In a word, the answer is: Maybe. While you will pay us directly for our services, your insurer may reimburse you for part or all of your therapy. WhileMedicare Primary does not cover our level of service, many patients report reimbursement by their secondary Medicare coverage. Patients are not covered by Medicaid. You may wish to contact your insurer to clarify your benefits before you schedule treatment. Ask them about your “out-of-network, outpatient physical therapy benefits for adhesions and/or pain.” We provide you with copies of your initial evaluation, daily notes, progress report and a statement noting all charges, payments, provider information, diagnosis and procedure codes to support your claim for reimbursement. Our procedure codes are defined and approved by the American Medical Association and include the following common PT codes: 97161 – Initial Evaluation (Low Complexity) 97162 – Initial Evaluation (Moderate Complexity) 97163 – Initial Evaluation (High Complexity) 97164 – Re-Evaluation 97110 – therapeutic procedure 97112 – neuromuscular reeducation 97140 – manual therapy 97530 – therapeutic activities to increase function 97535 – self care instruction Ask your insurer if you need pre-authorization and a physician’s written referral (available by clicking here.)This referral sheet states that your therapy is “medically necessary” – a requirement of many insurers. Signed by your doctor, this document can also help you get insurance reimbursement. If you are coming for the five-day program, your doctor can add “20 hours of manual physical therapy over five days,” then sign, date, include their NPI number and give you the referral slip. Remind your insurer that twenty hours of physical therapy per year falls well within the parameters of most insurers. However, some want to limit therapy reimbursement to one hour per day. If you speak with your insurer, explain that you have to travel for therapy for services that are not provided in their network. Clear Passage is the only facility in the country that has been shown to decrease adhesions without surgery. Advise them of the tremendous cost-savings for their company of having you attend therapy in place of surgery. Ask to speak with a supervisor, if necessary. Record the name, time and date of every person with whom you speak and what they tell you. Upon request, we are happy to provide you with a letter that you may forward to your insurance company. This document provides advice regarding our specialized therapy program and notes your pre-treatment diagnosis codes, based on your reported medical history.