FAQ About Our Services
Thank you for selecting Physiolete Therapy and Performance as your physical therapy provider! We know that it can be difficult to understand insurance policies related to physical therapy, especially when it comes to the cost of medical services. We want to make the billing process as easy and transparent as possible. This is why we have added FAQ to our website.
Can I choose where I want to go to physical therapy?
The Choose PT campaign provided by the American Physical Therapy Association reports that you have the right to choose your own physical therapist and physical therapy clinic. This means that even though you may receive a referral to a specific physical therapy facility, where you go for physical therapy is ultimately your choice. Choose a physical therapy clinic who is dedicated to you and your goals, choose Physiolete.
What is Direct Access?
Direct Access in Alabama allows patients to see a physical therapist without a doctor’s referral for 30 days or 11 visits. Some exclusions to Direct Access do apply. If you have questions or concerns please call us.
Do you take my insurance?
We are currently in-network with most BCBS and Medicare plans. We are also in-network with VIVA Health and we are certified Tricare Providers. In some circumstances we can accept some out-of-network insurances. If you have questions or concerns please call us.
What if I don’t have insurance or my insurance is out-of-network?
We have self-pay options for those that do not have insurance/physical therapy benefits or have insurance that does not have out-of-network benefits with us. Some insurers allow patients who are out-of-network at our facility to provide a superbill for reimbursement.
How does billing work at Physiolete Therapy and Performance?
Physiolete Therapy and Performance outsources all physical therapy insurance billing to a company in Birmingham, AL. That company will file insurance claims on your behalf. Depending on your health insurance benefits, the following costs can be expected.
- For plans with a deductible, we will normally collect $100-150 to apply towards your overall balance (deductible). This is NOT a single payment for that particular visit. This payment is applied toward that visit and therefore your overall Plan of Care. Our billing company tells us that taking larger payments up front helps to alleviate a large bill at the end of your services.
- Trigger Point Dry Needling is not covered by most major insurance companies and therefore is considered an out-of-pocket service. If you are dry needled during physical therapy, you will incur a charge outside of your normal deductible, coinsurance, or copay.
- If we over collect on a deductible or coinsurance, you will be refunded any credit after your physical therapy treatment has completely ended. If you are aware of a refund prior to us contacting you, please let us know so we can help expedite the refund process.
What is a general breakdown of what physical therapy costs?
Initial Evaluation:
Generally $120-$150 for plans with deductibles that have not been met.
Follow Up Appointments:
Average $100 - $130 for plans with deductibles that have not been met
Co-Insurance:
• 90/10 (Patient responsible for 10%): Generally $10-15 per visit
• 80/20 (Patient responsible for 20%): Generally $20-30 per visit
Co-pays:
Vary by insurance and plan, generally $10-40 per visit
Self Pay:
Please call our clinic at 205-409-8060 or email us at [email protected] for our self-pay rates.
What is the difference between deductible, coinsurance, and copay?
Deductible: The amount you must pay for covered healthcare services before your insurance plan starts to pay.
Coinsurance: The percentage you pay for your visit after you’ve met your deductible. Most of our patients have a 10% or 20% coinsurance. Our average payment on a 10% copay is $15-20 dollars and for a 20% copay is $25-30.
Copay: A fixed amount you pay for each visit.
Do you offer automatic payments and/or payment plans?
Auto End of the Month Billing
For your convenience, we have set up an autopay process at each location and an end of the month billing option. Your credit card will securely be stored in our system and run at each visit, and at the end of each month. There will also be a paper and online statement that goes out monthly (paper one month, online the next). Receipts will be emailed following the charge of the credit card on file, and itemized receipts available upon request.
If you enroll in the End of Month Billing, we will collect the amount you have approved for your card to be run.
Please Note: It can take 6-8 weeks for claims to process.
If you have any questions please call us, email us, or reach out to our office administrators.