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Mountainside On-Site Massage Therapy Mobile Massage Therapy Service Directory - Inquiries: 877-480-8038X

Sliding Scale Payments For Therapeutic Massage
Image: "Scaled Quail" Image Credit: Desert Rice © 2008

Sliding-Scale Payments for Therapeutic Massage & Stretching, Lactation Care, and Infant Massage Instruction At Home

Therapeutic Massage Health Services should be affordable for all people, at all ages and stages in their life. However, the costs associated with treatment may be too much for some to bear, and without a Health Saving Account or insurance that reimburses or covers Therapeutic Massage, this may be impossible.

And, help for lactating Moms should be affordable, if the person doesn't have health insurance. (All insurance policies cover Lactation Services!) The same goes for Infant Massage Classes. (All insurance policies cover Infant Massage Classes!) These are important On-site Health Services that we offer that should not be denied to people because they are financially unable to receive them.

To that end, Mountainside On-Site Massage Therapy has partnered with The Assertive Kids Foundation™ a Registered 501(c)(3) Charity, to help provide On-Site Health Services to people who might otherwise have great difficulty with yet another bill.

The Assertive Kids Foundation™ will step in to help individuals and families dealing with affordability issues with our on-site services. Some groups Assertive Kids is willing to help include pregnant and postnatal women and kids with health issues. Eligibility will be determined on a case-by-case basis. So, even if you, or your loved one, doesn't fall into one of these categories, that doesn't mean you cannot receive help.

Payment for treatment, for those approved, will be discounted based on a sliding scale determined by assessment of proven medical and financial necessity. Please use the below form ONLY.

Data collected about financial condition will remain private. Medical information will be anonymized and may be used in various health studies relating to Therapeutic Massage or other Health Modalities. To be eligible for sliding-scale discounts based on need, you must agree to these terms.

Please just use the form on this page *AND* call to let us know you've submitted. (Anyone may submit.)

You will be contacted back by phone, via our Care Team office, and we will let you know what is required of you to submit a claim for a sliding-scale payment. Applications are again being accepted.

Sliding Scale Payments For Massage Therapy In NJ

What Is a Sliding-Scale payment?

After considering your unique circumstances, Assertive Kids Foundation will agree to pay for anywhere from 15% to 100% of the cost of your Therapeutic In-Home Massage. The cost of the session does not change, however, Assertive Kids will issue a promissory note to Mountainside to pay for whatever percentage of your session that the Foundation has agreed to pay, and you will only be legally responsible for paying the remainder of the cost of treatment, after Assertive Kids Foundation makes their payment contribution.

Please note that this means that any medical treatment partially or fully paid for by AK must be noted, as you cannot double-bill your insurance company for sessions Assertive Kids has already paid for. Don't do this even by accident, as it can flag your insurance account for fraud. We receive reports directly from your insurer as to what's been paid for by your insurance, if your insurer chooses to pay for any of your therapy.

Click here for additional information from the Assertive Kids Foundation on their Sliding Scale Program.

(You will still be responsible for paying the percentage of the bill that you have agreed to pay on the day the service is rendered or prior.)

Applicant's Full Name:


Phone Number:


Today's Date:

What Service(s) are you interested in receiving information about financial assistance for?


Who are the services for, and what is the person's relation to you, if it's not for you, yourself?


Today's Date:

Marital Status:





Number of Children/Dependants: (Please also note any disabled adults and/or retired elders also living in the home)

Monthly Rent/Mortgage + Utilities + Insurance:
Do not break down or itemize; provide a single figure only, please.


Monthly Car/Transportation-Associated Costs: (Insurance + Lease + Gas/Fuel and/or Public Transit Costs.)
Do not break down or itemize; provide a single figure only, please. (Please also separately itemize any transportation-related purchases/major repairs made within the last 18 months in this field.)


All Other Monthly Costs: (Medical Costs, Student Loans, Credit Cards, Household Food, Entertainment, Etc.)
Do not break down or itemize unless you were specifically instructed to; provide a single figure only, please.




Maternity-Related, Childcare-Related, and/or Health Issue-Related Costs: (Child Care, Au Pair, Day Care, Flying in parents or relatives to help, housekeeping, maternity health products, Child Furniture, Infant and Older Child Expenses.)
Do not break down or itemize unless you were specifically instructed to; provide a single figure only, please.


Were/Are you unemployed or out of work on unpaid or reduced pay Maternity Leave? If so, please explain and state for how long.


Was/Is your spouse unemployed or out of work on unpaid or reduced pay Paternity Leave? If so, please explain and state for how long.


Please explain the details of your situation:

My family cannot reasonably pay for the required frequency and/or total number of sessions a Licensed Health Professional has deemed necessary for proper treatment of a diagnosed pathology or assessed condition.

Digital Signature:

(Please click 'Submit' at left to submit this form)

Mountainside On-Site Massage Therapy Sliding-Scale Payment Info Page

 

 

Please click on the '@ Contact Us' button, bottom-left, to access our inquiry form, or use the button at the top of this page. Feel free to also call us voice at (877) 480-8038 for more information or to book an appointment. We'd be happy to speak with you.

Cash, Credit Cards, Venmo, PayPal, CashApp, GooglePay, and Gift Certificates accepted. Your insurance may cover Onsite Therapeutic Massage and other mobile Health Services we offer. Please call us for details.

Note: We offer strictly Therapeutic Massage and Health Services. If you're seeking anything else, please do not contact us.

 

Red Cross CPR Training For Massage Therapists Web Page NCTMB - National Certification Board for Therapeutic Massage and Bodywork Web Site

 

 

 

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Mountainside Massage Therapy, Mountainside At-Home Massage Therapy, and all other cited trademarks are property of DF Alban, H. Miller.


Mountainside On-Site Massage Therapy Sliding-Scale Payment Info Page

 

 

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