Virtual PT FAQsWill my insurance cover Virtual PT?
Because new information is coming out by the hour, at the time of this writing, there is a lack of clarity on exactly how your insurance company will process your telehealth claim. In general, we are optimistic and seeing more and more insurance companies updating their systems and policies to comply with the law (please see the recent message from our professional association below).
From a billing standpoint, we will bill your claim just like an in-office session, with any co-pay, deductible, or co-insurance continuing to apply. We will submit your claim as instructed by your insurance company. We will notify you ASAP if it is denied, and work with your insurance company to try to resubmit your claim if necessary. Our in-office financial agreement continues to apply to all Virtual PT sessions.
Our primary goal in launching this new service is to provide safe options for you to access your physical therapist should you not feel comfortable with an in person visit.
Message from our association on 3/26/2020
Last night, Governor Inslee issued Proclamation 20-29, which mandates that an insurer pay an in-network provider the same reimbursement rate for a telemedicine visit as it does for an in-person visit. It also prohibits insurers from denying a telemedicine claim from an in-network provider for a medically necessary covered service even if that provider’s current contract does not reimburse for services through telemedicine. This proclamation is effective through April 24th.
The answer depends on the reason you are seeking therapy and whether or not you are at increased risk (due to COVID-19 outbreak) by coming in for an in-office visit. GPT has put together guidelines to help you make the best decision for you. If you would like further guidance, please contact your PT directly by email, and they will be able to advise.
You should consider an in-office PT appointment if you are/have:
- Recently had surgery and are needing post-operative rehabilitation
- Had your surgery or imaging delayed
- An acute injury which may worsen without care
- In need of PT to prevent a detriment to your health, safety, or ability to perform essential daily tasks
- Are unable to manage symptoms with your home exercise program
- Primarily attend therapy for the hands on aspect of treatment
- Range of motion or mobility restrictions that risk detriment to mobility without hands on treatment
- In need of vestibular rehab (treatment for dizziness and vertigo)
- Need assistance with pain and swelling
- Have no risk factors and not fearful of attending an in-office visit
You should consider a Virtual PT appointment if you are/have:
- Immunocompromised or are undergoing cancer treatment
- Live with someone who is immunocompromised
- Age 65 or older
- Chronic lung disease or moderate to serve asthma
- A serious heart condition
- Uncontrolled diabetes, renal failure, or liver disease
- COVID-19 like symptoms (cough, fever, shortness of breath)
- Wanting to primarily update or change your home program
- Transitioning to return to recreational activities
- Wanting assistance with work from home ergonomics
- Issues attending because of child care
- A lack of reliable or safe transportation
- Almost done with PT and would like a final check in prior to discharge
- Fearful of an in-office visit
No, we purposely choose a patient friendly platform (doxy.me). All you need is a working webcam and microphone (most laptops have these) and you will be emailed a link that will bring you to your provider’s virtual waiting room.