Medical Massage

Insurance-covered massages must be scheduled by phone only. If you book additional services with your insurance visit, please schedule all of them over the phone to avoid charges for your insurance-covered service.  Please send all medical massage related questions and paperwork to medicalmassage@Ballaura.com or fax to 360-539-7729.

Best Medical Massage in Olympia

Ballaura Wellness Spas medical massage therapists provide a targeted plan of treatment along with a recommended series of visits. The techniques used in a medical massage include a broader set of therapies focused on muscle health and recovery. 

The goal of medical massage is outcome-based. While there is a focus on stress relief and relaxation, the medical need takes priority at each session. Depending on your goal, medical massage is used to manage pain, improve circulation, relieve nerve compressions, reduce inflammation, or increase flexibility.

Types of Medical Massage Modalities

Depending on your medical goals and needs, massage therapists can use multiple modalities together. These techniques include:

  • Deep tissues massage
  • Neuromuscular therapy 
  • Trigger point therapy
  • Swedish massage
  • Reflexology
  • Cupping therapy
  • Myofascial release

Workers Compensation and Labor and Industries 

Workers’ compensation pays for medical care for work-related injuries or illnesses.  Please read more about covered massage therapy services in Washington State here.


We require the following information before scheduling your appointment

  • Claim or case number
  • Date of Injury
  • Claim adjusters name and contact information
  • A prescription from your Doctor or Chiropractor
  • Copy of the injury report (if applicable)
  • Insurance paperwork and payment policies to be filled out

Personal Injury (PIP)

Most Personal Injury Protection  (PIP) policies cover medically necessary massage during an auto injury accident.   A medical Doctor or Chiropractor must prescribe this coverage.  Depending on the insurance company, we may require you to have an attorney or pay for the treatment out of pocket, and we will give you an invoice to get reimbursed by your insurance company.


We require the following information before scheduling your appointment


  • Claim or case number
  • Date of Injury
  • State of Injury
  • Claim adjuster name and contact information
  • A prescription from a Doctor or Chiropractor
  • Your attorney, if applicable
  • Insurance paperwork and payment policies to be filled out

Major Medical Massage 

Medical massage is designed to treat medically diagnosed conditions. We accept Premera Blue Cross, Aetna, and Kaiser Permanente PPO and HMO policies. A prescription from a primary care doctor or chiropractor is required.  Your prescription must include how many times you can be seen and how often.

We require the following information before scheduling your appointment

  • A prescription from your Doctor or Chiropractor
  • Copy of Insurance Card front and back
  • Insurance paperwork and payment policies to be filled out


Insurance clients, please read before calling to schedule your visit

Step 1:  Call us.  Please call to make sure we accept your insurance or are taking new insurance clients at that time.

Step 2: Get your prescription. We require ALL insurance clients to have a prescription before scheduling at Ballaura. We treat conditions, but we cannot diagnose them. Even if your insurance company says you don’t need a prescription, we do need one from a qualified medical provider that can so we can bill them with the appropriate billing codes for the appointment.

Step 3: Send your prescription and Insurance Card.  Prior to scheduling your appointment, send your information either by fax to 360-539-7729 or by email to Medicalmassage@Ballaura.com.  After we verify your coverage we will send you our medical massage insurance paperwork to fill out.  We also require this to be filled out prior to scheduling.

Step 4: Wait for us to call to schedule your appointment. We will ask for information from you at the time of scheduling, including a credit card to hold your spot. The card will only be charged if you do not show up to your appointment or cancel within 24 hours of your appointment.

Step 5: Enjoy your massage! We are glad to work with you and your insurance company to provide personalized care. And know that you are on the path to recovery and healing.


Insurance Payment Policy Agreement


As a courtesy to our clients, we offer insurance billing. As part of that service, we at Ballaura Wellness Spa will contact your insurance company to verify your benefits.  We require you to call and know your benefits as well. We also highly recommend that you call our office to clarify any questions about your insurance benefits. If you are aware of any limitation(s) on your insurance benefits, please notify us immediately to allow us to try to maximize your coverage and minimize your out-of-pocket expenses. You are fully responsible for any deductibles, copayments, and non-covered services.  We require you to keep a card on file that we will automatically be charged for patient responsibility balances that go beyond 30-days.  We will also automatically charge for non-covered services.  We will not charge until we have tried to rebill, or the claim exceeds 90-days.

We do not bill secondary insurance.  We can provide you information for the visit to submit on your own.



Common Insurance Questions


Do I Need A Referral To Get My Treatment Covered By Insurance?

A referral from a doctor is required for all medical massage treatment. Some insurance companies do not require a referral; however, all claims require an ICD-10 diagnosis code and it is outside of the scope of practice for massage therapists to diagnose in the state of Washington.


Can I Receive Treatment For Injuries that occurred In An Auto Accident?

In order for us to bill personal injury protection insurance for an auto injury, you must have an open and active claim. We do not bill third party insurance (the other driver’s insurance) so you will need to confirm that you have Personal Injury Protection (PIP) on your policy.  We may also require an attorney to be involved depending on the complexity of the case. If you do not have one we can provide referral options for attorneys that we have currently worked with.


What Is A Co-Payment?

Your insurance may require a co-payment for your visits. A co-payment is a fixed dollar amount that you are required to pay (and we are contractually required to collect) at the time of your visit.


What Is A Co-Insurance?

Once you have personally paid for your medical services up to your annual deductible amount, your insurance plan will begin paying. If your plan has a co-insurance, it will require you to pay that percentage amount for those services you have received in excess of your deductible. For example, your plan has a $1,000 deductible and a 20% co-insurance. You receive an MRI scan costing $1,500 at the beginning of the year. Your plan would require that you pay the first $1,000, plus your co-insurance of $100 (20% of the amount over the deductible, i.e., 20% of $500).


What Is A Deductible?

Your insurance plan may require you to personally pay for medical services you receive, starting at the beginning of each calendar year, up to a certain dollar amount. This amount is called your “annual deductible.” For example, if your plan has a $750 annual deductible, you are required to pay the first $750 each year for medical services you receive, after which your plan begins paying. The deductible is applied once each year for all medical services, including specialist visits, outpatient services, durable medical equipment, etc. It may also include primary care visits depending on your coverage.