FAQs

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FAQs

Frequently Asked Questions

The world of therapy and insurance can be daunting, overwhelming and confusing at first. Our clinical and administrative staff is here to help and support you as you navigate through this process.

Here you will find some questions that we are asked frequently. If you do not see your question here, or if the information provided here does not fully answer your question, please contact our office and we would be happy to talk through any questions you may have.

Does FYZICAL accept Medicare?

Yes, FYZICAL is a Medicare provider. Medicare covers 80% of physical and occupational therapy services. The remaining 20% is the patient's responsibility unless you have a supplemental insurance. As a courtesy we bill all secondary insurances. 

Does FYZICAL accept private insurance?

We accept most insurances and bill your insurance company as a courtesy to our patients. We participate with most health insurance plans; however it is very important to call for benefits prior to attending therapy to ensure that services will be covered. We will also call to verify your benefits for you.

Will my therapy services be covered by insurance?

FYZICAL wants to be sure you have a clear understanding of your insurance benefits. Therefore, as a courtesy to our patients we will call to verify your benefits for you before your initial appointment so that you will be aware of your estimated co-pay or coinsurance, any deductibles that may apply, the number of visits allowed on your plan, and whether or not your plan requires referral or authorization from your primary care physician. Please note that estimated coverage information is provided as a courtesy to you, but is not intended to release you from your responsibility for your account balance.

We would like to reiterate that a verification of benefits does not guarantee that your insurance will cover the services you are receiving at FYZICAL. We are often quoted incorrect information and can only relay what we are told by your insurance company. Your insurance company will determine if these charges will be covered when they receive an insurance claim from FYZICAL, which includes the procedure that took place in our office as well as the applicable diagnosis code(s). Please be sure to review the Explanation of Benefits (EOB) form that you receive from your insurance company which will tell you if they are covering these services or not.

We strongly encourage you to call your insurance for further information. Use the following forms as a guideline for what questions to ask your insurance company: 

What if I don't have insurance?

A courtesy discount rate is available in the event that you do not have insurance, your insurance company will not pay for you/your child’s services, and/or you do not have a supplemental program available through your employer.

Do I need a prescription or referral from my Doctor?

All Medicare patients require a prescription for therapy services. Prescriptions are valid for 30 days following the date of the script. Private insurance companies also require that you obtain a prescription. Some require a direct referral from your primary care physician (PCP). In all cases, it is important to call to verify this information with your insurance prior to starting treatment.

How do I schedule an appointment?

To schedule an initial appointment for yourself or a loved one, please contact our office at (517) 669-7228 or vist our home page and click on the orange "Request An Appointment" button. Please have your insurance information handy when you call, and be prepared to give us a brief description of your problem, injury or concerns so that we can schedule you or your child with the appropriate therapist. We will take your contact and insurance information, check your insurance benefits for you, and get you scheduled for an appointment as soon as we can.