Is Massage Therapy Covered by HealthPartners?
Yes, under Specific Conditions.
HealthPartners may cover massage therapy when it is medically necessary and part of a physical therapy treatment plan prescribed by a physician. The therapy must be conducted by a licensed provider within the treatment plan.
Coverage Requirements:
- Must be prescribed by a licensed physician.
- Included as part of a documented physical therapy plan.
- Provided by a licensed physical therapist or provider recognized by HealthPartners.
Pre-Authorization:
Yes. Pre-authorization is typically required, and documentation of medical necessity must be provided.
Coverage Limitations:
Coverage may be limited to a specific number of sessions or restricted to the initial phase of treatment. Standalone massage therapy for relaxation or maintenance is generally not covered.
Required Documentation:
- Physician referral or prescription.
- Comprehensive treatment plan.
- Progress notes from the provider.
Finding Providers:
Use HealthPartners’ provider directory to find approved in-network providers.
PCP Referral:
Possibly. Verify with your specific plan details.
Out-of-Network Reimbursement:
Partial reimbursement may be available, but at a reduced rate compared to in-network services.
For More Information:
Visit HealthPartners’ official website or contact their customer service.