Updated: November 14, 2025
Reviewed by: Dr. Donald L. Aivalotis, II
Is Massage Therapy Covered?
Yes.
Elevance Health plans may cover massage therapy when it’s deemed medically necessary and included in a prescribed physical therapy treatment plan. Coverage typically applies if massage therapy is part of a treatment plan prescribed by a physician for specific medical conditions and delivered by an appropriate provider.
For example, if a patient is recovering from a sports injury, their physical therapy plan may include massage therapy to help reduce muscle tension and promote healing. In that scenario, massage functions as an adjunct to primary physical therapy.
Massage therapy is generally considered not medically necessary if it’s provided independently of a covered physical therapy, occupational therapy, or chiropractic service.
This means that standalone massage treatments outside of a broader physical therapy plan likely won’t be covered.
In many instances, massage therapy performed outside of a related therapy context is not covered, as Elevance does not typically recognize massage therapists as a covered provider under stand-alone scenarios.
What Conditions Must Be Met for Massage Therapy Coverage?
Massage therapy is covered when:
- It’s prescribed by a licensed physician or authorized healthcare provider.
- It’s integrated into a documented treatment plan addressing a specific medical condition.
- It’s provided as part of a physical therapy care plan.
- Medical necessity and treatment effectiveness are well-documented.
Elevance expects massage to be part of an overarching therapeutic plan, especially physical therapy, not a solo service.
Does Massage Therapy Need Pre-Authorization?
Potentially.
Many Elevance Health plans may require pre-authorization. Your healthcare provider typically needs to submit a request, including the treatment plan and documentation showing medical necessity.
Because policies vary across plans and states, it’s best to verify via your plan documents or contact customer service.
Are There Limits to Massage Therapy Coverage?
Yes.
Coverage is often limited based on the specific plan’s terms. Limits may include the number of sessions per year, duration restrictions, and the types of conditions deemed eligible. Massage therapy is generally only covered when part of a larger, medically necessary physical therapy plan.
How Do I Get Pre-Authorization for Massage Therapy?
Your healthcare provider must submit a formal request to Elevance. This should include:
- A clear diagnosis.
- A detailed treatment plan outlining the role of massage therapy.
- Documentation of medical necessity.
Once submitted, Elevance will review the request and determine whether the therapy is covered under your plan.
Is a Referral Needed from My Primary Care Physician (PCP)?
Maybe.
Referral requirements vary by plan. Some may require a PCP referral before you can access physical therapy (and the included massage), while others may allow self-referral. Check your plan details or call customer service to be sure.
Are There Specific Providers I Need to See for Coverage?
Yes.
For maximum benefits, you’re generally required to see an in-network physical therapist. Using in-network providers ensures the plan covers the therapy at the highest possible level.
You can find eligible providers using Elevance’s provider directory on their website or member portal.
What Documentation Is Needed for Coverage?
Typically, you’ll need:
- A physician’s prescription or referral.
- A detailed treatment plan outlining medical necessity for massage therapy.
- Progress notes from your physical therapist demonstrating the treatment’s effectiveness.
Can I Get Reimbursed for Out-of-Network Massage Therapy?
If you see an out-of-network provider, you may still receive reimbursement, but at a lower rate than in-network services, and often subject to higher deductibles or co-insurance. Always check your plan’s specifics.
Where Can I Find More Information?
For more details, I recommend:
- Logging in to your Elevance member portal to review benefit documents.
- Checking the physical or digital policy handbook.
- Contacting Elevance customer service.
And remember: Elevance Health plans are evolving. Some plans are expanding coverage for alternative services, like massage therapy, acupuncture, reiki, and more, though coverage still depends on the specific plan.