In British Columbia, most extended healthcare plans cover manual osteopathic therapy services. In addition, many manual osteopathic therapists in the province offer direct billing options for patients with insurance coverage, which means that the therapist will bill the insurance company directly on the patient’s behalf. This can simplify the payment process and reduce out-of-pocket expenses for the patient. First, however, it is important to check with your specific insurance provider and manual osteopathic therapist to confirm if direct billing is available and what the process entails.