TRICARE

TRICARE Coverage

Humana Military

Manchester-Bedford Myoskeletal LLC recently became a certified Non-Network Provider of massage therapy ancillary services for TRICARE East. Mr. Kouyoumjian can treat any Non-Prime (TRICARE Select) member and submit claims for services rendered. He is also able to treat TRICARE Prime members with prior authorization by member’s PCM whom will submit the authorization request to TRICARE East specifying Manchester-Bedford Myoskeletal LLC as rendering provider. If authorization is approved, member can then be treated here.

If a TRICARE Prime member seeks care without an authorization, the claim will be processed as Point of Service with deductible and patient will incur a 50% CMAC cost share per visit.

Please note that Massage Therapy specifically is not a covered benefit. We are able to provide electronic stimulation, neuromuscular education, manual therapy, and corrective exercise within the therapist’s scope of practice. Any service scheduled not covered by Humana Military requires the member sign a TRICARE noncovered services waiver and the member is responsible for 100% of the cost of services for that visit.

Martin’s Point

Martin’s Point Healthcare does not contract or certify Licensed Massage Therapists as provider of services. As a Non-Participating / Out-Of-Network provider, claims may be denied in whole or in part by the insurance company. Also, as with Humana Military, Massage Therapy itself is specifically not a covered benefit for members. Other services we render may be approved and paid.

Nonetheless, we will submit claims on behalf of Martin’s Point Healthcare members, but patient is fully responsible for payment of services rendered. Consent for proceeding with services and responsibility for payment is required prior to the first office visit. We will require a copy of member’s insurance card and other information in order to determine eligibility for services.