INSURANCE & PRICING

PRICING TRANSPARENCY

Our TRANSPARENCY IN PRICING is listed below:

PHYSICAL THERAPY EVALUATION (45-minute visit 1-on-1). 3 options:

  • DIRECT BILLFor in-network insurance companies, will bill them directly after you've paid your deductible and co-pay.
  • PRE-PAY $175.00: For out-of-network insurance companies that HAVE out-of-network benefits, you pay $175.00 to PTSportsPRO then get reimbursed from your insurance through our intermediary, Reimbursifiy, who will file your claim for you.
  • SELF-PAY $150.00For out-of-network insurance companies that HAVE NO out-of-network benefits OR NO INSURANCE you pay $150.00.

PHYSICAL THERAPY RE-VISIT (45-minute visit 1-on-1). 3 options:

  • DIRECT BILLFor in-network insurance companies, will bill them directly after you've paid your deductible and co-pay.
  • PRE-PAY $150.00: For out-of-network insurance companies that HAVE out-of-network benefits, you pay $150.00 to PTSportsPRO then get reimbursed from your insurance through our intermediary, Reimbursifiy, who will file your claim for you.
  • SELF-PAY $125.00For out-of-network insurance companies that HAVE NO out-of-network benefits OR NO INSURANCE you pay $125.00.

INSURANCE TRANSPARENCY

Our TRANSPARENCY IN INSURANCE is listed below:

Our credentialing team has been working with multiple insurance companies to become an in-network provider. However, this process is taking much longer than we expected. In the meantime, here are some guidelines as to how you can still be seen by us.

We are IN-NETWORK with the following insurance companies while we are working to confirm others:
  • Straight Medicare B
  • Straight Medicaid
  • ASR Physicians Care
  • Auto/Worker's Comp

In-network patients do not qualify for the options below.

 

All other insurance companies not listed above are considered OUT-OF-NETWORK. We signed agreement forms for the following companies but have yet to be accepted into their network:
  • AETNA
  • United Health Care
  • Blue Cross Blue Shield
To allow our patients to still access us, we have the following 2 options for OUT-OF-NETWORK services:
OPTION 1: PATIENTS WHO WANT TO TURN IN/SUBMIT THEIR BILLS TO THEIR INSURANCE COMPANY
  • Patients pay PTSportsPRO directly using their HSA card or any other form of payment.
  • The following charges will apply:
    • Physical Therapy Evaluation 45-minute session: up to $175 ($75 evaluation charge; up to 2 units of treatment at $50 per unit)
    • Physical Therapy Re-Visit 45-minute session: up to $150 (up to 3 units of treatment at $50 per unit)
  • Claims can be submitted to Reimbursify by PTSportsPRO or the patient. This company will submit the claim to the insurance company and the insurance will pay the patient directly for services received based on their plan coverage.
We are NOT ALLOWED to bill out-of-network services for the following insurance companies, but these patients can take advantage of our SELF-PAY option (OPTION 2):
  • Any HMO or EPO plans
  • Any narrow plans
OPTION 2: PATIENTS WHO WANT TO PAY CASH/SELF-PAY
  • Patients pay PTSportsPRO directly using their HSA card or any other form of payment.
  • The following charges will apply:
    • Physical Therapy Evaluation 45-minute session: $150
    • Physical Therapy Re-Visit 45-minute session: $125
    • The is a flat-rate discounted fee
  • This option is for patients who do not want to submit their therapy claims to their insurance.

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