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Thread: The trouble with insurance companies

  1. #1
    Join Date
    Feb 2005
    Location
    Pennsylvania
    Posts
    7

    The trouble with insurance companies

    Hi there,
    I'm wondering how many of us have experienced trouble with health insurance companies not covering alternative pain management ie; massage therapy.

    In PA it is not recognized as a licensed profession therefor my healthcare insurance will not cover it. However if it was a workmans comp related injury or a vehicle accident related it would be covered according to my muscle therapist who is licensed in 2 other states but not PA.

    Does anyone know how we can change the legislation in this state? Anybody have any ideas on how to sway insurance companies to recognize this as valid pain relief therapy?
    I have spent so much money on massage, and feel it has been worth every cent!
    Deep tissue massage has helped more than any PT I have had covered thru Insurance and yet it is not covered!!

    Juliann

  2. #2
    Join Date
    Nov 2003
    Location
    PA
    Posts
    360
    Hi Juliann,

    I live in PA too. I have never been able to have insurance cover massages either. I have no idea how to remedy this. Maybe go to the PA website and look for health insurance or something.

  3. #3
    Join Date
    May 2004
    Location
    Houston, Texas now live in Colorado Springs, CO
    Posts
    544
    Juliann,

    Have you asked your doctor to write a prescription for massage theraphy? My doctor had told me that if they didn't do it at my physical theraphy sessions he would right a prescription for it. Also, one of the massage salons that I went to also told me to get a prescription from the doctor; I would have to pay first then file with the insurance company.
    Theresa

    April 8 & 12, 2004 - Anterior/Posterior surgery 15 hours & 7 hours
    Thorasic - 79 degree down to 22
    Lumbar - 44 degree down to 18
    Fused T2 to sacrum
    June 2, 2005 - Pedicle subtraction osteotomy @L3 7 hours
    MAY 21, 2007 - Pedicle subtraction osteotomy @ L2, extended the fusion to S2 and added pelvic instrumentation 9 hours

    FUSED T2 - SACRUM 2

  4. #4
    Join Date
    Feb 2005
    Location
    Pennsylvania
    Posts
    7
    Hi Theresa,

    Yes, my Dr. wrote a script and we had all the right codes on the receipts, etc. and I sent in all the paper work needed, but my plan which is Capital Blue Cross, denied coverage. It just is not part of my plan. I have the right to appeal. If you have any advice on what to say in an appeal to an Insurance co, I could use any and all opinions.
    Juliann

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