It is patient’s responsibility to know about their own coverage prior to booking.
Information on Insurance providers Some conditions apply*.
This Clinic's Policy on "Direct Billing", for your convenience, and of participating insurance companies terms *:
Clinic Policy - around insurance cards is that all cards should be presented (as declared as primary and secondary) at the clinic during the "First appointment". Furthermore, I require written consent (i.e. the signed required form) from each insurer and information (name, DOB) of cardholder. As time permits, updates patient coverage should be provided to clinic during appointment.
== First Appointments:
* Unless you send insurance details (inc consent) in advance & qualify*
Provide Consent form(s): (options)
Call or text me is you need assistance?
== Clinic's conditions on Direct-billing: ===
This clinic's policy operations on Direct Billing service:
This Clinic's Policy on "Direct Billing", for your convenience, and of participating insurance companies terms *:
Clinic Policy - around insurance cards is that all cards should be presented (as declared as primary and secondary) at the clinic during the "First appointment". Furthermore, I require written consent (i.e. the signed required form) from each insurer and information (name, DOB) of cardholder. As time permits, updates patient coverage should be provided to clinic during appointment.
== First Appointments:
- All First Appointments should be prepared to make payment day of appointment*
* Unless you send insurance details (inc consent) in advance & qualify*
- RMTs discretion: Perhaps you may qualify on first appointment?
- Downloadable forms available, below.
Provide Consent form(s): (options)
- (1) (a) A text or email an image of the card(s): if you are Pacific Blue Cross member, or card holder of another Insurance Provider, include your DOB, or
- (1) (b) if a secondary member of a non-Pacific Blue Cross account, include card holder name, DOB and your name, DOB and relationship to card holder. And include, the phrase, "consent given in good faith", for a predetermination inquiry.
- or (2) Email or bring form to appointment with card(s), use the button below "GET AN INSURANCE CONSENT FORM: download below.
- At the Clinic, all patients are required to sign a consent form in order to qualify for direct-billing.
Call or text me is you need assistance?
- * Payment methods are Cash, cheque or etransfer accepted only. Currently, no debit or credit card services.
- Note insurance pays for appointments attended.
- All balances should be reconciled within 24-hours.
- If required, a receipt will be issued, once a payment is made. Typical the following (business) day.
== Clinic's conditions on Direct-billing: ===
This clinic's policy operations on Direct Billing service:
- The Clinic only submits on your behalf only.
- I can not communicate about your policy with your Insurance Company
- You must sign a consent form for Direct-Billing (eClaims).
- You must declare cardholder, primary and secondary insurances, and provide (card/DOB) information.
- Only claims that are immediately processed qualify for Direct-Billing as "Provider" pay (the RMT).
- By booking your have accepted all Terms & Conditions of Service and Clinic Policy at this business!
- see below Patient-pays due to insurance policy restrictions, are the responsibility of the patient (insured member).
== Patient's responsibility: ============
It is patient’s responsibility to know about their own coverage prior to booking.
The clinic's conditions for "Direct Billing" that qualify:
== THE PATIENT-PAYS AT THIS CLINIC =
Patient-pays due to insurance policy restrictions:
It is patient’s responsibility to know about their own coverage prior to booking.
- You are expected to pay services rendered, if any of the following: member (patient) pay, insufficient coverage, doctor note and or if claim is not immediately processed at time of submission or for any other reason.
- You will have to sign a 'consent form' for Direct Billing (for each card).
- It's your responsibility to update your insurance information with the clinic.
- All balances should be reconciled in 24-hours.
The clinic's conditions for "Direct Billing" that qualify:
- Only insurance policies that have massage therapy coverage & have a portal for RMTs to submit claim.
- Only claims that are immediately processed as "Provider pay" *, ( the RMT is the provider)
- Claims requiring a "doctors note" do not qualify.
- additional restriction noted in next section
== THE PATIENT-PAYS AT THIS CLINIC =
Patient-pays due to insurance policy restrictions:
- Any Policy that does not have coverage for massage in the province of British Columbia; and or,
- any Claim that are not immediately processed for any reason, insufficient coverage, do not allow Direct Billing/have a billing portal, or requiring a "doctor's notes", are either "member" pay only polices or member claim only; and including,
- Contingent upon no policy restrictions for "Provider pay" (the RMT) submissions for benefits
- on the "condition", the service provided is NOT related in any way to a motor vehicle incident, workplace incident, or any other accident where ICBC, WorkSafe BC, or any other liable third party may become involved, and is not related to a medical emergency while travelling outside of Canada.
- Insurance only pays for appointments you attend! Missed appointment or late cancellation fees are your responsibility.
- Any unsuccessful Direct Billing claims, the balances must be paid as per clinic policy.
- Then you’ll be notified by email/text/phone to pay the balance (via etransfer).
- All balances should be reconciled in 24-hours.
Insurance Providers by portals:
- Pacific Blue Cross portal - Pacific Blue Cross;
- Telus Health portal - Alberta Blue Cross , Canada Life (inc Great-West Life), Canada Life - PSHCP, , Chambers of Commerce Group Insurance Plan, CINUP, Cowan Insurance Group, Desjardins Insurance, First Canadian, GroupHEALTH, GroupSource, Industrial Alliance, Johnson Inc., Johnston Group, Manulife Financial, and ...
- Telus Health portal (new) - Beneva, BPA, Canadian Construction Workers Union, Chambers of Commerce Group Insurance Plan, ClaimSecure, Coughlin, Cowan Insurance Group, DA Townley, Equitable Life, GMS, LiUNA local 182, LiUNA local 506, Maximum Benefit, NDN Insurance, Peoples Corp, RWAN, Simply Benefits, Telus AdjudiCare, Union Benefits, and UV Insurance;
- Lumino Health portal - SunLife.
- Provider Connect portal - Green Shield Canada, SSQ Insurance, Medic Construction (GSC) & Empire Life;
- LifeMark portal (1, 3) - Medavie Blue Cross; Partners in Canadian Veterans Services Rehabilitation (PCVRS)*.
* The onus is on the patient to communicate with their "worker", prior to making appointments or patient-pay. And to ensure that the information is provided to the RMT, when making arrangements for treatment.
Note: Above portals & Companies - Contingent upon no policy restrictions for RMT (the Provider) submissions for benefits; otherwise, patient-pay.
~ Notations:
- (1, 2, 3, 4) - likely to be Patient-pay, and note policy restrictions also include "patient-pay" policies conditions.
1. for VAC Participants, as well as CAF and RCMP Members.
2. " new or (? ) = recently added insurance company. Unknown member and clinic provider coverage .
3. patient pay as no RMT portal available.
4. other unknown insurers
Massage Therapy is a health profession that operates under the Min. of Health as a private business.
All regulations of BC Health Care Act, (Regulatory) College (of Massage Therapy) and other Acts apply.
All Insurers agreements must be followed.
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John Forsyth RMT © from 2022. All rights reserved.
