® Structural Integration"> Insurance | Rolfing<sup><span style="font-size:12px;">®</span></sup> Structural Integration

Allan Kaplan, Certified Advanced Rolfer™




(if you are interested in the rationale behind this change, scroll down)

Regarding your own insurance reimbursement: Any insurance policy that covers massage will cover Rolfing, because Rolfing is considered massage and is included within WA State's massage licensure (LMT). Policies can be radically different — whether there is a co-pay, they cover only preferred providers, or whether they will cover anyone that is licensed — so the best thing to do is to contact your agent and find out what your benefits are for using an “out-of-network massage practitioner.” The “insurance benefits form” has questions to ask your insurance provider so that you gain a clear idea of your benefits and their limits.

Allan is not a preferred provider for ANY insurance companies, but most will simply reimburse you if you send in the receipt he can provide for services rendered. Using this method, reimbursement is pretty wrinkle-free. Use the insurance claim info form to keep track of all the details of the claim for yourself. It is also important to remember and understand that payment for missed appointments is your responsibility as per the signed cancellation agreement — insurance companies will not reimburse for appointments when services have not been rendered.

Rant regarding no longer taking insurance claims/settlement cases

After 29 years of dealing with insurance companies, I decided to stop doing insurance work or participate in settlements. There are several reasons for this decision, but it basically boils down me getting tired of feeling screwed.

Being a pretty agreeable guy, I’ve often been a pushover for a hard-luck client, and have taken on just about any accident victim that came my way. I’ve felt compelled to help them out, and have assumed I’d eventually get paid. Well, as the years have passed, I’ve learned a few things.

Basically, it comes down to this:

I am not “The Bank of Kaplan

People get more out of the work when they finance it themselves,
which takes the entitlement factor out of the equation.

I could go on ad nauseam about the time and hassle involved in generating documentation and communicating with adjusters and lawyers, never getting paid, people blaming me for not getting “fixed” — the list goes on and on — but I won’t bore you with my catharsis.

The bottom line is that I cannot advance credit to clients any more than I would expect anyone else to advance credit to me. I do process credit cards, so that can take some pressure off financing. The other piece is that I want clients who engage in their sessions, rather than frame them as just another “free” insurance benefit.

I realize that this may prevent some people from being able to work with me, and for that I’m sorry, but I’ve finally had to draw the line. I figure I’ve lost about $15,000 in billing unpaid by insurance companies, and I’ve done a lot of sessions where I felt under-appreciated. This is a necessary step for myself.