Insurance & Pricing
Medicare
Please contact our office before scheduling to review the requirements that apply to your care.
Medicare — Review Before Scheduling
Please contact our office to discuss eligibility and available care options. Medicare coverage and billing depend on applicable program requirements.
Please tell us before scheduling if you have Original Medicare or a Medicare Advantage plan. Physical therapists cannot opt out of Medicare. Our office must review enrollment status, your coverage and the proposed services before confirming whether we can provide care and how it may be billed. Medicare Advantage requirements vary by plan. Do not assume that a private-pay arrangement removes Medicare requirements or that reimbursement is available.
Ask About Insurance
Questions about insurance or payment? Call our office to discuss general options. Please do not submit diagnoses, insurance member IDs, dates of birth or medical history through a standard public form.
Ask About InsurancePayment FAQs
Do you currently accept insurance?
We are currently private pay only and are not in-network with any health insurance plans. Credentialing is in progress.
Can I use PPO or out-of-network benefits?
Possibly, depending on your commercial plan. Confirm benefits, deductibles, authorizations and submission rules with your insurer. A PPO label does not guarantee coverage. Reimbursement is not guaranteed.
Can I request a superbill?
Ask our office before your visit. An accurate superbill may be available when appropriate; it does not establish eligibility or guarantee reimbursement. Medicare has separate requirements.
Do I need a referral?
Massachusetts generally allows you to see a physical therapist without a physician referral. Your therapist will assess whether physical therapy is appropriate and may recommend evaluation by another healthcare professional. Direct access does not guarantee insurance payment: your plan may require a referral, prior authorization or other documentation. Medicare coverage has additional requirements.
When do I pay?
Payment is due at the time of service. Contact our office beforehand with questions.
What is your cancellation policy?
Please contact our office for the current cancellation and rescheduling terms before booking.
How do I request a Good Faith Estimate?
Call our office using Request a Good Faith Estimate. Uninsured and self-pay patients may request a written estimate before scheduling. The posted rates do not replace an individual estimate.
What if I have Medicare?
Please call before scheduling so our office can review the applicable eligibility and billing requirements. Private pay is not an unrestricted substitute for Medicare-covered therapy.