TO OUR MEDICARE PATIENTS
We find that written communication will avoid any misunderstandings. Please take the time to read the following and sign at the bottom of the page. Thank You.
In order to bill your primary and secondary insurance we request:
1. You provide us with recent (dated within one month) referral for physical therapy signed by your physician, which includes a diagnosis.
2. Provide us with a valid insurance card.
3. Complete the registration form and sign both it and the office payment policy.
MEDICARE POLICIES:
Medicare pays for services deemed to be “medically necessary”. Maintenance care or non-skilled conditions are specifically excluded from payment. Medicare requires you to pay the yearly deductible before they will begin paying. Medicare will reimburse 80% of allowance charges. If you have secondary insurance, we will call to verify benefits to see if they pay the 20% co-insurance. If you do not have a secondary insurance you will be responsible for the co-insurance of 20%.
PAYMENT POLICY OF THE VITAL PHYSICAL THERAPY:
We are a Medicare participating provider, accept assignment of benefits and will bill Medicare and your secondary insurance. You are ultimately responsible for all charges. Once Medicare has paid, you are responsible for your annual deductible, the co-insurance portion, or any amount not paid by your secondary insurance. Please see the attached page regarding the 2020 cap on therapy services.
PATIENT ACKNOWLEDGEMENT AND AGREEMENT:
● I agree to pay any portion of my yearly deductible not yet met, and any coinsurance not paid by secondary insurance.
● If I receive an item or service that is not a Medicare benefit, I agree to pay for it personally.
● I have read the above and agree to these policies.
