Insurance and General Policies

What You Need to Know

We are pleased to have the opportunity to work closely with you and your doctor in providing the very best quality services in your physical therapy program.  We are committed to providing excellence in care, and want you to be free to focus on your therapy and recovery, which is why we make insurance and payment transactions as easy and effortless as possible.  We want to ensure you have a clear understanding of our policies and that your questions are all answered, we good communication is important to our professional relationship with you. 

Private and Group Insurance:  Each insurance company has a different way of providing coverage.  This is spelled out in your policy booklet which we suggest you review.  We will contact your insurer to determine the benefits you have for physical therapy, including your co-pays, authorization requirements, etc.  We will bill the carrier directly, and collect co-payments when you check in for therapy.

Workers Compensation:  Prior-authorization must be obtained from the insurance company before we can schedule appointments. 

Medicare:  We accept assignment.  This means we will accept the medicare allowed fees for physical therapy services.  For these services, medicare pays 80% of the allowed fees.  If you have a supplemental insurance, we will bill the 20% balance to this carrier.  If you do not have a supplemental, you are responsible for the 20%.

Motor Vehicle Accidents:  If you have medical coverage on your auto policy, we will bill that for you.  If you don’t have medical benefits on you auto policy, please provide your health insurance information.  We, as a medical provider, cannot bill the other party’s auto insurance even if they are at fault.

Your first session:  During this session the therapist will perform an evaluation of your condition and submit a report to your doctor.  You will be asked to complete some initial paperwork so be sure to arrive 15 minutes early.  Loose fitting clothing is a good idea.

Missed Appointments:  We require 24 hours notice if you cannot keep your appointment.  There is a $20.00 fee for missed appointments (defined as a cancellation with less than 24 hours notice, or a “no-show”).  This fee must be paid at your next visit. 

North Santa Rosa Physical Therapy is a member of the Physical Therapy Provider Network (PTPN) which is a preferred provider organization of therapists that have met specific quality standards.