Medical Insurance may be reimbursable by your insurance company. Luna Therapy can provide you with an invoice that you can submit to your insurance company as an out-of-network provider. It is recommended that you obtain a referral with an ICD-10 code from your medical provider.

You are responsible for calling your insurance company and any medical claims submitted. Luna Therapy is not responsible for insurance denial/acceptance.

Full payment is required at time of service.

Some services that may be covered are:

• occupational therapy

• hand therapy

• pain related syndromes

• women’s health

• lymphedema therapy

• breast cancer rehabilitation

• acupuncture

For convenience, you may print the referral document and take to your provider.

REFERRAL FORM