It is patient’s responsibility to know about their own coverage prior to booking.
This Clinic's Policy on "Direct Billing", for your convenience, and of participating insurance companies’ terms *:
By booking your have accepted all Terms & Conditions of Service and Clinic Policy at this business!
== Clinic Policy : ============
- around insurance cards is that all (max of 2) 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 member for each insurer. If you are not the primary member (cardholder), then their information (name, DOB, and relationship to card holder) is required if the card/policy is other than Pacific Blue Cross.
If you change coverage/policies. Then updates patient coverage should be provided to clinic during appointment.
== First Appointments:
Provide Consent form(s) to the Clinic: (options)
Call or text me is you need assistance?
* Payment methods are Cash, cheque or etransfer accepted only. Currently, no debit or credit card services.
By booking your have accepted all Terms & Conditions of Service and Clinic Policy at this business!
- Information on Insurance providers Some conditions apply*.
== Clinic Policy : ============
- around insurance cards is that all (max of 2) 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 member for each insurer. If you are not the primary member (cardholder), then their information (name, DOB, and relationship to card holder) is required if the card/policy is other than Pacific Blue Cross.
If you change coverage/policies. Then updates patient coverage should be provided to clinic during appointment.
== First Appointments:
- All First Appointments should be prepared to make payment day of appointment (cash, cheque or etransfer) *
- Downloadable forms available, below.
Provide Consent form(s) to the Clinic: (options)
- (1) A text, or email an image of the (max of 2) card(s) prior to appointment
- And include, the phrase, "consent given in good faith", for a predetermination inquiry or email the “consent forms”.
- Email: [email protected] .
- (2) or bring card(s) to appointment.
Forms can be downloaded: "GET AN INSURANCE CONSENT FORM: download below. Or filled out at Clinic.
- 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.
- Insurance Coverage guidelines: Note insurance pays for appointments attended and limits a single treatment per day!
- 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.
- Only claims that are immediately processed qualify for Direct-Billing as "Provider" pay (the RMT).
- "Policy restrictions" details below
== Patient's responsibility: ============
It is patient’s responsibility to know about their own coverage prior to booking.
Policy Restrictions:
It is patient’s responsibility to know about their own coverage prior to booking.
Policy Restrictions:
- Insurance Providers stipulated "condition", that 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;
- 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;
- * Doctor's note submissions requirement, must be to submit on the insurance portal by the member. i.e. ManuLife or others.
- Any unsuccessful Direct Billing claims, that is any claim not paid out by the Insurer, the balance must be paid as per clinic policy.
- Insurance only pays for appointments you attend! Missed appointment or late cancellation fees are your responsibility.
- Any balance (claim) not paid out by the insurer is the responsibility of the member / patient as a condition of service . 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;
- Lumino Health portal - SunLife. *
- Telus Health portal - Alberta Blue Cross, Beneva, BPA, Canada Life (inc Great-West Life), Canada Life - PSHCP, Canadian Construction Workers Union, Chambers of Commerce Group Insurance Plan, CINUP, ClaimSecure, Coughlin, Cowan Insurance Group, DA Townley, Desjardins Insurance, Equitable Life, First Canadian, GMS, GroupHEALTH, GroupSource, Industrial Alliance, Johnson Inc., Johnston Group, LiUNA local 182, LiUNA local 506, Manulife Financial *, Maximum Benefit, NDN Insurance, Peoples Corp, RWAN, Simply Benefits, Telus AdjudiCare, Union Benefits, and UV Insurance;
- Provider Connect portal - Green Shield Canada *, SSQ Insurance, Medic Construction (GSC) & Empire Life;
- LifeMark portal - 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.
All Insurers agreements must be followed.
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.
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John Forsyth RMT © from 2022. All rights reserved.
