Premera does require a bit more than most insurances. However, they have been fairly clear with what they ask for from massage therapists.



  • Referral for massage – they require it. No exceptions.
  • Referrals must be mailed or faxed into them(I do this) with a special form and are kept on file and followed strictly.
  • Each referral requires certain things to be included on it such as start date and diagnosis codes. A referral missing required information is not allowed.
  • Massage must be medically necessary! (Most insurance plans won’t cover preventative massage.)

Important Note: Premera has created a tiered provider system to categorize all providers. Soon there will be limitations for some providers relating to what plans they may bill. Thankfully, I was notified that I am in the tier that is allowed to bill all plans.