Insurance & FYI
Below please find a list of current insurance plans that we participate with,
things to keep in mind and what to expect at your first appointment.
Also provided are intake forms for your convenience; feel free to fill them out
and bring them in at the time of your first session.
If at any time you have questions regarding billing, your insurance coverage,
or Physical Therapy policies, please do not hesitate to ask.
We accept most major insurance plans.
Blue Cross Blue Shield
Empire Blue Cross Blue Shield
The Empire Plan
United Health Care
*Private Pay is also accepted
If you do not see your plan listed above, please don't hesitate to contact our office for additional information!
Please keep in mind:
Each insurance plan has specific regulations regarding Physical Therapy. Your PT benefits can be verified by calling the 800 number on the back of your insurance card.
Most insurance plans require a co-payment. This payment will be expected at the time of service.
Authorization - Many insurance plans require authorization for physical therapy. Authorization is obtained upon your first visit. Although many plans allow for a certain amount of visits per year, how they are distributed is at the discretion of the authorization management company.
"Direct Access" - As of July 27th, 2006, New York became the 43rd state to pass a law allowing patients "direct access" care to any license Physical Therapist. Under this legislation, patients may see a Physical Therapist for up to ten (10) visits or 30 (thirty) days, whichever comes first, without a prescription. After this time period, a prescription will be required for further treatment. It is your responsibility to ensure a valid prescription is on file.
Exception: This does not hold true for those insured through Medicare, Workers Comp, or No Fault.
Prescription Renewal Policies - It is the responsibility of the patient to obtain all required prescriptions in order to continue physical therapy. Regardless of your insurance plan, we require you to have a valid prescription on file, once the "Direct Access" period has been met.
Please remember to bring:
Your insurance card(s).
Any pertinent medical records such as a prescription, MRI / X-ray / Post-op report
Loose fitting clothing that will allow for the physical therapist access to the area of the body we will be treating.
List of current medications
On your first visit:
You will need to fill out some paperwork, bring your glasses! if you would like to fill out paperwork in advance, please see below to print out and complete your forms.
Please arrive on time, and if possible 5-10 minutes before your scheduled time so that you can get started on your paperwork.
We ask you to please be understanding in regard to paperwork we may ask you to complete. Insurance companies have very specific rules and regulations that we must adhere to; paperwork completed by the patient during both your initial evaluation and throughout your treatment may apply.
Click HERE for helpful tips on preparing for your visit with a Physical Therapist!
Please understand that it is your responsibility to know your insurance coverage, including any monetary responsibility.
However, we do verify all coverage upon your first visit and as courtesy to you would be happy to provide you with a summary of your benefits. If you would like such information, please notify the front desk and you will be provided with a copy of your benefit verification upon your next visit.
If you have any questions please do not hesitate to ask.
- Arm related diagnosis (shoulder to hand)
- Lower extremity related diagnosis (hip to foot)