Direct Billing Massage Edmonton | Insurance & Osteopathy

DIRECT BILLING

We are currently in the process of being approved for direct billing for Manulife and Green shield. Clients can still self submit for reimbursement.

Paying for treatment should not be the confusing part of getting care.

Many extended health plans cover massage therapy and manual osteopathy, and where your plan allows it we can bill your insurer directly, so that you only pay the remaining balance at the end of your appointment. Below you will find the providers we work with for each service, along with what to bring and what happens if direct billing is not available to you.

What Does Direct Billing Mean?

Direct billing means that we submit your claim to your insurance provider on your behalf at the time of your appointment. If the claim is approved, your insurer pays their portion directly to the clinic and you pay only what remains.

Where direct billing is not available, you pay for your appointment in full and we provide a detailed receipt that you can submit to your provider yourself. Reimbursement in that case comes directly to you.

Coverage for manual osteopathy often differs from coverage for massage therapy, even under the same plan, which is why the two lists on this page are separate.

OUR PARTNERS FOR
MANUAL OSTEOPATHY SERVICES

Canada Life does NOT cover our Manual Osteopathic Services!

You have to manually submit the claims for:

- Alberta Blue Cross
- SunLife Financial
- Empire Life
- Industrial Alliance

Beneva Inc.
BPA-Benefit Plan Administrators
Canadian Construction Workers Union
CINUP
ClaimSecure
Coughlin and Associates Ltd.
D.A Townley
Desjardins Insurance
Equitable Life of Canada
First Canadian
GMS Carrier 49
GMS Carrier 50
Green Shield Canada
GroupHEALTH
Group Source
Johnson Inc.
Johnston Group Inc. LiUNA Local 183

LiUNA Local 506

Manulife Financial

Maximum Benefit

MEDIC Construction (Green Shield Canada) NexGenRX

People Corporation

Simply Benefits

SSQ Insurance

SunLife

TELUS AdjudiCare (Pro Benefits)

The Co-Operators

The PBAS Group

Union Benefits

UV Insurance

What Should You Bring to Your First Appointment?

To set up direct billing before your first treatment, it helps to have the following ready:

Your insurance provider's name
Your policy or group number and your member or certificate number
The name of the plan member, if the plan is held by a spouse or parent
A doctor's note, if your plan requires one
Confirmation of whether you have coverage remaining for the year

If you are able to send these details ahead of your appointment, we can usually confirm your coverage before you arrive.

When Might Direct Billing Not Be Available?

There are a few situations where direct billing may not be possible:

Your provider is not one we are set up to bill for that particular service
Your plan does not permit third-party billing and requires you to submit claims yourself
Your annual coverage for the service has already been used
Your plan requires a doctor's referral that has not yet been provided

In each of these cases you are still very welcome to book. You would simply pay at the time of your appointment and submit your receipt afterwards.

What About Motor Vehicle Accident Claims?

Treatment following a motor vehicle accident is handled differently from extended health coverage. Alberta's Section B benefits may cover eligible and authorised treatment, and we can invoice auto insurers directly in many cases, though this depends on your claim being open and your treatment being approved.

Our guide to MVA claims and massage therapy in Edmonton explains what you need in order to book, what your adjuster will ask for, and how Section B differs from your extended health plan.

Frequently Asked Questions

Do I need a doctor's note?

Some extended health plans require a doctor's note before they will reimburse treatment, and others do not. This depends entirely on your plan. We recommend checking with your provider before your first appointment so that there are no surprises at billing.

Is manual osteopathy covered the same way as massage therapy?

Not always. Coverage for manual osteopathy is often handled separately, and sometimes at a different rate. The osteopathy list on this page shows which providers we can bill directly and which require you to submit the claim yourself. Canada Life does not currently cover our manual osteopathic services.

Can you tell me how much coverage I have left?

In many cases we can see your remaining balance when we submit the claim, but not always. Your insurer is the most reliable source for how much of your annual allowance remains, and we would encourage you to confirm with them directly if you are close to your limit.

What happens if my claim is declined at the time of my appointment?

If a claim is declined, you would pay for the appointment in full and we would give you a detailed receipt. You are then able to submit that receipt to your provider yourself, or contact them to find out why the claim did not go through.

Can I use direct billing for a family member's appointment?

Yes, provided the plan covers dependants and we have the plan member's details on file. Please let us know at the time of booking so that we can set this up in advance.

If you are unsure whether your plan will cover your treatment, please ask. We would far rather sort the details out before your appointment than leave you guessing at the front desk. You can reach us at 587-986-9061 or through our contact page, and appointments can be booked any time through our online booking page.