Frequently Asked Questions About PT Solutions

To make your first visit as successful as possible, we ask that you bring the following items:

• Government issued picture ID
• Form of payment due at time of service (co-payments are collected at each visit)
• Insurance Card
• Physician Prescription and/or Referral (if applicable)
• New patient paperwork (initial visit only)

The number of visits approved by your insurance is based on your specific plan coverage and diagnosis and is determined at your first visit. At your evaluation, your therapist will review your medical history, test, and recent events that may be contributing to your current condition. Your therapist will thoroughly explain your ideal treatment plan and expectations for recovery and treatment time.

The cost of treatment is based on your diagnosis, your needs, and your specific insurance coverage. Our team will verify your insurance benefits prior to beginning treatment to ensure that your care is affordable and that you are aware of any potential out-of-pocket costs.

• A deductible is the dollar amount that must be paid by the patient prior to insurance cost-sharing. This amount is determined by the patient’s selected insurance plan.
• A co-payment is the dollar amount the patient is responsible for paying at each visit.
• Co-insurance is a form of cost-sharing. The co-insurance is a percentage of the allowable charges that the patient is responsible for paying each visit. After the deductible is met, the insurance will cost-share with the patient and will cover the portion of the allowable charges remaining after the patient’s co-insurance and co-payment are paid.

An EOB is your Explanation of Benefits provided by your insurance carrier after the claims for each visit are processed. This is an informational document that lists:

• The charges billed for your visit
• The contracted allowed amount for each charge per your insurance policy
• The payment made by your insurance to your clinician
• Any co-pays, co-insurance, or deductible amounts that the patient is responsible for within their plan coverage. Some of these patient responsibility amounts (like your co-pay) may have already  been collected at your appointment
• Your EOB is an informational document and is not a bill
• Once we receive your EOB and apply it to any payments you have already made, then you will receive a bill from us for any remaining balances after your pre-payments have been applied

You can request a complimentary release of medical records by calling or visiting the clinic in which you were seen and submitting the release of medical records form.