Massage Therapy Journal Spring 2025

12 • Massage Therapy Journal

Advocacy Advancing the Massage Therapy Profession

Learn More About Medicare Advantage Plans and Massage Therapy Benefits Overview of Medicare Advantage M edicare Advantage, also called Medicare Part C, is a private insurance option approved by Medicare that serves as an alternative to

Massage Therapy and Medicare Advantage

While original Medicare does not cover massage therapy, some Medicare Advantage plans may offer it as part of their expanded benefits. This coverage is typically included under wellness or complementary therapy options, recognizing the role of massage therapy in managing chronic and acute pain, reducing stress, and improving overall health. Coverage details, such as the conditions eligible for massage therapy, the number of sessions allowed and reimbursement policies, vary by plan. Massage therapy clients should check with their specific Medicare Advantage provider to understand the scope of their benefits, including any referral or pre-authorization requirements. Licensed massage therapists interested in working with Medicare Advantage clients must familiarize themselves with billing codes, documentation

FREE WEBINAR Watch AMTA’s free Medicare Advantage 101 Webinar to delve into how to effectively navigate and engage with Medicare Advantage plans.

original Medicare. These plans provide all the benefits of Part A (hospital insurance) and Part B (medical insurance) and often include additional coverage for services like vision, dental and wellness programs. Most Medicare Advantage plans also offer prescription drug coverage (Part D). With a focus on a more holistic approach to healthcare, these plans frequently tailor their benefits to meet the diverse needs of their members, which can include support for pain management and wellness services. Medicare Advantage plans operate through networks of healthcare providers, and enrollees typically need to follow specific rules regarding where and how they receive care.

amtamassage.org/mtj