Insurance Information

SportsPlus will work with you on an individual basis in filing all insurance claims. We will do everything possible to accommodate each individual treated at our facility. We strive to give our patients the necessary treatment regardless of the type of insurance coverage in force. We encourage patients to call us with questions regarding insurance coverage and benefits. We will be more than happy to help patients gain a clearer understanding of their insurance coverage and claim procedures.

Quick Guide to Billing and Insurance Claims

• When directly billing insurance companies with your claim, SportsPlus is classified as an office type facility. This may have implications regarding your deductibles and patient co-pays, which will be important to clarify as you begin your therapy program.
• At the time of your first or second appointment, you will meet with a representative of the SportsPlus billing and insurance department, who will go over your insurance benefits with you. At this time, they will explain to you what portion of the bill will be covered by your insurance company and what portion will be your responsibility.
• We will file directly with the insurance company for services rendered.
• We will assist in obtaining payment from the insurance company.
• Should insurance payments be delayed, reduced or denied, we will expect payment from the patient.
• For patient convenience, we accept cash, personal checks, money orders, and credit card (MasterCard & Visa) payments.

Managed Care Health Plans

Managed care health plans vary in their restrictions and requirements. To assure highest benefit level of payment, patients need to be aware of guidelines required by their individual plans. Some common requirements include:

• Referrals from primary care physicians (PCP) before patient can be seen by SportsPlus
• Co-pay and deductible obligations required by patients.
• Prior authorizations before receiving treatment.

Third Party Payment Responsibility

Private insurance coverage may pay for on-the-job injuries, motor vehicle accidents, or injuries sustained on personal property where a lawsuit may be filed. In such cases, we will file claims to the insurance companies. If claims are disputed or denied, patients are expected to assume full responsibility for payment.