FIRST VISIT INFO AT Grand Lake in Oakland
Your first physical therapy visit will be approximately 55 minutes. You will meet with your physical therapist and a treatment plan will be established so that you may meet your physical therapy goals. Your following appointments will be approximately 25-30 minutes. Your doctor and physical therapist will determine how many times a week you will need to attend physical therapy. You should arrive 20 minutes early for your first appointment so that the front office staff can complete and organize your paperwork and make the necessary copies of your insurance cards.
WHAT YOU NEED TO BRING:
- Insurance card/s
- Driver’s License
- Prescription from your physician for therapy services (if it was not already sent)
- Completed intake forms if provided to you ahead of time
WHAT YOU WILL NEED TO WEAR:
- Loose, comfortable clothing
- Bring or wear appropriate shoes for exercising (if applicable)
- Payment is due at the time of each service
- The front office staff will advise you of your financial responsibility on your first visit, if not before
- We accept cash, checks, debit cards, VISA and MASTERCARD
DO WE ACCEPT MEDICARE?
Yes, we are a Medicare provider. Medicare covers 80% of physical therapy services. The remaining 20% is the client's responsibility unless you have a supplemental insurance. As a courtesy we bill all secondary insurances. Currently there is a $2080 Medicare cap in place for outpatient physical therapy services.
DO WE ACCEPT PRIVATE INSURANCE?
We are in-network providers for PPO plans with Medicare, Anthem Blue Cross, and United Healthcare.
We are out-of-network providers for Aetna, Cigna, HealthNet, Blue Shield and all other PPO plans.
We are out of network for many EPO plans. We are not providers for HMO plans.
HOW DO I KNOW WHAT MY INSURANCE WILL COVER?
We understand that nobody likes a surprize bill, and do our best to be as accurate and transparent as possible in determining your portion of payment. As a courtesy to our patients we will call ahead to verify your benefits for therapy services. Please remember that a verification of benefits IS NOT a guarantee of payment. We are sometimes quoted incorrect information and can only relay to you, what we are told by your insurance company. It is always a good idea for you to call to verify this information for yourself. You are responsible for any portion of the bill that your insurance company does not pay.
DO I NEED A PRESCRIPTION OR REFERRAL FROM MY DOCTOR?
As of January 2014 you are no longer required to have a physician referral to see a physical therapist for 45 days or 12 visits, whichever comes first. After that you will need a physician to sign off on you treatment plan. (This is a California state law.) However, your insurance network may require you to obtain a referral to cover physical therapy services.
All Medicare patients require a prescription for physical therapy services. Prescriptions are valid for 60 days following the date of the script. Private insurance companies may or may not 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.
For questions regarding your bill please contact our billing office directly:
Bill Rite Management Services