FAQs

Frequently Asked Questions

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Do we accept Medicare?

Yes, we are a Medicare provider. Medicare covers 80% of physical and occupational therapy services. The remaining 20% is the patient's responsibility unless you have a supplemental insurance. As a courtesy we bill all secondary insurances. Currently there is a Medicare cap in place for outpatient therapy services. You are allowed $1810.00 for physical & speech therapy combined and an additional $1810.00 for occupational therapy.

Do we accept Private Insurance?

We will accept any insurance and bill as a courtesy to our patients. We participate with most health insurance plans, however it is very important to call for benefits prior to attending therapy to ensure that services will be covered. We will call to verify your benefits for you.

Do I need a prescription or referral from my doctor?

All Medicare patients require a prescription for therapy services. Prescriptions are valid for 30 days following the date of the script.

Private insurance companies may or may not require that you obtain a prescription. Some require a direct referral from your primary care physician (PCP). In all cases, it is important to call to verify this information with your insurance prior to starting treatment.

How do I know what my insurance will cover?

As a courtesy to our patients we will call to verify your benefits for therapy services. Please remember that a verification of benefits IS NOT a guarantee of payment. We are often quoted incorrect information and can only relay what we are told by your insurance company. It is always a good idea to call yourself to verify this information.

Is it mandatory that I obtain a prescription for therapy services?

Florida is a DIRECT ACCESS state and a patient can obtain services without a prescription from a physician. However, services will most likely not be covered by your insurance. There is also a 21 consecutive day treatment limit. After 21 days you will be required to obtain a prescription from a licensed Florida physician in order to continue treatment. This is a Florida State Law and surpasses all insurance requirements.