Patient Cancellation Policy
Please contact our front office at (719) 466-6800 if you need to cancel or change an appointment.
First, let us say that we know that life happens. Illness, accidents, unforeseen circumstances, weather, and family issues can change your day.
If you need to cancel an appointment because of a reason not listed above, we ask that you do so within 24 hours of your scheduled appointment so that we have time to put another patient that needs care in your spot. If your appointment is on a Monday, we ask that you call us before 3 p.m. on Friday.
We love that we are able to offer our patients longer, one on one appointment times with our physical therapist. Because we dedicate this time for each of our clients, we need your help to keep our business successful.
If you do not call to reschedule or do not show for your scheduled appointment, there will be a $90.00 charge.
Thank you for helping us keep things running smoothly!
Patient Billing Agreement
We understand that dealing with insurance companies can be difficult to deal with when it comes to your benefits. We will do everything we can to communicate with your insurance company (if applicable) to ensure that you are receiving the benefits.
We will verify your insurance benefits, but that is not a guarantee of payment, therefore the client is ultimately responsible for any outstanding balance accrued during their treatment at HOPE Physical Therapy & Wellness.
As of January of 2023 we are “In Network” with the following insurance companies:
- Tricare (HealthNet Federal)
- United Health Care
- Veteran’s Administration Benefits
- Medi-Share (USAA)
If you do not have insurance you are eligible for our affordable Self Pay options at the time of service.
Our prices are as follows:
- Initial Evaluation (45 Minutes) $105
- Follow up 45 Minute Visits $105
- Follow up 30 Minute Visits $85
- Dry Needling ONLY Session $45
If we are out of network with your insurance then you will be responsible for the amount that is agreed upon for services rendered at HOPE Physical Therapy & Wellness.
During the billing process, if you need to discuss payment options, you can contact us at 719-466-6800 or customer service at our billing company 1-800-478-2778.
Under the Health Insurance Portability and Accountability Act (HIPAA), you have a certain right to privacy regarding the protection of your personal health information (PHI).
Here at HOPE Physical Therapy & Wellness, we are doing everything within our abilities to protect your PHI.
Our Notice of Privacy Practices is available for you here. Just be aware that this notice may change or be updated at any time. We will keep this link updated with the most current version.
If you choose, you may give HOPE Physical Therapy & Wellness the authorization to use and disclose your medical and financial information with the persons or organizations of your choice. This authorization is available at the Front Desk at HOPE Physical Therapy & Wellness.
You have the right to revoke this authorization at any time, and it is your responsibility to inform HOPE Physical Therapy & Wellness of any desired changes in this authorization. This can be done in person or over the phone.
You may also refuse to sign the HIPAA authorization without any penalty to your treatment, payment, enrollment in a health plan, or eligibility for benefits.
The total cost of your treatment will depend on the type and length of your treatment which will be determined by you and the physical therapist. It is not our policy to wait for a settlement, outcome of a hearing, or insurance appeal to collect payment. Payment is expected at the time of service.
HOPE PT may recommend additional services or items as part of the course of care that will be scheduled separately and are not reflected in this good faith estimate. Separate good faith estimates will be issued upon request if your treatment plan changes.
You have the right to initiate a patient-provider dispute if the billed charges are substantially higher than the charges listed in the good-faith estimate. A dispute initiated by the client will not affect the quality of the physical therapy services received. To initiate a dispute, please email us at firstname.lastname@example.org, explaining your concern in detail.
Payment Policy: HOPE Physical Therapy & Wellness believes in cost transparency and your right to shop for high-quality cost-effective services. This is a good faith estimate and is not a contract. You are not obligated to receive physical therapy treatment at HOPE PT.
I understand or agree that payment is expected at each visit to HOPE Physical Therapy & Wellness for Physical Therapy services rendered.