Medicare will pick up 80% after the $125 deductible has been met. Secondary insurance varies by plan as to what they will pick up. Our office will help you verify your benefits upon the initial evaluation.
How many visits will Medicare allow and pay for?
Medicare has set a fixed cap for physical therapy services per year of $1890. This allotment lasts approximately 18 sessions per calendar year. There are also exceptions to the cap, pending your condition, which could allow you further office visits. Our office will help you with this matter.
How do I find out if your company is in-network?
See below for our current provider list of insurance companies or please check current provider listings under:
- Hands On Physical Therapy or
- Institute of Manual Therapy, LLC or
- Kenneth Pavlinec, PT, Cert MDT
Do you submit to all insurance companies?
Yes. We submit to all insurance companies including Blue Cross & Blue Shield, Aetna, Medicare, work/auto/school related accident insurers. We also submit to out of network carriers such as Oxford, St Barnabas and Qualcare. Our office will assist you by billing your insurance company directly. You will be responsible for your deductible and co-insurance or co-payment, when applicable. We also submit to all secondary carriers, if applicable.
If you have any questions regarding your insurance, please call our office for assistance at 732-736-7007 or 732-746-3933. Please note that some insurance companies require pre-authorization or pre-certification. Any authorizations required once therapy has commenced will be handled by Hands-On Physical Therapy.
American Specialty Health/ASH
All auto insurance policies
Blue Cross Blue Shield out of state plans
Cigna Open Access
Healthnet federal services
Horizon BCBS Omina (tier 1 biller)
Horizon Medicare Advantage
Horizon NJ Direct
Horizon Blue Choice
Horizon Traditional Plans
Horizon NJ Carpenters Fund
Integrated Health Care inc. (UMR)
One Call Care
PHCS (Private Health Insurance)
United Health Care/Optum Health
ALL OUT-OF-NETWORK PLANS ACCEPTED
ADDITIONAL INSURANCE COMPANIES ADDED REGULARLY