Flourish FAQs
Discover how we can help you on your path to wellness. Find answers, gain insights, and learn how to prepare for your journey with us.
Table of Contents
Are you in-network with my insurance plan?
Our chiropractors are in network with PPO plans of the following insurance companies:
- Premera
- Regence
- First Choice
- Aetna
- Kaiser Permanente*
- PIP (Personal Injury Protection insurance)
* Kaiser Permanente has different types of classifications. If your insurance card shows “Access PPO” “Options” or “First Choice Health Network” on the front of the card, then your services will most likely be in network. If your insurance card does not indicate “Options” or “First Choice Health Network”, then we are not in-network with your plan. If the plan says “HMO” or “Elect PPO,” we are not in-network with your plan. We can still accept your insurance and bill as a courtesy for you, but it will most likely be denied. It is your responsibility to know your coverage with our office. As with all insurance companies, we recommend you call your insurance provider to know specific benefits. Please ask Aimee or Gina for billing codes to look up when you call your insurance provider before you schedule.
Massage:
Owl Scarey, LMP and Kim Major, LMP are not contracted with any insurance company. We can bill your insurance as a courtesy to you, regardless of our network status with your insurance. Any time we bill insurance for massage with Owl or Kim, a prescription from your provider is required since massage therapists cannot diagnose in Washington state, which is needed for billing insurance.
We are not accepting any new Medicare patients.
Please note: Washington Apple Health and other Medicaid programs do not typically cover chiropractic or massage services.
What does my insurance plan cover?
Great question! We HIGHLY recommend that you contact your insurance company personally to have them explain your specific benefits to you before your first appointment.
While we can access certain information from your plan online, we can’t always see the fine details for each service. Each person’s plan is like a snowflake, unique and intricate like you and your plan.
We can never guarantee coverage. All we can do is bill out to the insurance company and await their response.
*Some insurance plans, while they may cover chiropractic treatment, will not cover certain codes (97110, 97530, 97140 etc) that we utilize for physical therapy and muscle work in our chiropractic sessions. This is based off the plan and insurance provider you chose for your healthcare needs. Please ask your insurance and refer to our Patient Contract for more information.
Can I get Chiropractic and Massage here on the same day?
Yes! Since our massage therapists are out of contract, you are able to use your insurance for massages and chiropractic on the same day. We are excited to be able to offer this for you!
How much will my appointments cost?
Cost for services will always depend on your individual insurance plan.
Each person’s deductible, copay, coinsurance, etc. is different depending on the elections you made during your enrollment period for your insurance plan. Remember the snowflakes we just talked about?
We are happy to try and look up this information for you, but again, it’s always best to verify this information with your insurance company directly. Disclaimer: We can never guarantee coverage or payment by the insurance company.
For massage therapy, we will collect $110 at the time of your massage and submit your claim to your insurance company as a courtesy. Your insurance company will then reimburse you for whatever amount they owe.
What is CBD Massage?
CBD Massage is any massage service with organic jojoba oil CBD. This product was chosen over others because it is unscented, organic, is grown on land that has been free of pesticides for over half a century, is batch tested by a third party research lab to ensure the product is under the legal 0.3% THC, is free of heavy metals or pesticides, and is all-natural. To learn more about this specific product, visit the Happy Buddha Hemp website.
This service will be a $20 add on to any massage and cannot be billed to insurance or personal injury. For this, HSA and FSA cannot be used. For now, this service add on will only be provided by Kim, LMT.
This is a CHABA (Cannabis Health and Beauty Aid) product which means it is intended for use only as a topical application to provide therapeutic benefit, contains less than 0.3% THC concentration. It is completely legal in the state of Washington.
What’s a deductible?
(Noun): a specified amount of money that the insured patient must pay before an insurance company will pay a claim.
For example: If your plan specifies that you have a $500 deductible, you would be responsible to fully pay for any medical costs up to $500 before your insurance company will pay towards a claim.
Deductibles reset once a year; Typically, on January 1st. However, some companies have different plan years. i.e. Benefits for Amazon employees run from April 1st – March 31st each year.
What’s a coinsurance?
Some plans will include a coinsurance % after a deductible has been met.
This means that once you have satisfied your deductible, you may still be responsible for a small percentage of your medical bills.
For example: If your coinsurance is 10% and a claim is approved for $169.00, you are responsible for $16.90, while the insurance company would pay $152.10.
I was involved in a car accident. Can I use my auto insurance to pay for my treatment?
Medical bills associated with car accident injuries can be paid using your auto insurance policy only if your plan includes Personal Injury Protection (PIP).
You can contact your claims adjuster or auto insurance carrier to verify your PIP amount for the accident towards medical costs. Want to read more on what insurance to use after a car accident? Read more on this helpful Personal Injury blog by Andrew Cherin, a local Personal Injury Attorney and client advocate.
What if I don’t have PIP coverage? Or what if the accident isn’t my fault?
If you do not have PIP coverage, you will need to utilize your private health insurance for treatment.
You would still be responsible for any balances not covered by your health insurance policy.
If you were involved in an accident where you are not at fault and you wish to use the At-Fault parties’ PIP coverage to pay for your medical expenses, this is classified as a 3rd Party auto accident case.
We hold the right to accept third party cases on a case by case basis. Third party cases sometimes take years to reconcile. We are smaller offices that offer quality one-on-one care. For this, we have a maximum number of third party cases we can accept at a given time. We would require that you sign a medical lien against your settlement to ensure payment to our office once your case has been settled. Please call our main office to inquire if we are currently accepting new third party cases.
Want to read more on PIP, third party claims and car accidents? Read more on this helpful Personal Injury blog by Andrew Cherin, a local Personal Injury Attorney and client advocate.
Which services can I use my HSA or FSA?
HSAs are for healthcare services that are billed to your insurance and medically necessary, regardless of network status with your insurance company.
They cannot be used for maintenance or routine care.
FSAs are a bit more flexible and can be used for wellness massages (maintenance and routine care), as long as you have documentation from your medical provider or chiropractor showing the number of visits recommended, frequency, an expiration date, and why the massage is needed (diagnosis or diagnoses.)
For all massages involving HSAs or FSAs, your card on file will be charged at your appointment and your insurance company will directly reimburse you what you are owed after they process your claim.
HSAs and FSAs do not cover additional time over 60 minutes or CBD add-ons. Those will be charged separately at the time of your service.
How can I look up my insurance benefits for massage?
To look up your own benefits, call the number on the back of your card and ask to speak to a representative. Let them know you are wanting your out of network benefits for massage with a licensed massage therapist from this facility:
The massage practice at this location is called: Flourish Self Care Studio
Their Tax ID is: 88-1932831
How can I look up my insurance benefits for chiropractic care?
To look up your own benefits, call the number on the back of your card and ask to speak to a representative. Let them know you are wanting your benefits for one on one chiropractic care from this facility:
The chiropractic practice at this location is: Flourish Chiropractic of Seattle
Our Tax ID: 47-3068481
For chiropractic, an examination is performed at the first visit, if there is a new area of complaint, or if it has been atleast 3 months since we have assessed your progress. This is to show if chiropractic is a good fit and if the care is medical necessity for your insurance care provider.
Where can I park?
There is plenty of street parking on E Pine, Summit, Pike, and surrounding areas or paid parking garage facilities on Summit Ave or parking facilities.
How do I enter and exit the building?
We are located inside the Portofino Building on Level P. Please use the call box at 417 E Pine Street to be let into the lobby and take the elevator to Level P.
Please only enter by taking the elevator up to level P and exit by taking the elevator down to the lobby as all doors with handles in the garage lock behind you and can only be opened with a key or remote, as stated on the doorway. There are clearly marked signs to help guide.
If you accidentally get locked in the outdoor garage despite signage, there is no judgement and please call the office at 206-851-2242. Tampering with the garage gate costs hundreds of dollars, is monitored by Portofino residents via camera, and the repair bill will be passed along to you.
In case of emergency only: From Flourish door, exit the hallway to the right to the garage. Press the black “open” button to the left of either of the garage gates. Do not exit any doors with handles on them.