Home
» 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 Shield
  • Corvel
  • Sedgwick
  • Tri Care
  • Medicare

Out-of-Network Care: Why It’s Worth It

At Newport Physical Therapy, we prioritize high-level, individualized care over insurance constraints. While we are out-of-network with many insurance carriers, this allows us to deliver the comprehensive, expert-level care our patients deserve—care that is often not possible in strictly in-network practices.

Being out-of-network does not mean we can’t see you. It simply means we are not contracted with your insurance company, and reimbursement may work differently. Many patients choose to come to us despite being out-of-network because the quality, expertise, and results they receive far outweigh the convenience of staying in-network.

Here’s why seeing us is worth it:

  • Expert care you won’t find everywhere: All of our therapist are licensed physical therapists, and  are highly skilled in orthopedics and sports medicine, injury prevention, and athletic performance.

  • Personalized programs for your goals: We create individualized plans targeting mobility, stability, strength, and performance, tailored to your body and needs.

  • Injury prevention + performance optimization: We don’t just treat symptoms; we correct faulty movement patterns, enhance athletic performance, and reduce long-term risk of injury.

  • Clear cost transparency: We’ll provide an estimate of out-of-network costs with your insurance carrier so you know exactly what to expect.

Even if your insurance is out-of-network, patients consistently tell us they consider the investment in their health, safety, and long-term performance well worth it.

📞 Contact us today to discuss your insurance coverage, get a cost estimate, and learn how we can help you train safely, recover smarter, and reach your full potential.

Payment

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

Share this page
Printer