» Patient Info : Insurance
Patient Info

Insurance

Services may be covered in full or in part by your health insurance or employee benefit plan. Please check your coverage carefully by asking the following questions about physical therapy coverage:

  • Do I have physical therapy insurance benefits?
  • What is my deductible and has it been met?
  • How many sessions per year does my health insurance cover?
  • What is the coverage amount per physical therapy session?
  • Is approval required from my primary care physician?

Direct Access

California state allows for "direct access" which means you can be evaluated and treated by a physical therapist directly without a prescription (or referral) for 12 visits or 45 calendar days , whichever comes first. If you need care beyond those 12 visits or 45 days, then it is required that you obtain a dated signature on the physical therapist’s plan of care indicating approval of the physical therapist’s plan of care and that an in-person patient examination and evaluation was conducted by a medical or osteopathic physician or podiatrist. Despite California state allowing direct access, not all insurance companies participate and may not reimburse you for treatment without a prescription. It is strongly advised that you check with your insurance plan with regard to their policies. Or, you can ask our front office staff and they would be happy to assist you.

Workers' Compensation

Our facility handles all types of Workers' Compensation Claims. If your injury is covered by Workers' Compensation, please provide us with your company's name, address and contact person so that your bill can be processed swiftly.

Medicare

Our office has received Medicare certification. Billing will be handled by our staff as a convenience for the patient. Contact our office for additional information.

In-Network

Newport Physical Therapy has not only met the high standards set forth by Medicare but also Preferred Therapy Providers and have chosen to contract with select PPO insurance carriers. We are In-Network with the following insurance carriers:

  • Aetna
  • Blue Cross
  • Blue Shield
  • Corvel
  • Sedgwick
  • Tri Care
  • Medicare

Out-Of-Network

We are out-of-network with various insurance carriers because the business model necessary for an "all in-network practice" to survive rarely ever allows for the high-level care we insist on giving our patients. Just because we are Out-of-Network with your insurance company does not mean we can't see you. Out-of-Network means we are not contracted with your insurance company therefore, they reimburse at a different rate. Contact us and we can give you an estimate of the Out-of-Network costs associated with your insurance carrier and, in addition, we can answer any questions you may have.

Payment

Cash, check and all major credit cards accepted for payment.

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