Does Medicare Cover Massage?
The short answer is: no, it doesn't.
The long answer is: it depends on what kind of massage you're talking about.
Medicare Part B, which covers certain outpatient medical services and supplies, does not cover massage.
Medicare Part A (Hospital Insurance) covers some inpatient services that include massage therapy for people who are in the hospital for a short time.
Medicare Part C (Medicare Advantage Plans) can cover massage therapy as a service (not as physical therapy) if it is an item and service that is covered by that plan.
For people who are enrolled in Medicare Parts A or B, Medicare will pay for medically necessary physical therapy services only if it is administered by a physical therapist and is ordered by a doctor and is deemed medically necessary by the doctor.
Remember, Medicare doesn't pay for things that are deemed “not medically necessary.”
Do you want to know more about how Medicare covers physical therapy?
Then check out the video below:.
If I have Medicare, does that mean my massage therapist must be Medicare-certified?
Massage therapists are not required to be Medicare-certified in order to accept Medicare patients. However, therapists who are Medicare-certified have met standards set by the Centers for Medicare & Medicaid Services (CMS).
The Medicare-certified therapist is required to meet the following standards:
He or she has a state license or certification
The therapist has passed the National Physical Therapy Examining Board Examination in Therapeutic Massage and Bodywork
He or she is enrolled in Medicare as a physical therapist
He or she has agreed to accept the terms of the Medicare program
He or she has agreed to the terms of the Medicare Conditions of Participation
If you have Medicare and need a massage therapist, you may want to look for a therapist who is Medicare-certified.
Can a massage therapist get Medicare certification by taking a test?
To be certified as a therapist, the therapist must have a bachelor's degree in a related field (such as physical therapy or nursing) and have met other requirements.
To learn more about Medicare certification, check out the video below:
Can I still go to a massage therapist if I don't have Medicare?
Yes, of course.
A Medicare Advantage (Part C) plan may cover massage therapy. Even if it doesn't, you can still go to a massage therapist if you have private insurance or have no health insurance at all.
If you don't have health insurance and don't want to pay for massage therapy out-of-pocket, you can check to see if a clinic or other community facility offers low-cost or free massages.
Do you have to have health insurance to get massage therapy?
If you have Medicare or are covered by another kind of health insurance, you may still be able to get some massage therapy services with no out-of-pocket costs.
If you have no health insurance, you may still be able to get low-cost or free massages at a clinic or community facility.
Where can I get massage therapy if I don't have health insurance?
If you have no health insurance, you can still get some massage therapy services for free or for very little money.
Community health centers are often a great place to go for low-cost or free services.
You can also check to see if your state offers a massage therapy program for senior citizens, or if your city or county offers free massages.
If I have Medicare and I need a massage therapist, can I get reimbursed for the massage therapy services?
Medicare does not pay for massage therapy, even if you have a Medicare Advantage plan.
If you have a Medicare Advantage plan, ask your doctor for a referral to a physical therapist. Medicare will pay for physical therapy, but a physical therapist is not the same thing as a massage therapist.
Medicare covers physical therapy, but it does not cover massage therapy. This means that Medicare will pay for things like the following:
A physical therapist's time
Items and supplies used by the physical therapist
Medicare Advantage plans may cover massage therapy, but Medicare does not.
So, Medicare will not pay for the following:
The massage therapist's time
The massage therapist's training
The massage therapist's instruments used in the sessions
If you have Medicare Advantage and need a massage therapist, Medicare will pay for physical therapy, but it won't pay for massage therapy.
If you need physical therapy, you can check out the video below for more details about Medicare and physical therapy:
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