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Cedar Physical Therapy providers are out-of-network (OON) with most major insurance companies. This includes: Regence, Blue Cross Blue Shield, Aetna, United Health Care, Labor & Industries (L&I), Tricare, Medicaid etc.
Time-of-service visits are available, which means that you pay for your visit at the time you receive it.
If your insurance plan has OON benefits for physical therapy services, Cedar Physical Therapy can provide you a superbill to submit to your insurance company for reimbursement. Reimbursement amount depends on your particular insurance plan and its OON benefits.
If you have Medicare as a Primary or Secondary, please reference the Medicare Patients Tab.
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Initial Evaluation (60 Minutes): $250
Follow-up Visits (60 Minutes): $200
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Initial Treatment/Follow-up Visits (60 Minutes): $125
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Unlike other health insurance companies, The Center for Medicare Services (CMS) does not allow Physical Therapists to be “In-Network” or “Out-of-Network”. Instead, CMS gives Physical Therapists three options. According to CMS Physical Therapists can:
Apply to be a Participating Medicare Provider
Apply to be a Non-Participating Medicare Provider
Have no relationship with medicare. Physical Therapists who have no relationship with Medicare are legally restricted in treating Medicare patients for services that are normally covered by Medicare.
Cedar Physical Therapy providers have applied to be Non-Participating Medicare Providers. This means that if you schedule at Cedar Physical Therapy and have Medicare as a Primary or Secondary, you will pay for services at the time of your appointment, but at a reduced rate.
Estimated Medicare Treatment Rates at Cedar Physical Therapy are about:
Initial Evaluation: $200
Follow-up Visits: $150-180
Your Physical Therapist at Cedar Physical Therapy will submit your Physical Therapy claim to Medicare on your behalf, so that Medicare may reimburse you. Please note, we cannot guarantee what Medicare will reimburse you. Reimbursement rates depend on your individual insurance plan benefits.