Direct Billing

Our clinic provides direct billing to a majority of extended health benefit providers in addition to MSP, ICBC and WorkSafeBC. This is a value-added service at no cost to our patients. Our administration team will assist you in processing your claim right away. Let us help reduce your upfront costs, and save you time and effort by submitting your receipts for you.

If you have a coverage with MSP, or an active claim with ICBC or WorkSafeBC, please contact us BEFORE you schedule your first appointment.

Currently, we are equipped to bill directly to the following providers:

Pacific Blue Cross

Equitable Life

Green Shield

Empire Life

SSQ

Canada Life

Manulife Financial

Sun Life Financial

GroupHEALTH

Chamber of Commerce

Group Source

People Corporation

Manion Wilkins

MORE COMING SOON!!

Direct billing is a courtesy service provided by our clinic. In the event we are unable to submit your receipt during your visit due to sudden billing portal or clinic logistical issues, and your extended health plan does not cover anticipated amounts, our clinic policy requires to have a valid credit card on file.

How Does It Work

SELECT EACH HEADING BELOW FOR DETAILS

COVERAGE DETAILS & ELIGIBILITY

Some providers allow us to perform a pre-determination to see if your plan will likely cover the session, however we are not able to determine limitations or varies policies attributed to your extended health benefit plan. Once we direct bill for a completed session, your plan will indicate the coverage and/or limitations in place at the time of service.

Please contact your provider directly to determine these details of your coverage.

DOCTOR REFERRALS

A doctors note is not required to receive massage therapy. However, some extended health benefit plans might require a referral from a medical doctor before it begins reimbursing for your massage therapy sessions. We often discover this aspect when submitting to your plan for the first time.

We recommend you consult with your extended health care provider before your session to determine if it requires a recommendation from a medical doctor.

CO-PAY (A.K.A "USER FEE")

The Co-Pay or User-Fee is the portion of your treatment that is not covered by your extended health benefit plan. This portion may be a result of any of the following reasons:

Percentage Limit – Not every plan covers 100%. Commonly we see 80% coverage, which means 20% of our session rate would be your out of pocket expense. In some plans, this limit may change upon reaching a threshold.

Per Visit Dollar Limits – Your plan may cover 100%, however that may be restricted to a maximum dollar amount attributed to the treatment length.

Annual Dollar Limit – These plans limit to an individual or shared maximum amount per calendar year or other annual period.

Your co-pay will be collected at the time of your visit. If we cannot process the direct billing for any reason (i.e. submission portal issues; reception absence; logistical issues), we will re-attempt the following business day and process your payment manually with the credit card number you provided on your Direct Billing Authorization form.

Printed and/or emailed receipts are provided after each completed session.

Please ensure you keep track of your receipts, as we typically charge a nominal fee for producing a statement of account.

DEDUCTIBLES

The deductible is the amount you pay out pocket before the extended health benefit provider will pay for your sessions.

The majority of plans charge a deductible at the start of an annual period, typically by calendar year. Once we direct bill for your first session of the year, your plan will indicate the portion of your visit that went toward satisfying the deductible. We then bill you for the amount owed as part of your first session’s co-pay / user fee.

Please refer to your extended health benefit manual or contact your provider to find out what your plan deductible is.

COORDINATION OF BENEFITS

Some patients have coverage under multiple extended health benefit plans. If both plans are administered by the same provider, we can potenially submit to both plans for you.

Unfortunately, there are situations where we cannot direct bill to both plans simultaneously. These situations include the following:

1) Most providers on our submission portal are not set up for coordination of benefits through direct billing.

2) Some plans do not permit coordination of benefits, regardless if the plans are administered by the same insurance provider or another.

In the event we are unable to direct bill to both plans, we will attempt to submit to your primary insurer and provide you the receipt for you to submit to your secondary plan.

If you have maximized your coverage on your primary plan, we can potentially submit to your secondary plan ONLY AFTER the secondary provider has been made aware that your primary plan has reached its annual limit. Contact your secondary provider to update them accordingly.