22400 SE Stark St.   Suite 105   Gresham, OR 97030

©2019 Six Elements Bodywork, LLC  /  Sarah K, Carl, LMT     OBMT #11624

Insurance Billing

Below you can find a guide to the kinds of insurance I can take and how to check your benefits.


Please note:

I accept Auto Accident claims and health insurance listed below.


If your coverage is not confirmed or your network does not cover me, I am happy to provide you with a detailed receipt when you pay out of pocket. Then you can request reimbursement from your insurance company. Sometimes this is cheaper for you than having me bill. 

 

Who can we bill for?

 

Car Accident/ Personal Injury Claims

What to do: 

A. Get a prescription for massage therapy including diagnosis codes (ideally written out and also in ICD-10 form), frequency of visits ordered, expiration date and referring provider information from your doctor, chiropractor or other insurance-approved primary provider for your case. 

B. Schedule your appointment & fill out the required intake forms before we start. They are available on the Appointments page. You can print them and bring the completed forms to your first visit or arrive a few minutes early to fill them out at the office.

C. Bring to your appointment: 

-Your insurance information and information on the insurance we are billing if not your company. 

-Claim number

-Adjuster's name and contact information

-Your completed intake forms or information needed to fill them out at the office.

Private Health Insurance

I am in network for the following at my Gresham location only:
-Kaiser's CHP program

-Regence of Oregon (which includes Blue Cross, Premera and several others). If you have a Regence insurance you may need prior authorization for treatment to be covered.

Out of network billing or partial reimbursement might be available for members of:

-MODA

-United Health Care

-Other companies

Some insurance covers a limit of one hour (4 units of 15 minutes) but sometimes they cover longer sessions.

If you wish for more time than insurance allows, we offer a discount when you pay at the time of service. Once you meet your deductible and copay/coinsurance I will only charge you for the extra time not covered by your plan.  

How To Check Your Benefits

Call the toll-free number on your insurance card and ask to talk to a member services representative. 

ALWAYS WRITE DOWN date & time of your calls & name of person who helped you. 

They may need your: 

Name -- Date of Birth -- Insurance ID# and Group ID#  

and any other information that they can use to verify your identity (i.e. SSN or passwords).


Questions to ask:

  • Is massage covered BY A MASSAGE THERAPIST? 

       (Some plans cover massage given by a doctor or chiropractor but NOT by a massage therapist) 

  • Do I need a referral or prescription? Who is authorized to write it (doctor, chiropractor, other provider)?

  • Do I need pre-authorization for visits? 

  • Do I owe a co-pay at the time of service? How much? 

  • Is there a deductible that applies to massage therapy? Is that shared with other services? 

  • How much has been applied to the deductible this year?

  • Is there a limit to the number of visits allowed per year? 

  • How much time is allowed per visit? (Some companies reimburse up to 60 minutes, some longer) 

  • Is there an annual dollar limit for massage? 

  • How much has been used? 

  • Is the annual limit combined with other services like acupuncture, chiropractic, naturopathic? 

  • If you are interested in acupuncture, naturopathic, chiropractic, counseling, etc. it’s good to get the same information about them while on the line.

  • Remember, even if you verify coverage, this is not necessarily a guarantee of payment. Try to find out to the best of your abilities what your insurance company will and will not authorize in order to reduce your chances of getting a surprise bill.