HEALTH INSURANCE POLICY

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About Health Insurance

Gentle Physical Therapy, LLC provides a superbill (receipt) with all the information necessary for private-pay clients to submit to insurance for out-of-network (OON) reimbursement. Full payment is due before service, and there is no guarantee of insurance reimbursement.

A “Good Faith Estimate” in accordance with the No Surprises Act of 2022 is available for new private-pay PT plans of care, and upon request. Up-to-date prices are also listed alongside each service when booking. Please contact your insurance company prior to your visit to inquire about your out-of-network benefits and deductibles for the current plan year.  Gentle Physical Therapy will not check benefits or bill your insurance company, and is not responsible for lack of reimbursement.  We will provide a copy of your medical records, upon request and within 48 business hours, for a $15 fee, once a signed HIPAA medical release form is received.

At this time, we are not allowed to see Medicare patients for Physical Therapy appointments as we have no affiliation with the insurance. Medicare patients CAN sign up for our Fitness and Well-being services, such as CranioSacral therapy.

You DO NOT need a referral to see a physical therapist for an Initial Private Pay PT appointment. If your treatment exceeds 30 consecutive business days, you will then need a referral from a qualifying referral source, such as an MD, nurse practitioner, or PA. Your insurance company may require a referral to submit your out-of-network receipts for reimbursement (call your insurance company to inquire). Referrals can be faxed to 713-338-2385.