Insurance

We are non-participants in all insurance plans. We ask that you bring in payment at the time of the visit and we will submit to your insurance company for your reimbursement.

FLORIDA HEALTH CARE
(limited to type of policy you carry)

FHC – MEDICARE REPLACEMENT
POINT of SERVICE PLAN

  • There is no pre-approval necessary from Florida Health Care
  • A doctor’s referral is required
  • A new doctor’s referral is required if we treat a different body part

FHC – TRIPLE OPTION
there are different levels (level I; level II)

  • There is a limit to the number of visits per calendar year
  • A doctor’s referral is required
  • A new doctor’s referral is required if we treat a different body part
  • The patient has a $500 per calendar year deductible

FHC – Premium Plus

  • The patient is required to get prior approval from Florida Health Care before the appointment with us by asking the doctor to submit an order for physical therapy treatment to Florida Health Care
  • A doctor’s referral is required; the doctor submits an order for physical therapy treatment to Florida Health Care
  • Florida Health Care will contact the patient to inform them if they have or have not been approved
  • A new doctor’s referral is required if we treat a different body part
  • The patient may have a deductible; there are several commercial plans with different options
PRIVATE INSURANCE
  • Most private insurance policies cover physical therapy fees. Prior to your appointment, we advise that you call your insurance company to see what your benefits are and if you are required to have therapy authorized.
  • We ask that you bring payment at the time of service and your insurance will reimburse you.
  • We will assist you in getting reimbursement from your health insurance benefits by submitting your claim electronically.
MEDICARE
  • We bill Medicare directly and the reimbursement goes to you the patient.
  • We ask that you bring payment at the time of service. If you find this a hardship, we will be happy to work with you to make special arrangements.
  • Most secondary insurance companies are billed by Medicare (called “cross-over”), and again those reimbursements go directly to you.
  • Medicare requires that you have a referral from your doctor.
AUTOMOBILE ACCIDENT INSURANCE
  • We bill your automobile insurance directly and are paid directly by the insurance company.
  • Please contact your insurance company to see if you are required to have a referral from your doctor.
  • We ask that you supply us with the appropriate information to verify your benefits when you schedule your appointment with us:
  • Name of insurance company
  • Insurance claim number
  • Date of accident
  • Contact person’s name
  • Contact person’s phone number
WORKERS’ COMPENSATION INSURANCE
  • We bill your workers’ compensation insurance directly and are paid directly by the insurance company.
  • Please contact your insurance company to see if you are required to have a referral from your doctor.
  • We ask that you supply us with the appropriate information to verify your benefits when you schedule your appointment with us:
  • Name of insurance company
  • Insurance claim number
  • Date of accident
  • Contact person’s name
  • Contact person’s phone number

As always, if you should have any questions, please feel free to contact us at: Thomas Orthopedic & Sports Physical Therapy (386) 257-2672.