INSURANCE & DIRECT ACCESS

INSURANCES

We provide services under Medicare Part B, and are considered outpatient therapy. You do not have to be homebound to receive services. 

We are in network Tier 1 with Horizon Blue Cross Blue Shield

Medicare Replacement/Advantage plans will be checked and reviewed prior to services. 

DIRECT ACCESS

In NJ, a licensed PT can provided services without a referral. As company protocol, we request that our patients have a current primary care physician that they have seen within the past year.  When the licensed PT has reason to believe that physical therapy is contraindicated  or there are concerns that services are needed outside the scope of our practice; or the person does not demonstrate reasonable progress within 30 days, you will be referred to the appropriate medical professional. Additionally, the licensed physical therapist shall inform the patient's licensed health care professional of record regarding the patient's plan of care not more than thirty (30) days from the date of initial treatment of functional limitation or pain. 

**DIRECT ACCESS DOES NOT GUARANTEE PAYMENT OF SERVICES FROM YOUR HEALTH INSURANCE PROVIDER** 

Dependent on plan; some plans required scripts/ prior authorization prior to being treated. Our office staff will confirm this prior to treatments. 

CASH BASED SERVICES 

$ 175.00 per session. No additional travel fees 

CO-PAYS WILL BE COLLECTED AT TIME OF SERVICE BY THE THERAPIST VIA CHECK. 

CO-INSURANCES WILL BE COLLECTED AFTER BILLING HAS BEEN PROCESSED.