Insurance Information

Do you take my Insurance?

Medical, insurance, Billing, Claim, Out-of-Network

Sisu Physiotherapy is an Out-of-Network Provider of physical therapy services with all insurance companies.  We will collect your insurance policy information and provide you the current benefits that we receive from your insurance provider.  As a courtesy we will review your Out-of-Network benefits with you prior to starting care, it is still your responsibility as the patient to know your benefits and recommend that you confirm these prior to starting care. We also provide Courtesy Billing to patient who wish to use there insurance providers benefits.  Courtesy Billing includes filing a claim with your insurance provider for the services provided.

Policy benefits reported by your Insurance provider to Sisu Physiotherapy may possibly include but are not limited to:

  • Out-of-Network Maximum Deductible-Individual and Family
  • Deductible Amount Met to date
  • Visit Limit
  • How many visits have been used to date
  • Is Preauthorization Required

What is Courtesy Billing?

Courtesy Billing is provided to you  to save you time and effort.  Once you met your Out-of-Network Deductible you may be eligible for reimbursement.  This is the same process that In-Network clinics provide when they bill your insurance provider.  Just like your In-Network Deductible, you have to meet this in order to receive reimbursement benefits. 

Please refer to your insurance provider for benefits.

Insurance, Billing, Claim, Out-of-Network, Benefits, Billing

What does Out-of-Network mean for me?

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Out-of-Network means that Sisu Physiotherapy does not have any signed reimbursement contracts or agreements.  Signing a reimbursement contract with an insurance provider may limit or impede Sisu Physiotherapy from developing a Plan of Care (POC) and implementing that POC.  Without restrictions or limitations from the insurance provider, the care you need to complete your physical therapy Journey can be personalized to You, Your Needs and Your Goals.

Once we have checked your benefits from your insurance provider, you will be provided an estimate of how much of your Out-of-Network Deductible you have met and how much you have left to meet.  Sisu Physiotherapy bills your insurance provider as Courtesy Billing on your behalf so that you do not have to do the paperwork.

Personalized Care

  • 1 hour sessions
  • Tailored Plan of Care
  • Your Needs
  • Your Goals

Saving You:

  • Time
  • Effort

Provides You:

  • Reimbursement

 

 

**Once your Out-of-Network Deductible has been met, this will be sent directly to you.

Do you Accept Medicare?

YES, We do Accept Medicare Patients and you may receive benefits as a Medicare participant.  We are a Non-Par provider with Medicare, meaning we do have a contract for reimbursement and you the patient will receive the Benefit (reimbursement) sent Directly to you.   We will submit your insurance claim to Medicare on your behalf, following the Physicians Fee Schedule and you may receive up to 80% of the Medicare Approved amount for services provided during your session.

Medicare, Insurance, Billing, Reimbursement, Claim