We participate with most insurances and networks. We bill insurances companies directly
on your behalf and accept plan benefits paid to us. Plan benefits are rarely complete
payments for our services and co-payment, coinsurance, and deductibles often apply.
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The following insurances are processed as follows:
1. MEDICARE:
We are contracted as participating providers for Medicare Part A outpatient
physical therapy and occupational therapy services. This means that we will
bill Medicare directly and we will receive their payments directly from them.
If you have secondary or supplemental insurance, either Medicare will forward
the claim or we will send your second insurance a claim and receive any benefit
payments directly from them. You are responsible for any remaining deductible
or co-insurance after insurance(s) has paid.
2. HORIZON BLUE CROSS BLUE SHIELD:
We are contracted as a physical therapy and occupational therapy center
participating "in-network" for all the Blue Cross Blue Shield plans (including
all out of state Blue Cross and Blue Shield plans) in addition to the new
Direct 10 and Direct 15 programs. This means that we will verify benefits and
determine any required authorizations required for our services prior to your
first appointment. It also means that we agree to reduce our fees to a contracted
rate. If your plan requires a copay, these will be at the time of service. If
deductibles or coinsurance apply, you will be required to pay them at the time
of services.
3. OTHER PRIVATE HEALTH INSURANCES:
We participate with most managed care and private medical insurances for physical
and occupational therapy services. We will contact them and determine how claims
will be processed prior to your first visit. We will bill your insurance directly
and accept payment from them. Any portion of our fees that are not paid by your
insurance will be your reponsibility with payment due at the time services are
rendered.
4. AUTO INSURANCES:
We will call your insurance company to verify benefits prior to your first visit.
Claims will be sent to them and any benefits will be paid to us directly from them.
Any portion of our fees that are not paid by your auto insurance will be forwarded
by us to your health insurance. Any unpaid remaining portion is your responsibility
and a statement will be sent to you.
5. WORKERS COMPENSATION INSURANCE:
We will bill your workers' compensation insurance directly and we will be paid
directly by the insurance company. Our services require prior authorization by your
insurance and appointments will only be scheduled after receiving authorization.
You are not required to pay for any portion our fees.
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6. PRIVATE PAY:
If you do not have insurance or do not wish to bill your insurance, we have a reduced
Cash Fee Schedule for our services which are payable at the time of services by credit
card, check, or cash (prompt payment discount).
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