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Please bring all necessary information for filing insurance claims. This may include:

• Your health insurance card

• Your Government ID or other ID

• A Doctor’s referral

• Your Worker’s Compensation Claim number and contact information

• Your auto insurance card and/or accident information

• X-rays, MRI reports, and doctor notes are appreciated if available.

Please bring any additional information or paperwork you think would be helpful to your therapist or that might be needed for billing.

Please let us know if you have a HRA or FSA that will be paying your financial responsibility.

We have an active approach to care. Therefore, we recommend wearing clothing that allows for freedom of movement—shorts, sneakers, exercise top. You are able to change at the facility.

We value the ability to provide one-on-one care. Therefore, No Shows and cancellations within 1 business day are subject to a $95 charge.

Referral requirements are dependent on insurance and specific benefit plans. Typically referrals are not required for BCBS, MVP, Cigna, and Aetna.

Referrals are required for Medicare, Medicaid, and Tricare.

Physical Therapy services can be billed through insurance. It is the patient’s responsibility to understand their coverage benefits and financial responsibility.

Appointments are typically 45 minutes in duration. We understand life is busy. If you need a shorter appointment slot, please discuss this with your provider.

Longer appointments are available for individuals traveling long distances for care or for complex cases.

We are In-Network with:

• Blue Cross Blue Shield - All Plans

• MVP

• Aetna

• Cigna

• Medicaid

• Medicare

• Tricare

Don’t see your plan? Call us to verify if you are in-network. There are many affiliate plans associated with the above list that we are likely in-network.

The Lifestyle Athlete and Rehabilitation contracts with many insurance companies and we do our best to assist you in understanding your individual policy. We recommend that you call your insurance company prior to your visit. Although we will assist you if possible, it is your responsibility to know the requirements and/or limitations of Physical Therapy services and to fully understand your specific insurance policy. We are happy to work with you to help understand this complex system.

Please keep in mind that all therapists may be listed individually as participating providers with insurance companies, or may be listed under “The Lifestyle Athlete PLC”. While we encourage all patients to call their Member Benefits office to verify participation, please be sure to know the name of the therapist you will be seeing to confirm eligibility.

Casey Baczewski – Physical Therapist

Henry Mercier – Athletic Trainer

MaryClaire McGovern – Physical Therapist

When calling your insurance company, we recommend asking the following questions:

1. Do I have a co-pay or co-insurance for Physical Therapy? If there is a co-pay how much is it? If there is co-insurance, what percent is it and when does it start applying?

2. Do I have an Individual or Family deductible for Physical Therapy? Have my deductibles been met?

3. Is there a maximum dollar amount or maximum number of visits per year for Physical Therapy?

4. Is there a time limit by which completion of services provided under a specific diagnosis needs to occur?

Your co-payment will be dependent on your insurance plan. Co-payments are per-service charges due at the time of your visit.

Depending on your own insurance plan, co-insurance is a percentage of the allowable amount approved that you will be responsible to pay.

We will bill your insurance company after your visit and will bill you for the portion of the service they determine is co-insurance (the remaining balance).

Your co-insurance payment of the remaining balance is due at the time of your next visit.

Depending on your insurance plan, you might be required to pay a deductible before your insurance covers physical therapy services.

We will bill your insurance company after your visit and will bill you for the portion of the service they determine is deductible.

Payment of any determined deductible amount is due at the time of your next visit.

We are required to report any unpaid deductible balances to your insurance company.

Please keep in mind that any Insurance-covered Physical, Speech, or Occupational Therapy provided to you will be determined by your yearly limitations.