How does ICBC claim work?
Starting April 1, 2019, upon receiving your ICBC claim number you are eligible for 12 sessions of RMT treatments automatically starting on the date of your accident for 12 weeks. For all accidents before April 1, 2019 the 12 sessions policy is not applicable.
Example: Accident happened on November 19,2019, the end date for your 12 sessions of RMT sessions will be on Febuary 19,2020
How much does ICBC cover for each treatment?
|Initial visit (First visit)||$109.00 (billable once)|
|Standard treatment (Remaining 11)||$82.00 per treatment|
User fee- ICBC customers who choose to visit a health care provider that charges a higher rate than what ICBC funds under accident benefits (indicated above), will not be able to recover the user fees from ICBC for claims with a date of loss on or after April 1, 2019. This will mean that the patient is responsible for paying the user fee portion, which they may submit to their private health insurer for consideration of coverage. If the accident beneifts (indicated above) exceeds the rate of service there will be no user fee.
$115 (60 Minutes RMT rate) - $109 (Initial Visit) = $6 (User Fee)
$115 (60 Minutes RMT rate) - $82 (Standard Visit) = $33 (User Fee)
$90 (45 Minutes RMT rate) - $82 (Standard Visit) = $8 (User Fee)
$70 (30 Minutes RMT rate) - $82 (Standard Visit) = over by $10 (No User Fee)
- The initial visit is defined as the first visit to a RMT after your accident not the first visit of a different therapist.
- The billing lsited above applies to accidents before April 1, 2019
- The billing listed above is without GST, therapists who collect and file GST themselves cover more (Initial visit $114.45 and standard treatment $86.10). Expect to pay the standard rate in most cases.
Why does my therapist not able to direct bill ICBC?
Please be sure to book under "ICBC Massage Therapy" if you wish to have your therapist bill directly to ICBC.
All RMTs can treat ICBC patients but not all can bill ICBC directly. Most RMTs at Sense Massage Therapy have set up ICBC billing some therapists choose to opt out due to the shortage of available slots to see ICBC patients in a timely manner.