Cigna is one of my favorite insurances to bill, either I’ve been lucky or they have some of the friendliest and most helpful staff. They also have few requirements.



  • Referral for massage – I require it. Some plans don’t require a massage prescription. However, since I’m not allowed to diagnose and I must use a diagnosis code to bill for you, I need a referral to obtain proper billing codes and create a thorough paper trail.
  • Massage must be medically necessary! (Most insurance plans won’t cover preventative massage.)