
Medical Insurance
What medical insurance does RituaLuna Wellness accept?
Massage Provider | Asuris Bridgespan HMA | Regence BlueCross BlueShield | Moda | Providence |
---|---|---|---|---|
Emily | ||||
Chelsea | ✅ | ✅ | ✅ | |
Maya | ✅ | ✅ | ||
Johanna | ✅ | ✅ | ✅ | ✅ |
Sierra | ✅ | ✅ | ✅ | ✅ |
Sarah | ✅ | ✅ | ✅ | ✅ |
Momo | ✅ | ✅ | ✅ | ✅ |
Roxanne | ✅ | ✅ | ✅ | ✅ |
Acupuncture Provider | Aetna | Asuris Bridgespan HMA | Moda | Providence | Regence + out-of-state BlueCross BlueShield | Samaritan Health Plans | United Healthcare |
---|---|---|---|---|---|---|---|
Wilder | ✅ | ✅ | ✅ | ✅ | ✅ | ✅ | ✅ |
Acu- puncture Provider | Asuris Bridgespan HMA Regence BCBS | Aetna Moda | Providence Samaritan United Healthcare |
---|---|---|---|
Wilder | ✅ | ✅ | ✅ |
Please verify with your insurer that you have massage benefits before adding your insurance information to your intake form. We lack the administrative staff to verify benefits for all clients. You can ask about both massage (97124) and manual therapy (97140) as we can bill for either service as massage therapists, but some plans exclude these services being performed by LMTs.
Please keep in mind that out-of-state policies are less likely to recognize LMTs as medical providers and are more difficult for us to communicate with. If this applies to your plan, please note that we may need to bill you directly for services rendered.
Billing insurance is something we do to improve accessibility and affordability for our clients and we do so at our expense. We do our very best to be thorough and transparent. Different plans have different requirements and cover different things, and we are not always able to get correct answers from representatives. In the case that insurance refuses to pay for your treatment, you will be expected to pay for the services. We appreciate your patience, kindness, and understanding as we navigate this process.
Insurance Verification Policy
At RituaLuna, we are committed to ensuring that your insurance billing is handled smoothly and efficiently. To facilitate this, we require a minimum of 7 days to verify insurance benefits prior to your first appointment. If we do not receive the necessary 7 days to confirm your coverage, or if we are unable to obtain the required information from your insurance provider, the following will apply:
• Clients will need to pay the cash rate for their session at the time of their appointment.
• Reimbursement will be issued to your card on file once your insurance benefits have been verified, or in some cases when the claim has been processed and paid by your insurance company.
Thank you for your understanding and cooperation in allowing us to manage your healthcare benefits effectively.
What restrictions should I expect?
• Most plans prefer your provider to be in-network. Some plans will not cover out-of-network providers. Many plans will cover out-of-network providers, but may charge a higher coinsurance. Many plans will waive deductible for in-network providers, and apply deductible to out-of-network.
• Most Blue Cross/Blue Shield plans require proof of medical necessity in the form of a doctor's referral.
• A few plans require prior authorization.
• Despite showing us as in-network, a few plans exclude (will not cover) massage therapy, services provided by massage therapists, or acupuncture.
Which RituaLuna Wellness providers are in-network with my plan?
Use your insurance provider directory. Enter your member number or network, and search for the provider's name. If the search brings up a provider's profile, they are in-network.
Massage
• Moda Provider Search
• Providence Directory Search
• Blue Cross Blue Shield Search
• Regence Find A Doctor
• Asuris Find A Doctor
• Bridgespan Find A Doctor
• HMA Find A Provider
Acupuncture
• Aetna Find A Doctor
• Samaritan Find A Provider
• UnitedHealthcare Search
• Moda Provider Search
• Providence Directory Search
• Blue Cross Blue Shield Search
• Asuris Find A Doctor
• Bridgespan Find A Doctor
• HMA Find A Provider
I found a RituaLuna Wellness provider listed on an insurance network not listed above. What does that mean?
Sorry! Some of our therapists are incorrectly listed in some provider directories, and we are working to get them removed. If it's not one of the medical insurers listed above, we have opted out of it due to low reimbursement rates.
Do I need a referral (letter of medical necessity) for massage or acupuncture?
Insurance companies that do not require referrals:
• Providence Health Plan PPO plans do not require referrals for in-network care.
• Moda commercial plans rarely require a referral.
• BlueCross BlueShield Federal Employee Program (FEP) plans do not require referrals for acupuncture.
Insurance companies that require referrals for massage therapist services and acupuncture include (but are not limited to):
• Regence BlueCross BlueShield of Oregon
• Regence BlueShield (Washington)
• Regence Group Administrators
• Regence BlueShield of Idaho
• Regence BlueCross BlueShield of Utah
• Premera Blue Cross of Washington
• Premera Blue Cross Blue Shield of Alaska
• Anthem Blue Cross (California)
• Blue Shield of California
• Federal Employee Program (FEP) Blue Cross Blue Shield - for massage
• Asuris Northwest Health
• Bridgespan
• Healthcare Management Administrators (HMA)
We require referrals for out-of-state Blue Cross Blue Shield plans such as Anthem, Blue Shield of California, Empire, Highmark, Horizon, Independence, and Wellmark.
If you have a plan not listed above, please contact your insurer before your appointment to ask if you need proof of medical necessity. (see below).
What is a referral?
A referral is also a letter of medical necessity, a document similar to a prescription that providers proof of a condition that we can treat.
The referral must contain:
• a diagnosis that massage therapists are authorized to treat, typically as a musculoskeletal condition identified with a ICD-10 diagnosis code beginning with M (e.g., "M25.551 - pain in right hip").
• the prescribed number of treatment sessions and/or a designated time frame for the referral's validity. For example, it might specify "6 sessions of 60-90 minutes, valid for 6 months" or "twice weekly for 8 weeks."
Who has the authority to write a referral?
Provider Type | OR | WA | CA | UT | CO | note |
---|---|---|---|---|---|---|
Physician (MD) | ✅ | ✅ | ✅ | ✅ | ✅ | |
Doctor of Osteopathy (DO) | ✅ | ✅ | ✅ | ✅ | ✅ | |
Osteopathic PA (OA) | ✖️ | ✅ | ✖️ | ✖️ | ✖️ | License type only in WA and NM |
Nurse Practitioner (NP) | ✅ | ✅ | ✅ | ✅ | ✅ | + ANP, PNP, FNP, GNP, APRN |
Registered Nurse (RN) | ✖️ | ✖️ | ✖️ | ✅ | ✖️ | |
Certified Nurse-Midwife (CNM) | ✅ | ✅ | ✅* | ✅ | ✅ | |
Physician Assistant (PA, PA-C) | ✅ | ✅ | ✅ | ✅ | ✅ | |
Occupational Therapist (OT) | ✖️ | ✖️ | ✅ |