we accept a wide variety of insurance plans
As a courtesy to our patients, we will verify your health benefits prior to your arrival to determine if there will be a copay, deductible, or coinsurance for physical therapy services.
Many insurance companies, require a physician referral or prescription to pay for services.
Please check with your insurance company to determine your PT benefits, deductibles, co-pays and/or if a prescription is required.
We accept many major insurance carriers:
- Aetna
- Blue Cross/Blue Shield
- BridgeSpan
- Cigna (includes Great West / Connecticut General)
- First Choice
- Kaiser Permanente (Access PPO Only)
- Healthcare Management Administrators (HMA)
- Kitsap Physician Services (KPS)
- Labor & Industries of Washington
- Medicare
- NW Sheet Metal Workers
- Painters Trust
- Premera
- Regence
- Regence Group Administrators (RGA)
- Regence MedAdvantage
- Regence Uniform
- Teamsters
- TriCare/TriWest
For insurance companies with which we are not contracted, you may still be able to utilize your insurance coverage if you have “out of network” benefits. We suggest that you check on your “out of network” benefits to determine potential financial responsibility before attending appointments.
billing information
We recognize that 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
Many patients come to us with health insurance. During your first visit, our MTI front office staff will ask you 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.
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 physical therapist will re-evaluate your condition every 30 days and send the report to your referring physician to authorize continued care. Please note that 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 to approximately 20 visits per year. MTI will assist you in tracking your approach to your benefit maximum.
Workman’s Comp/Labor & Industries
Workman’s Comp/Labor & Industries claims require a referral from a physician for physical therapy. You will need your claim number, date of injury and the claim representative’s name and phone number. Your claim status will need to be verified by the front desk staff prior to scheduling your initial appointment.
The physical therapist will re-evaluate your condition every 30 days and send the report to your referring physician as well as to L&I to authorize continued care. Please note that your physician may ask you to schedule a visit with their office before authorizing further treatment.
Motor Vehicle Accident
We will only send 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. We do require a referral from Physician if you have PIP and would like us to submit PIP claims to your auto insurance company.
MTI will not bill third-party auto/PIP — a third-party auto/pip is any coverage policy not owned by you. It is important that you remember that MTI is not contracted with any auto or PIP carrier. Therefore any treatment that is denied or not paid for by the auto or PIP carrier is the responsibility of the patient to pay at 100%.
Non-Contracted Insurances
If your insurance company is non-contracted with MTI (or out of network), you may be able to request insurance reimbursement after your appointment. It is your responsibility to know the limitations and restrictions of your insurance company regarding out-of-network physical therapy.
Upon request, MTI Physical Therapy can provide you with a Super Bill that you can use to request reimbursement. MTI Physical Therapy will not request reimbursement on your behalf – you will need to do so yourself.
You are responsible for paying your balance regardless of your insurance company’s payments for out-of-network care. Payment is due at the time of service – we can take payment by credit card or check.
Statements
To keep you informed of all charges and payments, we provide monthly statements.
Click here to keep us updated with any changes of address, email or insurance information.
We are always ready and willing to assist you with any questions regarding insurance billing, please feel free to contact our Billing Office: 425-650-2708.
Self-Pay Discount
If you do not have healthcare insurance and are not involved in an auto/pip settlement case, MTIPT will offer a self-pay discount off of the billed fees.
The initial visit would be $200 and subsequent visits would be $140/visit.
This discount reflects the reduced administrative costs of managing your account without having to bill insurance. The patient would be expected to issue payment at the time of service.
Pay Bill
You can pay your bill online, over the phone or in person (via credit card and check only) at any of our clinic locations.
- For online payment, visit our secure payment portal.
- To pay over the phone, please call our billing office at 425-650-2708.
If you have any questions about your bill, call our billing office at (425) 650-2708.