SPECHT PHYSICAL THERAPY FINANCIAL POLICY AND INSURANCE INFORMATION
We are committed to providing you with the best possible care. If you have medical insurance, we will help you receive your maximum allowable benefits. Payment for services is due at each visit. We accept cash, check, debit cards, and credit cards.
Please Read Carefully:
Physical therapy services are reimbursed under the provisions of most health insurance policies. As a subscriber, you are responsible for knowing the terms of your policy. While we will file insurance claims on your behalf, all charges are your responsibility on the day the services are rendered. We realize that temporary financial problems may affect the timely payment of your account. If such problems arise, please contact up promptly for assistance managing your account.
Your deductible is the amount you pay for medical costs before your health insurance begins paying for your care. If you have a deductible and it has not been met for the plan year, you must pay the full allowable amount (based on your insurance company’s payment schedule) for each of your treatment sessions until the deductible amount has been reached.
Medicare patients are responsible for the yearly deductible on the secondary insurance. If Medicare is the only insurance, they are responsible for 20% of treatment fees based on the Medicare fee schedule.
A Worker’s Compensation claim must be initiated if your injury is work-related. If your case is denied by Worker’s Compensation, then you’re responsible for each visit. We require that you provide us with your medical insurance to ensure payment of the account if your case is not allowed. Please provide us with all available information if you already have a claim number or an attorney.
Liability cases (i.e., motor vehicle accident, slip and fall, etc.) are accepted if accompanied by a health insurance plan or auto insurance with medical payments (med pay). when another party is responsible, you must provide us with all the billing information. If you have an attorney, please provide their information as well. This office’s policy is that a letter of protection, also known as a lien, must be received from your attorney within the first week of your treatment. Without this letter, you will become responsible for the account in full. Also, please provide your attorney with our information and let them know you’re receiving treatment at our facility.
Our fees are generally considered to fall within the acceptable range by most insurance companies and therefore are generally covered up to the maximum allowance determined by each carrier. If you (the subscriber) should receive a check from your insurance company that is intended for this practice (the provider) for services rendered, you must immediately remit this to our office for credit to your account. Failure to do so will result in our office billing you for the complete balance and you’ll be responsible for payment of this amount in full.
We will contact your insurance company to provide information about your physical therapy benefits, deductibles, and copayment. Even so, please understand your insurance company’s policy regarding physical therapy. We encourage you to call the customer service number on the back of your insurance card to obtain the most accurate information about your insurance benefits.
If your insurance company requires any approval or authorization, please follow the insurance instructions otherwise, you could be held financially responsible for services not approved or authorized. Please familiarize yourself with your insurance coverage to minimize denials or unexpected bills from our office.