Insurance Participation Verification
Insurance companies list their preferred providers in a variety of different ways. Unfortunately, we don't have any control over this process. Depending upon the insurance company, you may find our clinics listed as providers under the following headings:

Company Name: Integrated Center for Optimum Health, LLC 

Provider Name: “Jane Massage Therapist” LMP or “Jane Acupuncturist” L.AC

Today’s complicated reimbursement climate is in a constant state of flux. It is not possible for our clinic to understand the details of each individual’s massage therapy or acupuncture coverage. It is your responsibility to fully understand all the details of your particular plan.

If you have a deductible, then your deductible must be satisfied before the insurance company will pay for treatment. You are responsible and will be billed for any unsatisfied deductible amount. You can obtain this information from your insurance customer service representative.

Office co-pays are due at the time of service. The co-pay amount on your insurance card may not be the co-pay amount for massage therapy visits. You can obtain this information from your insurance customer service representative.

Your co-insurance amount is the amount not covered by your insurance plan. The co-insurance amount is the patient responsibility and due at the time of service. You can obtain this information from your insurance customer service representative.

If your insurance policy requires a prescription from your primary care physician (PCP) or non-physician practitioner (NPP), you must obtain a current prescription in order for your plan to pay for massage therapy services. You must have a current prescription for the duration of your massage therapy care.

If your policy requires a referral or pre-authorization on file, you will need to contact your PCP’s referral coordinator and ask that a current copy be sent to both your insurance company and our office.

Be aware that prescriptions, referrals, and pre-authorizations have expiration dates and/or a set visit limit. Check to be sure your paperwork has not expired prior to your first visit. We will assist you in tracking expirations of prescriptions, referrals, or pre-authorizations once you have begun care with us.

All our massage therapists or acupuncturists are not preferred providers for all massage therapy and acupuncture plans. It is important for you to know whether your massage therapist or acupuncturist is a preferred provider for your plan. If your massage therapist or acupuncturist is not a preferred provider for your plan, you will not be eligible for in-network benefits. You may want to reschedule with another provider to receive in-network benefits.

Massage therapy or acupuncture benefits can include occupational therapy, speech therapy and physical therapy. In addition, naturopathic - physical medicine and chiropractor office can provide and bill for massage services. These services can be paid out of the same benefit limit. Please check with your insurance company when you are seeing multiple practitioners.

Keep in mind that the Integrated Center for Optimum Health and Core Physical Therapy can only track your plan and prescription limits for services provided at one of our offices. It is your responsibility to track services received from other practitioners in other offices. If you exceed your plan limits, you are responsible for payment of the services not covered by your plan.