Posts Tagged ‘Blue Cross’

Insured Visits

| June 6th, 2011 | No Comments »

Registered Massage Therapy can be a costly affair and the provincial health plan does not offer a great deal of coverage, however various extended insurers and third party groups do offer some support.  When you go looking though it is often a very confusing process and can come with some time restraints.  Each plan offers its own type of coverage and decrees how its members and their care providers may claim that coverage.   Do not assume that one Blue Cross plan is like all Blue Cross plans – the variety is actually endless.  MSP, Worksafe and ICBC also each have their own type of coverage and ways of submitting claims.  It is always wise to inquire with them if you believe you may be eligible.

What follows is what I am willing to take on in terms of types of coverage, direct and indirect billing.  This is my set of choices, other RMTs make different choices.  This information will remain on my website and as current as I can keep it, but this is where I stand now….

Worksafe BC: As part of the Worksafe BC Massage Therapy Network  I provide service to WorkSafe claimants in accordance with the agreement between the Massage Therapists Association of BC (MTABC) and Worksafe BC.  Given the fee schedule set by this agreement I have specific appointment lengths for Worksafe BC patients.  Initial Visits are 35 mins in duration and include history taking and assessment.  Subsequent treatments are of 20 min duration and have a small re-assessment component included.  I am not able to treat anything other than the injured area that is in the claim.  Worksafe BC does allow me to address areas excluding the injured area for a Injured Worker if a separate appointment is booked.  The separate appointments may be booked consecutively with the covered appointment.  If an Injured Worker is receiving care from another practitioner (ie. physio) I may not bill Worksafe BC without permission from Worksafe BC

MSP: I am opted out from MSP, which means I take privately paying clients and submit a claim to MSP for their visit.  Patients receive a re-imbursement of $23.00 per appointment within 2-4 weeks.  Only those on subsidy from MSP are eligible for any coverage and they have a limit of 10 visits from a pool of 5 practitioner types (massage, chiropractic, physiotherapy, podiatry and acupuncture).  Additional visits are sometimes available but require your GP to authorize them (this is the last I heard, it may have changed)

ICBC: At this time I am not accepting clients for direct billing to ICBC.  Inquire with your adjustor if they will cover your privately paid appointments. ICBC has a quite strict 8 week time frame for coverage, so do not delay!

Blue Cross: I have a billing number with Blue Cross that allows me to bill directly for RCMP, military and DVA patients in accordance with their plans.  Re-imbursement is available to University of Victoria grad students who are covered by the UVIC grad student health.  Others covered under Blue Cross should inquire with their plan contact as to how their plan deals with massage therapy billing.

Greenshields: I am registered with Greenshields and can provide direct billing to some plans (UVIC undergrads and staff).  Please inquire with your provider as to their policies regarding massage therapy

Great West Life: Some GWL plans allow for direct billing by RMTs.  Shaw Cable is one employer whose plan allows for direct billing. Others covered under GWL should inquire with their plan contact as to how their plan deals with massage therapy billing.

Other providers: Please inquire with your carrier to find out how they deal with Registered Massage Therapists.