Please check with your insurance company to determine your physical therapy benefits, deductible, co-pays and/or if a prescription is required.
We accept many major insurance carriers. We are always ready and willing to assist you with any questions regarding insurance billing. Please feel free to contact our office at (517) 483-2734.
For insurance companies with which we are not contracted, we recommend checking your “out of network” benefits to determine potential financial responsibility before attending appointments.
Insurance Billing
We recognize dealing with insurance companies can be somewhat confusing. In our effort to assist you through this process, we would like to provide the following information:
Health Insurance
Most patients come to us with health insurance. During your first visit, our LRS front office staff will ask for your insurance card to copy. The information on the card, together with additional information you provided during the initial visit, will allow us to verify insurance coverage and benefits, as well as obtain any required referral and/or authorization information. At that point, we will send claims to your primary insurance company.
Also, most insurance companies require a portion of each visit to the patient’s responsibility in the form of a co-pay or co-insurance percentage. We ask for this payment at the time of service.
Medicare
Medicare requires a referral from a physician for physical therapy, which is valid for the first 60 days of treatment. Thereafter, a current referral is required every 30 days to continue therapy.
The therapist will re-evaluate your condition every 30 days and send the report to your referring physician to authorize continued care. Please note your physician may ask you to schedule a visit with their office before authorizing further treatment.
Please be aware that Medicare has limited physical therapy benefits of approximately 15 visits per year. LRS will assist in keeping track as your benefit maximum approaches.
Workman’s Comp
The physical therapist will re-evaluate your condition every 30 days and send the report to your referring physician as well as to a workman’s comp case manager to authorize continued care. Please note, your physician may ask you to schedule a visit with their office before authorizing further treatment.
Motor Vehicle Accident
We will send Personal Injury Protection (PIP) claims to your auto insurance company. You will need a claim number and the adjuster’s name and phone number that was assigned to your claim. If you do not have PIP, your health insurance may pay the claims. Please check with them to ensure coverage. On a monthly basis, we will send a progress note to your referring physician regarding your treatment and progress.
Non-Contracted Insurances
If your insurance company is considered out of network, LRS will bill your insurance for you. However, you will be responsible for issuing payment on any denied or non-paid services.