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A new approach to Healthcare
It's all about you.
Cash-based:
We serve you, not your insurance company. We are a cash-based clinic, meaning we are out of network with all insurance. We take payment from you at time of service and will provide a “superbill”, which you can submit to your insurance for reimbursement.
Superbill:
Superbills provide all the information an insurance company needs to create a healthcare claim. Clients who submit superbills to their insurance companies can potentially get reimbursed for payment for medically necessary services.
How does this work?
You pay at time of service and we provide an itemized bill with medical codes (a "superbill") that you submit to insurance for reimbursement of your payment.
Will my insurance pay me back?
Many insurance companies will pay for services deemed medically necessary. Reimbursement will depend on your policy's "out of network" coverage. It is best to contact your insurance company for details. This is becoming a wide trend in US healthcare to provide high quality, one on one, individualized care and most companies have a protocol for superbill submission.
What about Medicare?
We are not enrolled with Medicare. This means that Medicare beneficiaries may not submit their bill to either Medicare or their secondary insurance for reimbursement. All services provided to Medicare beneficiaries will be provided through private contract between the client and provider at time of service.
Do I need a referral from my primary doctor or orthopedist?
No, California is a considered a direct access state, and you can see a Physical Therapist without referral for 45 days. If Physical Therapy care extends beyond this 45 day window, we can request a referral from your primary care provider at this time. Performance and wellness services do not require a doctor's referral.
Why?
By opting out of insurance, we can focus on providing quality care without the pressure of altering treatments or billing practices to keep insurance payers happy. This supports a proactive approach to fluidly take you through rehab, prehab and training optimization. This may appear expensive initially, however, due to a higher standard of care which includes longer treatment time, you'll need fewer visits. Our time and energy is 100% about you, and you get more control over your body's needs.