Points North Physical Therapy is a participating provider with all Blue Cross Blue Shield plans, MVP, CIGNA, Green Mountain Care, Medicare, Worker’s Compensation, and TriCare. Kathleen can file a claim as an out-of-network provider with other plans, and offers a discounted out-of-pocket rate for clients who are uninsured or for clients who prefer to pay privately rather than pay an out-of-network rate through their insurance plan.
In-network provider regulations prohibit Points North PT from offering the out-of-pocket rate to those clients with one of the plans named above. These regulations are for the protection of the client.
Doctor referrals are strictly required by Medicare and Green Mountain Care. Alternative medicine referrals, such as those from a naturopath or chiropractor, unfortunately are not accepted at this time by these insurances. BCBSVT, MVP, and CIGNA do not require referrals. Most private insurance plans nationwide do not require a referral for physical therapy. If you are using an out-of-network plan, you may want to call and find out if a referral is needed and what coverage is provided for physical therapy services; or Kathleen can help you obtain this information prior to your first visit.
Points North PT does not participate in litigation cases. Clients receiving treatment through an auto accident or other lawsuit may pay the out-of-pocket fee and then seek reimbursement on their own.
Copies of health records will be provided one time only, to either the client or the client’s attorney who must provide a signed release form by the client. Any other parties involved in litigation or a worker’s compensation case must request copies directly from the client or the client’s attorney.