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INSURANCE

Most insurances accepted. Some restrictions apply.

Insurance Verification For Medical Massage Therapy

*Name of insurance company:

*Your full name:

*Name of policy holder:
(if you are the policy holder plz leave blank)

*Your date of birth:

*Policy identification number:
*Policy group number:
(if none leave blank)
*Member services phone #: (usually an 800 # located on the back of your card)
*Customer service phone #:
(usually an 800 # located on the back of your card)
*Email:
*Home phone:
*Cell phone:
Best time to contact you:

 I am interested in Medical Massage Therapy:

Yes No

Questions / Comments:

 

 

 

I allow Massage 2 Wellness to contact my insurance company for verification of services.



AMERICAN COMPLEMENTARY CARE NETWORK (ACCN)
PLAN SUMMARY for UnitedHealthcare

United Naturally – This complementary medicine program offers additional choices with regard to treatment therapies. The United naturally program is exclusively for United Healthcare clients to encourage their participation in wellness programs.

Clients are required to present their HealthAllies/UnitedHealth Allies identification card at the time of service.

Clients are required to pay the discounted amount directly to the provider.

Referral from primary care physician or other health professionals in accordance with the terms and conditions of Member’s Benefit Contract is required, if any.


A.C.N. Group, Inc.
American Complementary Care Network

HealthAllies plan offers you a 20% off the regular cost of a Swedish and Shiatsu Massage. Regular $75.00 per visit and you pay at the time of each visit only $60.00. Requirement: Confirmation of your eligibility prior to making an appointment.

Clients are responsible according to the Member’s Benefit Contract which are assessed as a stated amount per visit.

Discounts: (20% for UHC, 25% for NYS Empire Plan payment due at the time of service)

Manipulative and Body-Based Practices: An Overview
HealthAllies Complementary Patients have direct access to practitioners and will self-refer to the office of their choice. Network professionals are identified through www.healthallies.com, where names, specialties, office locations, and phone numbers are available for review.


Accepting Oxford Liberty Insurance and Oxford Freedom Insurance. and find out if you have benefits that cover Massage Therapy or the Alternative Benefit Contract Program.

If your plan covers Massage Therapy you will need to fill out a OXFORD Form and only responsible for paying your copay at the time of your appointment unless other arrangements are made in advance.

If you are under the Alternative Benefit Contract Program, the below cost applies to you and to be paid in full at the time of your appointment.

Alternative Benefit Contract Program
$25 for 30 minutes
$40 for 60 minutes
$70 for 90 minutes

Empire Plan enrollees are discounted by 20% for. Does not apply to supplies or products dispensed through the office.

Please call your health plan and inquire if your benefits cover massage therapy (i.e., you may have one of the above plans and your place of employment may not have accepted this as additional coverage. Fortunately, more and more companies are becoming aware of the importance in offering this benefit.)

A doctor’s prescription is required in certain insurances indicating the number of treatments including frequency of visits with an expiration date. Insurance coverage varies; please consult your insurance for specific authorization. Payment is required at the time of service unless prior arrangements have been made.

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