Changes are being made by the insurance companies to ensure that insurance billed Massage Therapy is “medically necessary” Massage Therapists are unable to diagnose, so a medical referral will be required if claims for Massage Therapy treatments are to be direct billed by Tree Frog Massage Therapy. Please check the terms of your policy, and I recommend asking your Doctor for a prescription for Massage Therapy related to your needs, which will usually be valid for 1 year. Please contact me if you require any further information, or contact your insurance company. Thank you.