In the state of Oregon, patients have direct access to physical therapy services without the need for prescription or referral from a physician or non physician practitioner (NPP). However, physical therapy services shall be payable by most insurance companies only with a current prescription, referral, or pre-authorization from a physician or NPP. Be aware that most prescriptions, and all referrals and pre-authorizations do have an expiration date and/or visit limit that is separate from your plan's dollar amount or visit limit. Prescriptions are current for 90 days unless otherwise specified.
To determine your coverage and providership stipulations, you must contact your medical insurance company. Coverage and providership stipulations depend upon your medical insurance company and the specific plan you have chosen. Reading the terms of our contract may feel like you are reading a foreign language text if you are not familiar with the terminology. PT 360° has provided a webpage to assist you in understanding reimbursement terms.
To assist you in obtaining accurate and pertinent information from your insurance company, we have prepared an Insurance Benefit Worksheet (requires Adobe Reader). Please print out and complete this worksheet prior to your first visit.
NOTE: You are responsible for obtaining coverage information from your insurance company PRIOR to your first visit. We will also verify your insurance, but require that you also have firsthand understanding of your benefits.