OrthoNY

Is direct access to physical therapy available without a physician referral?

In many cases, patients can begin physical therapy without a physician referral, depending on their insurance plan.

Do all insurance providers require a referral or prescription for physical therapy?

Some insurance providers require a referral or prescription from a primary care physician, orthopedic surgeon, or specialist.

Can OrthoNY Albany help determine if a referral is needed based on insurance coverage?

The administrative staff at OrthoNY Albany can help each patient determine whether they need a referral based on their insurance coverage.

What insurance carriers does OrthoNY Albany work with?

We work with a range of carriers and can assist in verifying benefits, obtaining pre-authorizations, and handling necessary documentation.

Is physical therapy at the Albany location covered by insurance?

Yes, physical therapy services at OrthoNY are covered by most major insurance providers.

What types of plans are accepted and how are costs handled?

We accept a broad range of plans, including private insurance, Medicare, workers’ compensation, and no-fault insurance. Our staff can verify benefits and provide a breakdown of any expected out-of-pocket costs.

Is pre-authorization or a referral required, and can OrthoNY assist with paperwork?

If pre-authorization or a referral is required, OrthoNY can help coordinate the necessary paperwork and communicate with providers.

What should patients do to understand their insurance coverage for PT visits per year?

Patients are encouraged to contact their insurance company to ask about coverage for physical therapy services, including how many visits are included per year and any cost-sharing requirements.

Does OrthoNY offer self-pay options for uninsured or high-deductible plans?

Yes, for patients with a high-deductible plan or who are uninsured, OrthoNY offers self-pay options and flexible payment arrangements.