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Insurance FAQ's

Frequently Asked Questions

What is Avila Physical Therapy? Who can come to your practice? What services do you offer? Find the answers to these questions and more by clicking on the button below.

Insurance FAQ's

To help patients access the treatment they need in a timely manner. Avila Physical Therapy has partnered with Care Credit, a specialized credit card that offers 0% interest financing options for medical expenses. Care Credit lets you move forward with treatment when you need it most and pay for it in convenient monthly payments that fit your budget.

If you are interested in using Care Credit to finance your healthcare expenses with us, learn more and find out how to qualify.

If you already have a Care Credit card, you can use it at any time to pay for your treatments, medical supplies or your copay at Avila Physical Therapy.

Care Credit White Text

To help patients access the treatment they need in a timely manner. Avila Physical Therapy has partnered with Care Credit, a specialized credit card that offers 0% interest financing options for medical expenses. Care Credit lets you move forward with treatment when you need it most and pay for it in convenient monthly payments that fit your budget.

If you are interested in using Care Credit to finance your healthcare expenses with us, learn more and find out how to qualify.

If you already have a Care Credit card, you can use it at any time to pay for your treatments, medical supplies or your copay at Avila Physical Therapy.

Care Credit White Text

A deductible is the amount you pay for health care services before your health insurance begins to pay. This starts over at the beginning of your benefit period which is usually at the beginning of the year.

Coinsurance is your share of the costs of a health care service. It’s usually figured as a percentage of the amount the insurance company allows to be charged for services. You start paying coinsurance after you’ve paid your plan’s deductible.

A copay is a fixed amount you pay for a health care service at the time the service is rendered. The amount can vary by the type of service. Physical Therapy services sometimes have a dedicated copay, or follow the Specialist copay.

Payment is due at the time of service. For your convenience we accept cash, check, all major credit cards, flexible spending accounts, as well as Care Credit.

No, North Carolina is a “direct access” state for a physical therapy evaluation. This means that our patients do not need a referral, or a prescription from their doctor to receive a physical therapy evaluation. Read our blog to learn more about this subject.

We are in-network with most major insurance companies including: BlueCross and BlueShield, Medicare, Medicare Advantage Plans, Medcost, and Tricare. If we are not in-network with your insurance company, you may have out of network benefits that you can use, or you can request gap coverage or an in-network exception. If you have any questions concerning your insurance, please contact our office for information.

No, we provide self-pay services for those without insurance, or who choose not to use their insurance benefits. Please call our office with questions.

All insurance companies have different guidelines for coverage of Durable Medical Equipment (DME). We check benefits before each patient’s appointment and inform patient of costs before ordering any garments. If you have any questions about your insurance please contact our office and we will be happy to help.

The Women’s Health and Cancer Rights Act (WHRCA) helps protect women who have undergone breast cancer treatment. This federal law requires insurance companies to cover these products. Each insurance company will have different benefits and you should contact your insurance company or our office for more information on your particular benefits.

Our office makes every effort to verify insurance benefits prior to your first appointment. However, it is the patient’s responsibility to know their insurance benefits and requirements. Contact your insurance company directly for this information. It is also the patient’s responsibility to pay their deductible, copayment and any other charges at the time of service.