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Billing and Insurance

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Billing and Insurance Policies

Apex Physical Therapy accepts most insurance plans, and will gladly bill them directly. We believe everyone should have equal access to quality physical therapy care.

Our Insurance Verification Process:

When you call to schedule your first appointment, we will collect your insurance information. Then, as a consideration to you, we will call your insurance company directly to verify your benefit coverage. Benefits quoted are not a guarantee of payment.  Benefits are subject to all contract limits and member’s status on the date of service.  Accumulated amounts, such as deductible, may change as additional claims are processed. We will happily review this information with you before you begin your first visit.

Our Insurance Billing Process:

We will file your claim with your insurance company on your behalf after the treatment and appointment occurs. This eliminates the need for you to fill out any additional forms.

Q: Is a physician’s referral needed for insurance to pay?

A: Washington state laws allow consumers to access physical therapy services directly, without the need of a physician’s referral. Insurance coverage and the requirement of a physician’s referral, however, is plan-specific. If you do not have a physician’s referral for physical therapy and are uncertain if one is required in order for insurance to pay, we recommend that you contact your insurance company directly to verify this. We are also happy to verify this for you prior to scheduling your first appointment.

Physical Therapy Costs can Add Up

Most patients have one or two visits per week for several weeks or even months. Your insurance plan my require a co-payment or coinsurance for each physical therapy visit, or may require you to pay for the full cost of your visit if your deductible has not been met. We gladly accept cash, checks or credit cards at all of our locations. Once your insurance company processes your claims, if there is a remaining patient responsibility we will mail you an account statement that reflects the current balance of your account at the time the statement is processed.


Self-Pay Physical Therapy:

We want to ensure that all individuals have access to quality physical therapy care. We offer affordable rates for patients without insurance or who wish to not use their insurance. For self-pay accounts, payment must be made at the time of service. Some restrictions may apply with patients who qualify for Medicare, Medicaid, or other specific insurance plans.

Appointment Cancellation Policy:

If you should need to cancel an appointment, please be aware of our requirement of at least 24-hour notice. Failure to cancel your appointment with more than 24-hour notice will result in a $50.00 fee. Insurance will not pay for this fee, so you will be responsible to pay at your next visit.