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Medical Insurance

​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.

What medical insurance does RituaLuna Wellness accept?

Regence BCBS: Sierra, Sage, Courtney, Magidah, Sarah, and Roxanne

MODA: Sierra, Sage, Courtney, Magidah, and Roxanne

Providence: Sage, Courtney, Magidah, and Sierra

Note: Our therapists are transitioning to not accepting PacificSource due to a recent and significant decrease in reimbursement rates. Please contact PacificSource to let them know that this is making it difficult to find LMTs. Your advocacy makes a difference.

Do I need a referral for massage and acupuncture?

Providence Health Plan PPO plans do not require referrals for in-network care.

A very small number of Moda commercial plans require a referral.

Insurance companies that require referrals for massage therapist services 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) HSAs

 

If you have a plan not listed above, please contact your insurer before your appointment to confirm benefits (see below).

What is a referral?

Head over to the Auto Insurance page where this is explained in-depth.

My insurance does not cover massage (or manual therapy performed by LMTs). Will getting a referral change that?

No, a referral cannot override policy exclusions, nor does it guarantee benefits.

Referral Form

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 plan directories which have not been updated recently. If it's not one of the 3 medical insurers listed above, we have opted out of it due to low reimbursement rates. 

I have out-of-network benefits; how do I use them?

If you have Regence BlueCross BlueShield, Moda or Providence Health Plan commercial/employer insurance, we will bill them directly.

If you have another insurance company, you will pay us for the session, then request a superbill from your therapist at the time of checkout, then you will send the superbill to your insurance for reimbursement.

Does RituaLuna Wellness take Oregon Health Plan, Medicaid, or Medicare?

We have been unable to successfully bill for services under any OHP or Medicaid policy including those managed by companies we are in-network with. We cannot bill Medicare with the exception of Regence Medicare MedAdvantage plans.

How do I verify my medical insurance coverage/benefits?

When you book a session, you will fill out an intake form that will send your insurance information to our office. If you aren't ready to book, email a picture of the front and back of your insurance card to office@ritualunawellness.com

Out-of-state BlueCross BlueShield plans:

Unfortunately, non-Oregon, non-Washington BlueCross BlueShield plans do not provide us with a way to confirm your benefit information. Therefore, we require all patients with these plans to call and confirm coverage and benefits before their appointment. Please ask the following questions:

For massage:

  • Does my plan cover massage (97124) and/or manual therapy (97140)? (Pro tip: ask about both)

  • Are LMTs excluded from providing this service under my plan?

  • Does my plan require a referral for these services?

For Acupuncture:

  • Does my plan cover acupuncture?

  • Does my plan require a referral for these services?

Additionally, please inquire about the following details:

  • What is my copay/coinsurance/deductible?

  • Are these services excluded from my deductible?

  • How many sessions/what is the dollar amount limit of these services?

  • What is my out-of-pocket maximum?

  • Are these benefits shared with other types of services?

  • How much of this benefit have I used this year?

  • When does my plan reset (when is the plan new year?)

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