Insurance and Billing Information
We are happy to bill your primary (and if you have it – secondary) insurance for you. Although we will call your insurance company and check on your physical therapy benefits, we strongly suggest that you do the same. Please make sure that you understand your insurance benefits as you are ultimately responsible for payment for our services. Many insurance companies have a yearly limit on physical therapy services. We will work with you to give you the best care we can within those limitations.
- Anthem Blue Cross PPO
- Blue Shield PPO
- Medicare Part B
- United Healthcare PPO
- Cigna PPO through MultiPlan and PHCS
- 3rd party contract with MultiPlan (please call our office for more information)
- Workers’ Compensation (Pre-authorization required)
- VA (Pre-authorization required)
Medicare has instituted a yearly cap on physical therapy services. You may be billed a maximum of $1940.00 per calendar year. Medicare will pay 80% of this amount and you or your supplemental insurance are responsible for the balance. If you have had physical therapy services earlier this year, it is very important that you tell our office when calling to make an appointment.
California is a Direct Access state. You may come for physical therapy without a doctor’s prescription for 12 visits or 45 days (whichever comes first). All of the insurance companies listed above will pay for Direct Access for physical therapy EXCEPT ANTHEM BLUE CROSS.
We have cash rates for those who have exhausted their benefits or who wish to have physical therapy services without billing their insurance companies. Please call (650) 558-0247 X103 and speak to our office manager, Marilyn Beames, for more information.