Insurance

 

We always advise that you contact your insurance prior to your visit to verify your personal coverage and benefit details. Most plans will require a copay or coinsurance after your deductible is paid, and there are often visit limitations for each calendar year; however, each patient’s plan is different. Additionally, some private insurance plans do not cover physical therapy as a payable benefit. Your insurance carrier can be reached by the phone number listed on the back of your insurance card.

 

We are contracted with the following insurance carriers:

• Blue Cross PPO
• Blue Cross Covered CA
• Blue Shield PPO
• Blue Shield Covered CA
• First Health Network/Choice Care
• Medicare
• Railroad Medicare
• United Healthcare PPO
• Additional carriers may apply; Please see below*

 

We are contracted with the following carriers; however, authorization is required:

• Blue Cross SISC
• CenCal
• Cigna
• Coastal Communities Physicians Network (CCPN)
• GEHA
• HealthNet
• Humana
• Networks By Design
• National Association of Letter Carriers (NALC)
• United Healthcare Military & Veterans – New Third Party Administrator for Triwest
• Worker’s Compensation (Including: Coventry, Liberty Mutual, MedRisk, Networks by Design, Sedgwick, State Compensation, Wellcomp, York, Zenith)

 

We are not contracted with the following carriers:

• Aetna
• California Children’s Services (CCS)
• Central Healthcare
• Cypress Care administered plans (including State Compensation Insurance Fund)
• Medi-Cal through State of California
• Physician’s Choice Medical Group of San Luis Obispo County
• Physician’s Choice Medical Group of Santa Barbara County

 

** Our office is able in certain circumstances to initiate ‘one-time’ contracts for patients who are traveling outside of their home base area and require medical treatment, who may be unable to travel a greater distance to receive care at a contracted facility, etc. Our office is also able to treat patients injured due to automobile accidents. However, we are unable to bill for services rendered for injuries sustained when a ‘third party’ (someone other than yourself) is responsible – In these circumstances the patient will be required to pay our discounted cash rate, but will be given the necessary invoices to receive reimbursement from the third party payor. If you feel you may fall into one of these categories, please contact your insurance company for clarification utilizing the customer service phone number on the back of your insurance card.