• 1199 National Benefit Fund
• Blue Cross Blue Shield (All Plans)
• Magnacare
• MagnaComp
• Medicare
• Medicare Railroad
• NYSHIP (The Empire Plan/MPN)
• No Fault
• Oxford
• United Health Care
• Worker’s Comp
• AETNA
• GHI
• Guardian/PHC
• Health Care Partners
• HIP
• MDNY
• Medicaid
• United Healthcare MEDCO
• United Health Care Community Plan
• US Family Health Plan
• Cigna Open Access Plus (OAP)
• Oscar
Please print and fill out your paper work prior to your visit with us. This will save you time when you arrive allowing us to spend more time with you during your evaluation.
You should print and fill out the appropriate forms that apply to you as well as the affected body parts (back, neck, lower extremity & or DASH) questionnaire should be completed depending on what we will be seeing you for (if you are being seen for more than one body part, please fill out the additional questionnaires.)
Prescription: An order by your MD (either primary or specialist) for Physical Therapy services.
Referral: Your primary MD, acting as a gate keeper for the insurance company, is recommending you for Physical Therapy; referral is the transfer of care.
*Please note that when given a prescription for a worker’s comp case that is not necessarily authorization of treatment.
Some insurance companies require us to obtain authorization request to the insurance company prior to the patient’s first visit or after.
When we verify your benefits, we will find out if your insurance company requires precertification and will then follow their procedures to obtain it for you.
Each insurance company has different policies. Some are payable at a certain percentage making you responsible for the balance (co insurance and/or deductible). Some require co pays. When we verify your benefits, we will outline any responsibility you may have prior to your visit.
Upon verifying your insurance benefits, we will find out how many visits you are eligible for. Medicare has a monetary cap each year. Some insurance companies limit the number of visits per injury and/per year or per lifetime. We will let you know prior to beginning physical therapy how many visits you are eligible for. Once your evaluation is complete, we will work out an individualized program to maximize your potential for healing.
Your doctor’s office would have to submit an MG2 or C4 (if this applies to your worker’s comp insurance. Some insurance company give patients their own authorization) requesting authorization for physical therapy for our office.
You would have to have an updated prescription from your doctor’s office and inform the insurance company that you want to switch to our facility. When we verify your benefits, we will outline any responsibility you may have prior to your visit.