As a courtesy to all our patients, our front office staff will determine your eligibility & coverage of your insurance(s) for therapy services prior to your first visit.
If you have a deductible, then your deductible must be satisfied before the insurance company will pay for treatment. You are responsible and will be billed for any unsatisfied deductible amount. You can obtain this information from your insurance customer service representative. We request payment towards your outstanding deductible at the time of service.
Office co-pays are due at time of service. The co-pay amount on your insurance card may not be the co-pay amount for physical therapy visits. You can obtain this information from your insurance customer service representative.
Your co-insurance amount is the amount not covered by your insurance plan. You can obtain this information from your insurance customer service representative. The co-insurance amount is the patient responsibility and due at time of service.
If your insurance policy requires a prescription from your primary care physician (PCP) or non-physician practitioner (NPP), you must obtain a current prescription in order for your plan to pay for physical therapy services. You must have a current prescription for the duration of your physical therapy care.
If your policy requires a referral or pre-authorization on file, you will need to contact your PCPs referral coordinator and ask that a current copy be sent to both your insurance company and our office.
Physical Therapy or Rehabilitation benefits can include occupational therapy, speech therapy, massage therapy, and/or acupuncture. In addition, naturopathic - physical medicine and chiropractor office can provide and bill for physical therapy services. These services can be paid out of the same benefit limit. Please check with your insurance company when you are seeing multiple practitioners.
Keep in mind that Ergogenic Physical Therapy can only track your plan and prescription limits for services provided at one of our offices. It is your responsibility to track services received from other practitioners in other offices. If you exceed your plan limits, you are responsible for payment of the services not covered by your plan.
For further assistance, please feel free to contact us at (818)888-8300.