BILLING
Thank you for selecting Resilience Physical Therapy and Wellness as your physical therapy and sports rehabilitation provider! It is our mission to get you back to peak performance as quickly and safely as possible. We appreciate that the cost of medical services can be difficult to understand, and it is our goal to make the billing process as easy and transparent as possible.
We accept all major insurances including but not limited to Anthem, BlueCross BlueShield, , Cigna/ASH, Harvard Pilgrim Health Care, Health New England, Medicare, United HealthCare, Tricare, Workers Comp, and can discuss Self Pay rates.
We have added some new payment features to assist in the process, and provided some resources regarding the Billing Process.
For further billing inquiries please direct your questions to frontdesk@resilienceptwellness.com or 413-789-0752.
MAKE AN ONLINE PAYMENT
You can now pay your physical therapy bill online. Once a statement is received from Resilience Physical Therapy and Wellness please click on the Pay Bill button on our home page to be directed to our online payment portal. You can use your credit card or bank card to make a payment.
You will be redirected to our secure, third-party payment system to make your payment.
COST
Resilience Physical Therapy and Wellness will file insurance claims on your behalf. Depending on your health insurance benefits the following costs can be expected. We also offer Self-Pay (Cash) rates. For plans with a deductible we will normally collect the estimated price based on our contracted rates before your visit. Below is a breakdown of the average range or cost we typically see.
- Initial Evaluation: $120-$150 for plans with deductibles that have not been met
- Follow Up Appointments: $70-$90 for plans with deductibles that have not been met
- Co-Insurance:
- 90/10 (Patient responsible for 10%): $5-15 per visit
- 80/20 (Patient responsible for 20%): $10-25 per visit
- Self Pay:
- Initial Evaluation: $125
- Follow Up Appointment: $90
AUTO END OF MONTH BILLING
For your convenience we have set up an automatic end of the month billing option. Your credit card will securely be stored in our system and ran at the end of each month (25th of each month or following business day) for any balance under $400. For amounts greater than $400 you will be notified prior to the card being charged. No PAPER bills will be mailed. Receipts will be emailed following the charge of the credit card on file, and itemized receipts available upon request.
CANCELLATION POLICY
After your second No-Show or Cancellation, within a 24 hour window of your appointment, you will be charged $40.
Cancellation Policy (PDF)
Verification and Submission
When you call to schedule your first appointment, we’ll ask you for your insurance information. Then, as a courtesy to you, we will call your insurance company to verify your benefit coverage and we’ll review this information with you before you begin your first visit.
In addition, we encourage you to call your insurance carrier to find out your physical therapy and/or occupational therapy benefits provided by your medical plan prior to your visit.
Finally, we will promptly file your claim with your insurance company on your behalf so you won’t have to worry about having to fill out any other forms.
Billing for physical therapy services is similar to what happens at your primary care’s office. When you are seen for treatment, the following occurs:
- The physical therapist bills your insurance company, Workers’ Comp, or charges you based on Common Procedure Terminology (CPT) codes.
- Those codes are transferred to a billing form that is either mailed or electronically communicated to the payer.
- The payer processes this information and makes payments according to an agreed upon fee schedule.
- An Explanation of Benefits (EOB) is generated and sent to the patient and the physical therapy clinic with a check for payment and a balance due by the patient.
- The patient is expected to make the payment on the balance if any.
Outstanding Accounts
Accounts are continuously reviewed. Patient accounts with balances greater than 90 days with no outstanding/open insurance balance are subject to being sent to a third-party collections agency. Courtesy calls/emails will proceed any information sent to collections.
Insurance Terminology
Premium
A monthly payment you make to have health insurance. Like a gym membership, you pay the premium each month even if you don’t use it, or you lose coverage. If you’re fortunate enough to have employer-provided insurance, the company picks up all or part of the premium.
Copay
Your copay is a predetermined rate you pay for health care services at the time of care. For example, you may have a $25 copay every time you see your primary care physician, a $10 copay for each monthly medication and a $250 copay for an emergency room visit.
Deductible
The deductible is how much you pay before your health insurance starts to cover a larger portion of your bills. In general, if you have a $1,000 deductible, you must pay $1,000 for your own care out-of-pocket before your insurer starts covering a higher portion of costs. The deductible resets yearly.
Coinsurance
Coinsurance is a percentage of a medical charge that you pay, with the rest paid by your health insurance plan, after your deductible has been met. For example, if you have a 20% coinsurance, you pay 20% of each medical bill, and your health insurance will cover 80%.
Out-of-pocket maximum
The most you could have to pay in one year, out of pocket, for your health care before your insurance covers 100% of the bill.
For additional questions please email frontdesk@resileinceptwellness.com
OFFICE
470 Shoemaker Lane
Agawam, MA 01001
HOURS
M-F 8am-8pm
Saturday 8am-12pm
Sunday CLOSED
PHONE
(413) 789-0752
FAX
(413) 789-8140