Direct Billing Form

Please Read Carefully

We are now set up for direct billing for massage therapy treatments to most insurance companies. This means if you have insurance coverage we can bill your insurance company directly for payment, and you only have to pay the small portion that is not covered! Less out of pocket money for massage therapy treatments is awesome!!

PLEASE NOTE: Everyone’s insurance policy is different. In some cases, your provider does not pay the clinic directly. In this case, we can process your claim for you, but you will be asked to pay for your treatment in full. You will then receive re-embursement directly from your insurance company.

Credit Card

There are also other situations where your insurance company may not cover as much of your treatment as you thought. Unfortunately some insurance companies only tell us several days after your treatment how much they are going to cover. This is why we ask to keep a credit card on file, so we can charge any outstanding balance that your insurance company didnt pay. We will NEVER charge your card without contacting you first and sending you written proof that there is an outstanding balance due.

We will collect your credit card number at your next visit to MyoCare.

We can now direct bill for the following insurance companies:

  • Sunlife Financial
  • Desjardins Insurance ( Does not pay clinic directly, you will be asked to pay for the treatment in full, and get re-embursed directly from your insurance company)
  • Canadian Construction workers Union
  • Chamber of Commerce Group Insurance Plan
  • CINUP
  • Cowan
  • iA Financial Group
  • Group Health
  • Group Source
  • LiUNA local 183
  • LiUNA local 506
  • Manulife ( you must sign up for direct billing on the manuLife website before we can direct bill with Manulife Life)
  • Maximum Benefit
  • Johnson
  • Johnston Group
  • Great West Life
  • CINUP
  • First Canadian

There is some paper work to fill out before we can set you up, so if you are interested please fill in the following form and submit it to us.

DIRECT BILLING FORM (PLEASE FILL OUT IF YOU WANT US TO DIRECT BILL YOUR INSURANCE COMPANY)

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