Insurance Information
FAQs
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CDPHP, MVP, Blue Cross ( Anthem, Empire, Mediblue, & Forever Blue), Cigna, Medicare, UMR, Humana, Worker’s Compensation and No Fault.
We can directly bill your insurance. Your co-pay and authorized visits will be determined by your plan with your insurance company.
Each insurance company has different policies for physical therapy. It is strongly recommended that you review your benefits information. Any questions regarding coverage should be directed to your insurance carrier directly. Please bring all insurance cards and therapy prescriptions with you to your first appointment.
Scripts will be required after 30 days, according to NYS Direct Access Laws.
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Tricare, NYSHIP/Empire Plan, Aetna, United Health Care, Highmark NENY, Federal BCBS
Although we are OUT-OF-NETWORK with certain insurances, you are still able to submit for OUT-OF-NETWORK benefits.
"OUT-OF-NETWORK" means that you will pay our self-pay rate, but are able to submit the bills on your own to your insurance company for reimbursement.
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Medicaid, Fidelis, Wellcare
With these insurances, we can not submit billing. Please refer to our self-pay rates for session prices.
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Yes! You are able to still be seen as a patient. We would have you pay our self pay rate for treatment. Following each session, we will give you a super bill which contains all of the necessary documentation you will need to submit for reimbursement.
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Our self-pay option is available to you if we do not participate with your insurance, you do not have insurance, or if you go over the number of authorized visits allowed by your insurance plan.
Listed below are the prices for our self pay sessions:
20 Minute Session: $65.00
40 Minute Session: $115.00
60 Minute Session: $165.00
A script will be required after 10 visits or 30 days from your first visit. Direct Access is available. Direct access means that for therapists that qualify, you can be seen for physical therapy without a script for 10 consecutive visits or 30 days, whichever comes first. After that time period, a script must be obtained, even if it is not required by your insurance company. This is NYS law.