The art of massage is, too many, more than a way to relax or de-stress the body. For millions of people suffering from joint or muscle conditions or a range of other illnesses, massage can be an effective type of treatment. One potential problem lies in the setup of many national health systems, where massage is not formally considered an effective medical treatment. Insurance companies often consider massage to be an elective treatment that has no medical necessity. As a result, visits to a massage therapist will often not be covered by medical insurance. One exception is when the patient succeeds in getting a referral from his physician to go to a massage therapist. For those who want to get a physician medical massage referral with the goal of getting massage visits covered by insurance, some critical steps apply.