Lifewise is under Premera and as far as I have seen has the same requirements and clarity in what they need 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. A referral missing required information cannot be used.
  • Massage must be medically necessary! No exceptions.


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 including all Lifewise plans.