INSURANCE AND BILLING POLICIES

1. OUR POLICY
Copays and deductibles are payable at the time of visit.

2. BLUE CROSS AND BLUE SHIELD
Pacific Physical Therapy, Inc. has contracted as a preferred provider with Blue Cross and Blue Shield. Many of these plans may have a maximum limit on the number of visits allowed annually for physical therapy. Contact your insurance company to determine benefits.

3. MENDO-LAKE FOUNDATION
Pacific Physical Therapy, Inc. has contracted as a preferred provider with Mendo-Lake Foundation for Medical Care, part of The California Foundation for Medical Care. Many of these plans may have a maximum limit on the number of visits allowed annually for physical therapy. Contact your insurance company to determine benefits.

4. MEDICARE
We accept assignment and will bill Medicare directly for patient’s treatments. Medicare has a maximum allowable for physical therapy per calendar year of $1,500. We will also bill secondary insurances after payments is received from Medicare. Patients may be responsible for copays and deductibles.

5. MEDI-CAL AND CMSP
We accept Medi-Cal and CMSP (County Medical Services Program), providing that eligibility can be verified. If a patient has a “share of cost,” we will ask for this at the time of each visit. Patients with Medi-Cal or CMSP pending will be asked to pay for their visits at the time of treatment and will be refunded after coverage is no longer pending.

6. PERSONAL INJURY
Workers compensation and auto accidents will be verified at the beginning of treatment. If a claim is in litigation or delay status, we may be willing to file a lien with their attorney and delay payment until settlement is reached. This is determined on a case-by-case basis.

7. SELF – PAY
A self-pay patient is a patient not covered by any health plan. If the patient has no insurance to bill, we will collect payemnt at the time of visit. We accept cash, checks, money orders, Visa and Mastercard.

8. MONTHLY STATEMENTS
A monthly statement will be sent at the beginning of each month showing activity for the previous month.

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