Understanding your insurance coverage can sometimes feel impossible, but when it comes to getting the care you need from our team of Physical Therapists, we want you to be absolutely confident in your insurance coverage. To ensure that our patients’ don’t receive a surprise bill for their care at our clinic, we work with Therapy Partners. This organization allows us to focus on providing the highest quality of care for our patients while serving as an invaluable resource for helping them understand what their insurance will cover for the physical therapy treatment.
We caught up with one of our contacts at Therapy Partners, Jennie Horejsi, the Customer Care Center Manager, to discuss some of the most important questions we can answer for our patients when it comes to their insurance coverage. Keep reading to discover the incredibly helpful information Jennie shared with us!
What is the most common misconception you encounter when it comes to insurance coverage and physical therapy?
Patients are ultimately responsible for verifying their benefits with their insurance company. We can only pass on the information we were given by the insurance companies.
What advice do you give to people about getting a referral for treatment?
There are insurance referrals and Doctor Orders. Insurance Referrals include date range, number of visits, and referral number. This is something required by the insurance company. Doctor orders are from the ordering doctor and include the condition the patient is coming in for and that they should seek treatment. When you call your insurance company, make sure you specify doctor’s order or referral. They usually just say Referral.
What should someone do if they get a surprise bill?
Call the billing department to make sure the balance is your responsibility. If more questions, call your insurance company to double-check they paid correctly. Also, make sure you are giving the clinic all your insurance information.
What should someone who wants to get physical therapy care look for when selecting an insurance plan?
Make sure the clinic you want to go to is in your network. Check to see what your responsibility would be for physical therapy.
How can someone who is nervous about payments find a way to get the care they need?
Ask to get as much information as you can (exercises, etc.) during your visits so you can do what you can at home. This way, you will lessen the number of visits you need to come to. Also, speak to your Physical Therapist about your concerns, and they will work with you. They want to see you get back to your goals!
We want to thank Jennie for taking the time to share this great information with us! If you have any questions or would like to start your physical therapy care at Optivus, you can contact us today.