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3 Criteria for Massage to Be Covered by Medicare Advantage

September 16, 2022

Physical Doctor consulting with patient About Shoulder muscule pain problems Physical therapy diagnosing concept

Massage therapy is a popular, relaxing, hands-on method of kneading and applying pressure to soft tissues. It can work wonders to help relieve pain and stress in the body.

If you have Medicare Advantage, you’re in luck – because it covers health and wellness services that were not covered by original Medicare (parts A and B). For some Medicare Advantage plan holders, this means that they can finally access massage therapy because it is covered.

Let’s talk about the reasons why your Medicare Advantage plan may cover some or all the costs involved in receiving professional massage therapy, and where you can go in Miami Dade County for outstanding senior medical care.

When Medicare Advantage Covers the Cost of Massage Therapy

If your Medicare Advantage plan includes coverage for massage therapy, chances are it comes with some caveats. The No. 1 thing to know is that Medicare Advantage may not cover the complete costs of massage – meaning that you will be responsible for some of the costs, depending on your specific plan and coverage.

Otherwise, the three main criteria that must be met in order for massage therapy to be covered by a Medicare Advantage plan that includes it are the following:

1. It Must Be Related to a Covered Injury or Illness

“Medical massage” or “therapeutic massage” are terms that have come to mean manipulating soft tissue in the body – e.g., muscles, tendons, ligaments, and fascia –to aid in the treatment or management of a covered injury or condition. It is this type of massage therapy is covered by some Medicare Advantage plans.

2. An In-Network Doctor Must Order It

The primary care physician you see within your Medicare Advantage network will need to order or prescribe massage therapy for a condition you’ve been diagnosed with and that is covered by your plan.

3. An In-Network Massage Therapist Must Perform It

You’ll need to make sure the massage is performed by a licensed massage therapist who is also signed up with your Medicare Advantage plan network. He or she will also need to have a national provider identifier.

How Massage Is Beneficial

The health benefits of massage are well-established. These benefits include the massage:

  • Improves circulation– By improving blood flow throughout your body, massage therapy can help to transport more oxygen- and nutrient-rich blood to areas that are healing –thereby helping injuries and soreness heal faster and more completely. Massage also improves lymph flow, which helps remove cellular waste from the body and helps you feel more energized.
  • Lowers blood pressure and facilitates a healthy heart rate – Your blood vessels perform a type of pumping action that moves blood around in your body. Studies have shown that massage therapy improves this vascular action, providing long-term benefits to blood pressure and heart health. When the blood is circulating more freely, your heart doesn’t have to work as hard.
  • Relaxes the muscles (and the mind) – By focusing on areas where muscles are tight, massage therapy can help muscle tissue relax, which alleviates pain and reduces any painful spasming.
  • Increases flexibility – Regular massage can improve your range of motion and flexibility. By staying limber, movement is easier and less painful. Medical massage also helps with balance and posture and can even help prevent future injuries.
  • Relieves pain – This is accomplished primarily by relaxing sore muscles, which can relieve compressed nerves and make the muscles less likely to cause painful spasms. Massage therapy also helps to stimulate the production of endorphins, the body’s natural painkiller.
  • Boosts energy levels – When your circulation is improved (such as during and after a medical massage), the increased blood flow delivers more oxygen to tired muscles. Meanwhile, the improved lymph flow helps to flush away lactic acid. These actions actively combat fatigue and boost your energy level.

Conditions Helped by Massage Therapy

Almost everyone could benefit from massage therapy. It can help patients address a wide variety of acute and chronic conditions, including:

  • Anxiety
  • Arthritis
  • Asthma
  • Back and neck pain
  • Bronchitis
  • Cancer-related pain or fatigue
  • Carpal tunnel syndrome
  • Chronic pain
  • Depression
  • Diabetes
  • Fatigue
  • Fibromyalgia
  • Frozen shoulder
  • Headaches and migraines
  • High blood pressure
  • Joint pain
  • Muscle stiffness, tension, and spasms
  • Repetitive stress injuries
  • Sciatica
  • Sleep disorders
  • Sports injuries
  • Sprains and strains
  • Tennis elbow
  • Tight muscles

Massage for Medicare Patients in Miami Dade County, FL

If you’d like help in determining how to best utilize Medicare Advantage-approved massage therapy for your medical condition, call Palm Medical Centers today at (833) 500-PALM (7256). We have clinics located throughout South Florida and Central Florida, including in Miami-Dade County, and we look forward to serving you!

Filed Under: General Tagged With: Massage therapist in South Florida, Massage therapist near me, Massage therapist near you, Massage Therapy in South Florida, Massage Therapy Near Me, Massage Therapy Near You

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Highly recommend Lou Ann Albano! She is very compassionate, friendly, skillful, attentive, provides excellent care and really listens to you. You are in great hands!

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I just wish I could quit forgetting my blood work appointment, but other than that everything is fine. I have been getting great care from Dr. Renan and the office staff is excellent.

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I am very happy to be a Patient at Dr Aristides Martinez Office, my appointment yesterday with Andrea was far above expected, she dedicated about one hour to talk with me about all my pains and my concerns. It was like if I would've been with a Psychologist, I came out of her office with all my questions answered and sure that I am in very good hands. I thanks God that I started coming to this Clinic.

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I love Ms. Patel and the girls in the office. I rarely have to wait long. I have been going to this office since it was JayCare in 2015. I have never had a problem with any of the doctors or PAs that I have seen. Ms. Patel actually takes time with me and listens to my concerns. I already recommend her to everyone I know.

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We love and trust Dr Cruz. Also their staff is wonderful they’re always happy & have a smile when you go in so it makes you feel better when you’re not feeling so good. I would highly recommend them to everyone and as a matter fact when I changed my insurance this year I made sure he was on the list. Sincerely, A happy patient

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Dr Latt and his staff are AMAZING. Dr Latt takes his time to listen to you and explain everything In detail! The lobby looks amazing, made my heart feel the Spirit of Christmas. My mom was diagnosed with liver failure on Christmas Day and passed 10 days later, 2 years ago and I have really struggled to feel the spirit of Christmas since then. The minute I opened the door and walked into the building pure joy flooded my soul. Thanks to the Staff at Palm Medical for the Amazing Holiday Scene May God Bless you and your families always.

Mrs. Asher

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5 Stars Review

Dr Latt and his staff are AMAZING. Dr Latt takes his time to listen to you and explain everything In detail! The lobby looks amazing, made my heart feel the Spirit of Christmas. My mom was diagnosed with liver failure on Christmas Day and passed 10 days later, 2 years ago and I have really struggled to feel the spirit of Christmas since then. The minute I opened the door and walked into the building pure joy flooded my soul. Thanks to the Staff at Palm Medical for the Amazing Holiday Scene May God Bless you and your families always.

Mrs. Asher

5 Stars Review

Highly recommend Lou Ann Albano! She is very compassionate, friendly, skillful, attentive, provides excellent care and really listens to you. You are in great hands!

Deanne S.

5 Stars Review

I just wish I could quit forgetting my blood work appointment, but other than that everything is fine. I have been getting great care from Dr. Renan and the office staff is excellent.

Jennifer D.

5 Stars Review

The staff greets me with a smile and by name. There's never a long wait, and Dr. Min is the PC that I have ever had. 15 yrs and counting!

Rose R.

5 Stars Review

I am very happy to be a Patient at Dr Aristides Martinez Office, my appointment yesterday with Andrea was far above expected, she dedicated about one hour to talk with me about all my pains and my concerns. It was like if I would've been with a Psychologist, I came out of her office with all my questions answered and sure that I am in very good hands. I thanks God that I started coming to this Clinic.

Susana Tudda

5 Stars Review

I love Ms. Patel and the girls in the office. I rarely have to wait long. I have been going to this office since it was JayCare in 2015. I have never had a problem with any of the doctors or PAs that I have seen. Ms. Patel actually takes time with me and listens to my concerns. I already recommend her to everyone I know.

Kayleigh Ray

5 Stars Review

Since moving to Florida three years ago I’ve seen many doctors and just didn’t have a good feeling. Once I walked into Dr Shah’s office from the front desk staff to the doctor himself was a wonderful experience. You are always given their undivided attention and Dr. Shah is Very thorough in his exams. I give 5 stars to this office

Annette Gambino

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Dr Fundora is absolutely incredible, very knowledgeable and caring and her entire staff is amazing too, highly recommended. The receptionists and even the security guards are extremely helpful and friendly, they always remember me when I come in and they’ve all always gone above and beyond to make each experience as easy and stress free as possible.

Louie Blanche

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We love and trust Dr Cruz. Also their staff is wonderful they’re always happy & have a smile when you go in so it makes you feel better when you’re not feeling so good. I would highly recommend them to everyone and as a matter fact when I changed my insurance this year I made sure he was on the list. Sincerely, A happy patient

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