407 443-1550 Multi-Modality Approach To Pain Relief MM28729 Welcome To Eve's Therapy-We work by appointment only
407 443-1550Multi-Modality ApproachTo Pain Relief      MM28729 Welcome To Eve's Therapy-We work by    appointment only

 

We are now a participating provider for:

Optum/UnitedHealthCare - Health Allies Discount and VA Community Care Network (VA Approved Referral Process)

 

Optum/UnitedHealthCare Discount Benefits Program

 

Effective january 1, 2020, we will be participating in the "Optum/UnitedHealthCare Discount Benefits Program 20%" This is for members who have either used up their benefits under their existing medical plan or do not have access to massage as part of their standard coverage. Patients pay directly at time of service.

 

You may also be eligible for coverage under your medical plan - Will my insurance cover massage therapy?

 

The easiest response to this question is for you to call your customer service phone number located on your insurance card and request information on massage therapy coverage. Each insurance company has different rules and conditions for when and how they will pay for massage. Typically, the types of insurance that covers massage are Major Medical PPO (ie: Fl Blue, Aetna, Humana, UnitedHealthCare, etc.), also Auto Mobile Insurance (PIP), Workman's Comp.

The few providers that usually do not pay for massage are HMO's and Medicare/Medicade.

 

 

Verifying Your Benefits:

 

Phone the insurance company directly and ask these questions.

  • Do I have massage therapy benefits?
  • Do I have a deductible? Have I met it yet? Is it per calendar year (ie: Jan - Dec)
  • Is there a limit to the number of visits I can receive?
  • Is there a maximum dollar amount per year that my plan will pay?
  • What percentage do you cover?
  • Do I have a co-pay for each visit?
  • Do I need a prescription from my doctor to make the visit "medically necessary"?
  • Do I have Out-Of-Network benefits for massage therapy?

Knowing the answers to these questions can prevent misunderstanding of your benefits and unexpected bills.

 

NB:  If your policy requires a prescription you need to have your physician write the  following information on the script:

 

  • Diagnosis code
  • Frequency of treatments eg. 2xweek for 12 weeks
  • Physician's NPI#
  • State that massage is medically necessary

Once we receive the verification of benefits form you fillled out, we will contact your insurance company and ask for pre-approval along with their coverage guidelines.

 

Financial Policy

 

Patient pays at time of service and then submit the bill to the insurance company for reimbursement. You may also pay at time of service, we submit the bill and reimburse you when we receive payment from the insurance company. With either option, payment is due at the time of service.