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PAYMENT FAQS
DO I NEED A REFERRAL?
No, you can make an appointment directly. An extensive initial evaluation is conducted to identify your goals and concerns, reveal important features of your health status, and get to the root of the problem. We feel that inter-professional communication is extremely important and are committed to collaborating with other members of your medical care team.
*If you plan to submit an out-of-network claim to your insurance, it is possible that they may require a referral in order for you to be reimbursed. Check with your insurance company prior to your initial visit if you plan to submit a self-claim. We can provide appropriate documentation if this is the case.
DO YOU ACCEPT INSURANCE?
In order to ensure that you receive quality one-on-one care (the type of care that I insist on providing), I choose to remain out-of-network with commercial insurance companies and non-participating with Medicare. Why? Because in-network practices typically need to maintain a high volume of patients in order to stay in business. I believe that the care that I can provide in focused, one-on-one sessions is more effective in a shorter period of time than the traditional in-network physical therapy business model. In this model, patients will often spend less time and money in working toward their functional goals.
WHAT IS THE LOCATION OF SERVICES?
Dr. O'Bright has a home office in Palatine, but may be able to accommodate some mobile services if needed. There is a friendly canine in the office. Please let us know in advance if she needs to be removed for any reason.
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WHAT ARE YOUR RATES?
All rates include pre-visit medical history review, provider time and expertise, any supplies used during the session, post-visit documentation and communication with other healthcare professionals.
I AM A MEDICARE BENEFICIARY. CAN I SEE YOU FOR PT SERVICES?
Because I am not a Participating Medicare Provider, I can only accept Medicare beneficiaries as patients when the patient does not want Medicare billed for any PT services. This request to not involve Medicare in payment must be made up front by the patient and be made of the patient’s own free will. In other words, if you’re a Medicare beneficiary and would like to see me for your care even though I am not a participating Medicare provider, I can help you. However, the only way to provide you with PT services is when you truly don’t want Medicare involved and you ask up front that Medicare not be billed or involved in your physical therapy care.
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If you DO want to use your Medicare benefits for physical therapy, I cannot provide you with treatment, but I have excellent relationships with other providers who can help and I can lead you to them.
CAN I SUBMIT A CLAIM TO MY INSURANCE TO REIMBURSE ME FOR PHYSICAL THERAPY OUT-OF-POCKET EXPENSES?
In many cases for physical therapy services, YES! Most commercial payers (not Medicare, Medicaid or Tricare) will allow beneficiaries to submit their own claims for fees spent on out-of-network services. In order to have a better idea of what may be covered, I would recommend calling your insurance company to inquire about reimbursement for “out-of-network physical therapy” expenses sent in self-claims. We will provide necessary documentation that your insurance company needs for a self-claim. Please let us know in advance if you plan to do this.