Most insurance companies require a physician referral or prescription to cover services. Please check with your insurance company to determine your physical therapy benefits. Almost all insurance plans have physical therapy coverage.
We are preferred with the major insurance carriers:
- Aetna
- Blue Cross/Blue Shield
- CIGNA
- First Choice
- Labor & Industries
- Medicare
- Premera
- Regence
- PacificCare (Fremont, Magnolia and Tacoma)
- PHCS (Fremont)
- Uniform
- As well as some of the smaller carriers
Insurance Billing
We recognize that dealing with insurance companies can be somewhat confusing. In our effort to assist you through this process, we would like to provide the following information:
Health Insurance
Many patients come to us with health insurance. During your first visit, our MTI front office staff will ask you for your insurance card to copy. The information on the card, together with additional information you have provided during the initial visit, will allow us to verify insurance coverage and benefits, as well as obtain any required referral and/or authorization information. At that point we will send claims to your primary insurance company.
Also, most insurances require a portion of each visit to be patient responsibility, in the form of a co-pay or co-insurance percentage, and we ask for this payment at time of service.
Medicare
Rules and regulations pertaining to Medicare billing for physical therapy:
Medicare requires a referral for physical therapy, which is valid for the first 60 days of treatment. Thereafter; a current referral is required every 30 days to continue therapy.
The therapist will re-evaluate your condition every 30 days and send the report to your referring physician to authorize continued care. Please note that your physician may ask you to schedule a visit with their office before authorizing further treatment.
Workman’s Comp/Labor & Industries
The therapist will re-evaluate your condition every 30 days and send the report to your referring physician as well as to L&I to authorize continued care. Please note that your physician may ask you to schedule a visit with their office before authorizing further treatment.
Motor Vehicle Accident
We will only send PIP claims to your auto insurance company unless you were a pedestrian, passenger or bicyclist in which case we will send claims to the driver's auto insurance first. You will need a claim number and the adjuster’s name and phone number that was assigned to your claim. If you do not have PIP, your health insurance may pay the claims. Please check with them to ensure coverage. On a monthly basis, we will send a progress note to your referring physician regarding your treatment and progress.
Statements
Monthly statements will be sent to you including payment details on your account. Please keep us updated with any changes of address or insurance information.
We are always ready and willing to assist you with any questions regarding insurance billing, please feel free to contact our Billing Office: 425-641-5801 or billing@mtipt.com.