Is Massage Therapy Covered by Kaiser Permanente?
Yes.
Kaiser Permanente may cover massage therapy if it is deemed medically necessary and included in a physical therapy treatment plan prescribed by a physician. The therapy must be part of an overall treatment plan designed to address specific medical conditions, such as recovery from an injury or pain management.
Massage therapy as a stand-alone service is typically not covered. Kaiser Permanente’s coverage is generally focused on short-term treatment plans for acute phases of injury or illness.
Coverage Details:
- Prescribed by a licensed physician.
- Part of a comprehensive treatment plan.
- Conducted by a licensed physical therapist.
Pre-Authorization Requirements:
Yes. Pre-authorization may be required. Your provider must submit a treatment plan and supporting documentation for approval.
Limits to Coverage:
Kaiser Permanente may have restrictions on the number of massage therapy sessions covered and the duration of coverage. Ongoing or maintenance massages are usually not covered unless part of a physical therapy plan.
Documentation Required:
- A prescription or referral from a physician.
- A detailed treatment plan outlining the medical necessity.
- Progress notes from the therapist.
Finding Providers:
Check Kaiser Permanente’s provider network for approved therapists.
PCP Referral Needed?
Possibly. Depending on your specific plan, a referral may be necessary.
Reimbursement for Out-of-Network Providers:
Partial reimbursement may be available but usually at a lower rate.
For More Information:
Visit Kaiser Permanente’s official website or contact customer service.