Payment Agreement

Welcome to Physio Wellness^NYC. We are proud of our commitment to the high standard of care in the services we provide.  Our practice philosophy mandates an uncompromised, dedicated one-to-one, clinician-to-client/patient interaction each evaluation and treatment session.  We are committed to maintaining a cordial practice environment and providing excellent service, while nurturing respectful relationships and mutual understanding between therapists/physiologists/nutritionists, patients, and administrative staff.

Prior to the initiation of care, it is important that we explain our payment policy to avoid misunderstandings about payment for services.

Payment Policy for Wellness & Performance Conditioning Services

Payment is due at the time of service, with no exceptions, for all physical rehabilitation, wellness, and sports performance conditioning services provided at Physio Wellness^NYC. 

We reserve the right to establish alternative arrangements, in certain cases. Under alternative arrangements, accounts must be paid in full within 30 days from the last day of treatment.

We accept American Express, MasterCard, VISA, checks, and cash payment.

For Up-to-Date Fees & Periodic Discounted Clinics, click here:   Schedule of Fees

Late Charges: Accounts with unpaid balances beyond 30 days from the last date of treatment incur a $15.00 fee for each month that the account is not paid in full.

Returned Checks: A $35.00 fee is charged for a returned check.

Payment Policy for Physical Therapy

Physio Wellness^NYC does not participate with any insurance plans. 

Each patient is independently responsible for understanding the provision of benefits, policy and reimbursement guidelines of his or her insurance coverage.

Patients with insurance are required to pay at the time of service and have the option of submitting the bill to their insurance company for the reimbursement amount designated by their insurance plan. Depending on your insurance plan, you may be able to submit a claim for your reimbursement of Physio Wellness^NYC fees on an out-of-network provider basis.

Fees:

Initial Evaluation (1.5-hours)                                            $300.⁰⁰    Includes initial treatment. 

Subsequent treatment session(s) (1-hour)                      $150.⁰⁰

Insurance – Reimbursement

We provide you with a Bill of Service upon your payment in full at each session.  The Bill of Service for each session contains:

1. Date of Service

2. Patient's Information

3. The Diagnosis Code(s) (ICD-9 codes)

4. List of the Therapeutic Procedures with the associated CPT code and Fee
5. Total Charge for Patient

You may personally submit your bill to your insurance provider, for reimbursement for your visit(s).

We encourage you to contact your insurance company to find out their specific process for submitting the Bill of Service to them for reimbursement. Some insurance plans require a formal prescription for physical therapy by a referring physician to qualify for reimbursement.

Payment is due at the time of service with no exceptions. We accept payment by credit card (American Express, MasterCard, VISA), check, or cash. We will provide a monthly statement detailing billing and payment activity on your account.

Six Questions To Ask Your Insurance Provider

Insurance Reimbursement

The primary insurance contract is an agreement between the insurance company and the patient.  Physio WellnessNYC will prepare the necessary billing documentation that assist the patient in collecting the reimbursement amount designated by their insurance plan.

Please contact your insurance provider customer service and obtain answers to the following questions:

1. What is your annual benefit allocation (total dollar amount) for physical therapy?  (This is important to you, the consumer. You are entitled to know.)

2. Are there restrictions within that annual benefit allocation? (Ex: Total allocation is $3000/yr, however only $750/every three months is allowed)

3. What are the procedures for YOU to submit a claim for out-of-network providers, such as Physio Wellness NYC LLC?

a.     What should the physical therapy receipt (Bill of Service) include?

b.     Is claim submission electronic? (pdf file via email, online form submission or upload pdf file) or via US postal service mail?

4. What are the reimbursement rates for out-of-network providers?

5. What is the general timeframe for you to receive reimbursement for out-of-network services?

6. Is a physician referral required for physical therapy service, in order to receive reimbursement for out-of-network services?

Physio WellnessNYC does not take insurance directly, however, we provide a Physical Therapy Bill of Service that includes all of the required information for claims to be submitted on an out-of-network provider basis. Regarding services from out-of-network providers, insurance companies reimburse at the rate set forth in the patient’s respective policy.