Will My Insurance Reimburse Me?
YES, PT services are generally covered by Health Insurance companies when “you” the patient is under the care of a physician for the condition being treated.
Can I receive physical therapy services without a physician’s referral?
- Consumers are not required to have a referral in order to receive physical therapy services in the State of California. Physical therapy services may be obtained without a physician’s referral if you are a cash carrying patient, receiving health and wellness services or a Medicare beneficiary.
- The California Physical Therapy Practice Act requires all licensed physical therapists to have a documented diagnosis from a licensed diagnostician i.e. Doctor, Family Nurse Practitioner, Dentist, Chiropractor etc.
- A diagnosis is not required if a consumer is receiving wellness services to maintain strength, flexibility, and improve general well being.
Additional Resources
NHIC, Corp is the contracted payer for Outpatient Medicare Services.
Centers for Medicare and Medicaid Services.
National Government Services is the contracted payer for Inpatient Medicare Services.
Mutual of Omaha is the another contracted payer for Inpatient Medicare Services.
Reimbursement information for consumers
