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Health & Wellness

Massage, Acupuncture, and Yoga May All Be Part of Your Health Plan

By Jennifer Armstrong, Sirens Magazine. Posted May 19, 2007.


Sure, our health care system is messed up. But that doesn't mean you shouldn't be taking full advantage of your own plan's benefits. Here are five goodies you should know about.
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Quit grumbling under your breath when that footloose freelancer friend of yours wants to grab a three-hour lunch on a Thursday. Just remind yourself that you have health coverage and she doesn't. And if that sounds 401(K)-level boring, then use those three hours to sit at your desk and plumb the depths of your insurance benefits website -- because there's likely more to your plan than annual jabs with a speculum.

There's no denying there's plenty wrong with our healthcare system these days, but we're not here to debate universal coverage. (If we were, we'd say: Um, yes, please!) We're here instead to celebrate the hidden goodies you aren't getting -- but possibly could be, depending on your plan. So make sure you're making the most of that paycheck deduction by asking for these five indulgences:

Massage and acupuncture. All hail the rise of alternative medicine: The likes of Aetna, Medicare, Prudential, Cigna and Kaiser Permanente cover various forms of rubdowns and acupuncture treatments. And there are now even insurance services that cover only Eastern-type practices, though don't count on your major conglomerate joining up anytime soon. On the other hand, larger companies are the most likely to offer these fringe benefits on top of the traditional stuff -- Time Warner, for instance, even has their recommended acupuncturist right on the company website with a link to make appointments. Granted, we're talking mostly about discounts and limited numbers of sessions, and the coverage is most often associated with physical therapy or chiropractic treatment, but still. (How many do you need, anyway?) So look into the fine print, of course -- you could need pre-authorization or a referral, or you might need to have a specific kind of injury or condition. And make sure you get whatever documentation you need -- receipts, sworn affidavits, Papal dispensations -- to get the coverage you deserve. Otherwise you're going to need a massage just to recover from getting your massage.

Skincare. You're never going to convince your provider to pony up for the Bliss Triple Oxygen Treatment (no matter how much better it makes you feel than a mammogram). Get yourself officially diagnosed with acne, though, and you can get some serious treatment (not that you don't deserve it). Cortisone injections -- those glorious little pricks of the needle that stop the madness of those obscenely deep zits -- might warrant some partial coverage as an "outpatient" procedure (but you might have to make sure your doctor herself, and not a nurse, administers them). Oh, and glory of all glories, that miracle known as Retin-A -- which somehow clears skin and fights wrinkles at the same time -- could cost you a mere $20 while running your clear-skinned friends upwards of $100. So there.

Nutrition counseling. Some plans will reimburse you for some of the cost, so instead of suffering through another crazy cleanse, why not get some solid advice from a real pro? It'll even be personalized, unlike that diet plan in the latest issue of Cosmo, which means it won't force you to eat the broccoli you hate, and it might even include the occasional chocolate ice cream you can't live without (in moderation -- nutrition counselors aren't miracle workers). Great for any of us, of course, but even more important if you've got a condition, like hypertension or a gastrointestinal disorder, that requires special dietary attention.

Meditation and yoga. It's true -- Kaiser Permanente, for one, offers yoga, meditation, and tai chi programs to its members with an eye toward preventative care. Again, check with your insurer to see if they offer discounts and such -- or even ask your employer directly, as they might provide partial reimbursement for gym membership or classes that would also include yoga studios and all the spiritual sustenance they have to offer.

Therapy. A mere $15 co-pay for somebody to listen to nothing but you, you, you for an hour? No wonder that freelancer needs a three-hour lunch and you don't.

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Jennifer Armstrong is the co-founder/editorial director of SirensMag.com.

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Huh?
Posted by: emgscot51 on May 19, 2007 4:00 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
What planet are you on? Want to check my Medicare HMO and show me where these benefits are?

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Too Little -Too Late for Private Insurance Companies
Posted by: drricklippin on May 19, 2007 4:57 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
Jennifer

Thanks for bringing us some good news for a change in the otherwise dismal health care debacle in the US.

What you report may be too little-too late since private insurance companies have become the justfiable target of almost anyone criticising our broken health care system. I think their days are numbered.

Conversely Alternative Medicine and Preventive Medicine will grow with Medicare leading the way and a national health plan to follow.

Also there is wide variation in coverage is the services you describe as the first commenter pointed out.

Anyway- Be Well!

Dr. Rick Lippin
http://medicalcrises.blogspot.com

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What Health Plan?
Posted by: oregoncharles on May 19, 2007 8:10 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
The American one: Don't Get Sick.

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» RE: What Health Plan? Posted by: tjg1984
Thank you Jennifer but my wife kinda beat you to it.
Posted by: maxpayne on May 19, 2007 9:14 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
This is a great article to help both men and women to cope up peacefully with life's rough edges. Most of what you wrote my wife taught me probably because she was from an Asian descent.
Instead of popping a Tylenol, I always give head massaging priority number one. Plus I can avoid the side effects of an upset stomach. Yoga and massage are especially helpful for men and women like my wife and I who have to work through our grueling jobs just to make ends meet but like my wife always says "Yoga and massage can make every rest a great one." I'll take this article and get the word out as this is probably the best way we Americans can jump off this bankrupted healthcare mess safe and sound anyway.

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This may not be true even if it's true
Posted by: workerbee on May 19, 2007 12:19 PM   
Current rating: 5    [1 = poor; 5 = excellent]
My plan at my former employer covered acupuncture. However, I had to get a "certificate of medical necessity" for it -- which I did, probably about six times before they admitted they got it. Then, when I was laid off from my job and out on COBRA, I got kidney stones. They couldn't seem to find any pain medication to give me that didn't have acetominophen in it, and I happen to be highly allergic to acetominophen -- life-threateningly allergic. And they couldn't give me aspirin, because of the danger of hemorrhage -- so there I was, in tremendous pain with no pain relievers available. So off I went for acupuncture -- particularly after having a lithotripsy to get rid of the stones. Only then, when I submitted the claims for acupuncture treatments for pain, with documentation of VALID MEDICAL REASONS that included danger of hemorrhage and a life-threatening allergy, did the insurance company (a large and supposedly respected one) inform me that it had "changed the rules" on the acceptability of acupuncture as a viable treatment. It was now regarded as an experimental treatment, despite its having been used in China for many hundreds of years for pain relief, and was only available to pregnant women and cancer patients without reams of substantiating documentation -- which my acupuncturist (who was also a board-certified trauma surgeon, BTW) did not have time to provide.

Not only that, but they claimed they had informed all the participating doctors -- but they outright admitted that they had not notified the plan beneficiaries, who PAY THE PREMIUMS, that their plan no longer covered treatments formerly covered. I was just supposed to know this by osmosis, I guess. To me that's bait and switch -- devaluing my medical plan by reducing coverage and not telling me.

So guess who ended up paying the bills for the acupuncture -- and while on COBRA and unemployment! Meanwhile, the insurance company paid for a full-body MRI that I did NOT have, to the tune of some $1400, for which they were billed by the hospital that did the scan of the kidney area. So beware, beware -- they will change the rules on you, not tell you, and you will end up paying in the end.

I took it to my Congressman and to the state insurance boards in both the state where I reside and the state in which the insurance company's coverage office is -- to no avail. I never got an answer on the legality of such a change to medical coverage from ANYONE -- so they're undoubtedly doing it to everyone else. Personally, my opinion is that as people use these far more effective alternative treatments more frequently, they will continue to cut coverage of them.

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Seriously legitimate medicine part 1
Posted by: adventuregrrl on May 19, 2007 12:30 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
Thanks for elucidating these, as an acupunture intern and massage therapist of 11 years! However, a few points:

First, neither is an "indulgence". Traditional Chinese medicine is a whole-body medicine that not only uses needles, but custom-blended herbal prescriptions without the nasty side effects of pharmaceuticals, diet and nutrition, meditation, tai chi and bodywork. We successfully treat a wide variety of ailments besides pain and stress, including infertility, gynecological problems, allergies, asthma, arthritis, cold/flu, and sleep disorders to name a few, and we often treat them more effectively and at lower cost than Western medical drug therapy can. Of course, there is also a protocol for "facelift" acupuncture and herbal preparations to treat not only acne but rashes, wrinkles and other skin problems as well.

As for massage, it is not a fluff luxury (even my clients who get them regularly refer to "treating themselves"!). The medical and health benefits have been well-documented. It reduces the effects of stress, boosts the immune system, relieves pain, improves sleep and athletic performance, again to name a few. Some bodywork that is highly specialized, like Rolfing or Feldenkrais, can perform seeming miracles on long-standing injury or stroke sequelae that confound standard physical therapy.

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Seriously legitimate medicine part 2
Posted by: adventuregrrl on May 19, 2007 12:33 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
If you are lucky enough to have insurance coverage, which is after all what the article is about, then great. However, if you don't (like me) you still may have access. Find out if you have any acupuncture or massage schools in your area--most run low-cost community clinics that are supervised by licensed practitioners. My school Yo San also places supervised interns at a few free clinics (like the Venice Family Clinic) in Los Angeles that offer alternative care like acupuncture and chiropractic. As for bodywork, (at least around LA) there are lots of low cost (around $44/hr) massage-only "spas" that staff with experienced and fully licensed therapists, if you don't have insurance and can't get access to massage through your chiropractor. Here in SoCal we also have the Heart Touch program

On a final note, if you do have insurance that covers mental health and counseling and you have a DSM-IV diagnosable condition like depression, documenting it by treating it through your insurance may make it harder/ more expensive to get coverage in the future (this also has happened to me, hence no insurance right now while a starving student).

Yours in health,
Laura

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Medicare and Acupuncture
Posted by: Basenjis on May 19, 2007 4:51 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
Exactly when did Medicare decide to cover acupuncture as medical therapy? This is news to me--and would be glorious news if it were true. If the powers that be were actually interested in health maintenance coverage instead of sick coverage, they would not only offer this wonderful ancient treatment to all who request it, but even recommend it before netting another victim for Big Pharma.

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not on my planet
Posted by: Alec Freeman on May 20, 2007 2:27 AM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
Yuppie bullshit. Open-minded and flexible insurance carriers, massages, therapy, and these other cute remedies are not available to us mere peasants. Another poster said it best: don't (because you can't) get sick here in America. To that end, I simply eat well and exercise often. And I stay out of Starbucks and SUVs. Again, yuppie upper middle-class bullshit.

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To Learn More...
Posted by: pcushniesr on May 20, 2007 1:16 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
about acupuncture and other forms alternative medecine, visit csicop.org.

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Eight years ago I had accupuncture after brain surgery.
Posted by: Ellie1 on May 29, 2007 12:20 PM   
Current rating: Not yet rated    [1 = poor; 5 = excellent]
After cranial healing, I still had body aches in various places, and my general doctor did not know what to do for me. I asked her if I was covered for accupuncture, and she didn't know because no one had ever asked for this treatment before! She phoned Blue Cross/Blue Shield and got me coverage for eight treatments. The pains went away, and both she and I are now accupuncure advocates. It does not ALWAYS work, but it is worth a try if you are in pain.

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