At Live Live Physiotherapy, insurance is accepted,
but not needed.
Our ultimate goal is to help you live the life you’ve imagined, not for you to spend your days deciphering EOBs and calling your insurance company.
Whether you have health insurance or want to pay with cash, our physical therapists will work with you.
Are you a Medicare patient?
Live Life Physiotherapy is an in-network provider with Medicare, so we’ve got your back.
Medicare insurance plans cover physical therapy – hurrah!
If you have Medicare and would like to start working with Live Life Physiotherapy, just be sure to have your id card, insurance card, and your physician’s name—either a primary care physician or specialist.
Do you have a PPO?
Live Life Physiotherapy works with all the main PPO insurance carriers.
Your insurance coverage will vary depending on the plan you have with your insurance provider. Some may limit how much physical therapy you can receive, and out of pocket costs vary by plan.
Live Life Physiotherapy will be happy to verify and review your benefits with you before beginning therapy so there are no surprise charges.
If you have a PPO and would like to start working with Live Life Physiotherapy, just be sure to have your id card, insurance card, and your physician’s name—either a primary care physician or specialist.
The most common insurance companies we work with include:
- Anthem Blue Cross
- Tricare for Life
- UC San Diego (UCSD)
- United Health Care (UHC)
Call to see how your insurance and Live Live Physiotherapy can work together.
Will you self-pay, aka pay directly for services?
No health insurance? No problem. We can work with you to support your needs, within your means.
Another payment option is what’s called self pay. Using self pay for physical therapy is a great option if you prefer to not involve your health insurance company or you don’t have insurance right now.
If you would prefer to pay Live Life Physiotherapy directly for physical therapy treatments provided, we can make that happen.
If you’d like to take advantage of self pay, you just need to share your physician’s name, either a primary care physician or specialist,when you make your first consultation.
Frequently asked questions about health insurance and physical therapy
You may wonder if you have insurance that covers physical therapy. Coverage for physical therapy is as different as the insurance plans themselves.
The good news is that most insurance companies now cover some part of physical therapy, although they may put limitations on which physical therapist you can see, based on whether they are in network physical therapists or out of network providers.
Additionally, in the state of California, you can start physical therapy without a doctor’s referral. However, some insurance companies will first want your doctor’s authorization to reimburse for physical therapy services, so it’s worth a phone call to your health insurance plan before you begin seeing your physical therapist.
Total costs will depend upon the nature of the injury and treatment and the duration of the session.
While the out-of-pocket costs may seem like a big investment, many people find that investing in physical therapy can ultimately save money in the long run. Services provided by licensed physical therapists, like those at Live Life Physiotherapy, go beyond the prescription of routine exercises and often include lifestyle improvements and encouragement that are essential to your recovery and can empower you to lead a healthier, more active lifestyle.
Medicare is an insurance program administered by the federal government that provides coverage for people who are at least 65.
If you’re a Medicare patient, you’ll need a certification from your doctor or other health care provider, such as a physician assistant, nurse practitioner, or clinical nurse specialist, to begin physical therapy. Once you have that certification, Medicare Part B (the medical insurance part of the insurance plan) will kick in and help cover physical therapy.
At this point, you’ll be able to meet with your physical therapist and begin your physical therapy treatment plan.
There’s no limit on how much Medicare pays for your physical therapy services each year, as long as they are deemed medically necessary. And looking to the future, the American Physical Therapy Association is active in lobbying Congress to ensure Medicare continues covering services like physical therapy.
After you meet the Part B Deductible, you pay 20% of the Medicare-approved amount. For 2023, that means that you pay $226 to meet your Part B deductible. After meeting this deductible, you will pay 20% of the Medicare-approved amount for the Medicare-negotiated rate for your continued physical therapy sessions. (Source: Medicare.gov)
Before you begin physical therapy, you’ll want to really dive deep into your insurance plan to understand your total out of pocket cost and what medical expenses your insurance covers.
If you have a high deductible—meaning that you have to pay a lot of money before your insurance plan kicks in—you may save money by opting for self pay and paying a negotiated rate from the very beginning.
However, if you have an out of pocket maximum—meaning that your out of pocket cost will not exceed a certain amount, at which point your insurance coverage covers your physical therapy—you may benefit by letting your insurance pay.
Some physical therapy services may not be covered by insurance. These usually involve a wide variety of health care services, such as general health education, fitness programs, or a custom home exercise program. Some of these services also include preventive activities and athletic enhancements.
Additionally, some insurance plans cover only a minimum number of physiotherapy visits. If that’s the case, the physical therapists at Live Life Physiotherapy will find a way to continue working with you until you decide you’re ready to graduate from physical therapy.
From our perspective at Live Life Physiotherapy, we will work with you as long as you like. We do not place limits on how many times you can see a physical therapist.
However, some insurance plans may cover fewer sessions than you would like to receive. If you’d like to continue seeing your physical therapist, but your insurance provider has limited how many rehabilitation services you can receive, just let us know. We are happy to work with you to come up with a payment plan that allows you to continue your physical therapy sessions.
Yes, physical therapy sessions are eligible for reimbursement in the form of a Flexible Spending Account (FSA).
Yes, physical therapy is eligible to be paid through your Health Savings Account (HSA).
Are you looking for a physical therapist near you?
If you’re in the East County area of San Diego, Live Life Physiotherapy can help! Live Life Physiotherapy provides customized mobile physical therapy in San Diego to those who need it, where they need it.
Every day, we help residents of La Mesa, El Cajon, Santee, Lakeside, Del Cerro, San Carlos, and the surrounding areas with their physical therapy needs by removing many of the common restrictions and challenges of traditional physical therapy. Our ultimate goal is to help you live your best life.
If you are ready to live life on your terms, contact us today!