massage therapist know at the beginning of your appointment.
Even if you have 100% coverage for massage therapy, there may be a cap to the amount an insurance provider will cover in one session.
Some insurance plans require a doctor’s prescription for massage therapy. If you would like us to direct bill and require a prescription, we will need a copy of your prescription with a legible date and the prescribing doctor’s name.
Visitors from out of province may not be able to direct bill, but please do bring your insurance information to us and we will process accordingly. Our medical receipts are accepted throughout North America by all extended health or paramedical insurers so you will have no problem sending our receipts to your insurance providers.
Unfortunately, we are not able to answer any questions about your individual coverage as we do not have access to this information. You should inform yourself of the details of your coverage. There is typically a 1-800 number associated with your insurance company or speak with your HR / PR department. KNOW YOUR COVERAGE. Good questions to ask your insurance provider and inform your massage therapist of are as follows:
What is the bulk amount allotted for extended health / paramedical services?
Do I have separate coverage for massage therapy or is my allowance lumped into a general paramedical allowance?
What is the percent covered for each treatment? Is there a cap?
What is my policy renewal date?
For a number of reasons beyond our control, we may not be able to direct bill at the time of your appointment. Please always come prepared to pay in full. In the event that this were to occur you can always, submit the medical receipt provided for direct reimbursement.
What if I don't have a plan that you can direct bill to?
Sore Spots Massage Therapy is covered by most insurance providers. Companies that we do not offer direct billing to will still reimburse you for a percentage of the cost of your massage. This amount varies by provider and you should make sure to confirm the amount with them before arriving for your treatment.
For all other insurance providers, we will give you a medical receipt that you can use to remit on your own.
Always check the details of your particular plan as all will vary in coverage types and amounts. We are unable to provide you information about your insurance coverage.
I lost my receipt, can I get a new one?
Yes, absolutely. We will often email our clients receipts post treatment, but if you happen to lose the electronic copy or your paper receipt we can resend or reissue your receipts accordingly. Please note that it may take up to 72 hours to reissue your receipt.