Many insurance companies have benefits covering all or part of massage therapy costs (i.e., Great West Life, Sun Life, PSHCP). We will provide you with receipts that may be submitted to insurance companies for reimbursement. We ask however that your account is kept current while awaiting reimbursement.
- MOTOR VEHICLE ACCIDENT MASSAGE THERAPY/CHIROPRACTIC CARE
Being involved in a motor vehicle accident (MVA) can be overwhelming in many ways from injuries to insurance coverage. It is very important to have yourself examined as soon as possible for injuries to avoid symptoms that may appear later.What to do after a MVA:
- Report your accident to your insurer – it is essential if you are submitting a claim for care.
- Contact us to advise us of your recent MVA so we can schedule extra time with your doctor to discuss any new injuries and to arrange extra time for an examination of the injured area.
- New Patients to our office, please advise us that this visit is a result of a MVA so we can schedule extra time for your initial examination.
- If you have received any forms from your Insurance Company, please bring them along to your appointment.
- We can assist you with your paperwork.
- We will require your adjuster’s name, contact information, and claim number.
- Anyone who has a valid Ontario Insurance Coverage and has been involved in a MVA is covered for $2200.00 with possible benefits to $3500.00 of care.
- If you have extended health insurance, the Financial Services Commission of Ontario (FSCO) guidelines require that your extended health insurance is billed prior to billing to your auto insurance.
- It is important that your extended health insurance claims are up to date prior to the MVA. If you have reached your maximum benefits please provide the insurer proof with a statement indicating such so the remainder of the fees can be submitted to your auto insurance company for reimbursement.
- For more information to how to proceed after a MVA in Ontario, visit the FSCO website.
Prior to arriving to your scheduled appointment, please download, and complete the MVA form for additional information for your doctor.
- ROYAL CANADIAN MOUNTED POLICE (EXCLUDING CIVILIAN MEMBERS)
Members of the RMCP are eligible for chiropractic care without a prescription. Our Doctors are listed and are approved providers with Blue Cross. RCMP members have a combined maximum coverage of $4800.00 annually towards chiropractic care, massage therapy and physiotherapy. We direct bill for RMCP members to Blue Cross.On the first visit we would require RCMP members to present their Blue Cross benefit card. We will make a copy to keep on hand and will contact Blue cross to see the balance of coverage remaining if benefits have been used elsewhere within the current year.
Members who require massage therapy will require a referral from their Medical Doctor and this information is kept as part of the member’s records and will need to be renewed yearly.Fees billed for any services over the amount paid via Blue Cross are the patient’s responsibility.
- VETERANS AFFAIRS (DVA)
Veteran Affairs Canada offers health care benefits under 14 Programs of Choice (POC). Chiropractic care and Massage Therapy fall under POC 12, Related Health Services. POC 11 – Provides coverage for Orthoses with a Medical Doctors referral. Veterans will be required to present their health ID cards identifying the services and benefits they are eligible to receive. There are two groups of patients that are eligible for health care. Group A are veterans and civilians who have been granted a pension from Veteran Affairs Canada. Group B patients are veterans and civilians who are receiving an allowance under the War Veterans Allowance Act.
Veteran Affairs Canada has set the frequency limit at 20 sessions per calendar year for chiropractic care. If more care is required, your Chiropractor will contact the VAC Treatment Authorization Centre to obtain approval for any additional treatment. Your Chiropractor will also submit progress reports/assessments when necessary to VAC. DVA will pay a maximum of $50.00 per visit. Orthotics, if eligible are covered once a year up to $500.00.
Veterans who require massage therapy will need to bring their referral from their physician to their initial appointment. Member’s benefits permit 15 one hour massages per calendar year and must be renewed yearly. DVA will pay a maximum of $91.00 for an hour massage plus HST.
- DEPARTMENT OF NATIONAL DEFENSE (DND)
Chiropractors are recognized under the Health Practitioner Benefits for outpatient services when chiropractic care is prescribed by the attending physician. Members of the Canadian Forces can access up to 9 chiropractic visits and one assessment for a total of 10 visits. Physicians can authorize patients as indicated, per condition after which physician follow-up of each case is required to ensure that care is progressing and to determine whether further care is required. Permission must be granted for additional chiropractic care in advance of any additional treatment. It is important to note that it is the onus of the CF member to get preauthorization for care.
Massage therapy is also available to members but it must be preauthorized for payment of a maximum 15 one hour massages at $91.00 plus HST. Fees billed for any services over the amount paid via Blue Cross are the patient’s responsibility.