Southtowns Physical Therapy participates with a majority of insurance plans available in the Western New York region. For general information on your plan, click on the appropriate link below. Please note that there are variations within each plan, therefore, you should consult with your employer, insurance carrier, or representative for specific rules and guidelines pertaining to your contract.

Liability

Many carriers require pre-authorization for services. Prior to your first visit, we will contact your insurance company to obtain authorization and determine the limits of your coverage. In some instances, if you have already received therapy in the same calendar year, your coverage may be limited or denied by the carrier. It is imperative that you inform the office staff of any services you may have received, including the location, duration, and nature of treatment. Failure to process a claim due to incorrect patient information may result in you being responsible for all outstanding charges.

Please note that some carriers require a “referral” in order to consider the claim for processing. Your primary care physician typically will issue this referral, even if a specialist ordered your therapy. Please realize that a "referral" is different from a “prescription” or “script” which is the actual written order from the physician.

In 2006, New York State passed a law allowing patients to seek treatment without first obtaining a physician prescription, however, some insurance carriers may still require a referral. Please check with your Members Service department if you have any questions regarding your specific coverage.

The information provided on this website is intended as a general reference and should not be viewed as a binding contract for rendered services.

 

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