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Insurance & Billing

We know that recovering from an injury or illness can be stressful and challenging. That’s why we want to make billing as easy and hassle-free as possible for you. You can trust us to handle your billing with care and transparency.

Here's how it works:

  • As a courtesy to you we verify your benefits prior to your first visit so that we know if a deductible applies and/or if a copay is due at each visit. 

  • At your first visit we go over your benefits and collect the copay if it applies. If a deductible needs to be met first we submit to your insurance first. It can take the insurance company up to 45 days to process the claim. 

  • Once the visit has processed, we review the claim and let you know if you have a balance due or a refund coming your way. 

Insurance

If you do not see a provider listed, we can verify insurance for you. If you are unsure whether or not we accept yours, or if you have questions about your benefits, please call, 509-888-4088 and we will do our best to assist you. 

In-Network

Premera, Lifewise, Regence, Blue Cross Blue Shield, Most Anthem BCBS plans, Asuris Northwest, Asuris Northwest Med Advantage, Health Alliance, Health Alliance Med Advantage, Cigna, First Choice, Kaiser, HMA, BAS, TPSC

PIP Auto Claims

**We do not bill third party auto claims directly.  We can provide treatment at our private pay rate and provide a detailed receipt you may use for reimbursement. 

Out-of-Network
Able to Treat

Aetna, United Health Care, Ambetter if it is not a Medicaid program.

**Out-Of-Network and able to treat please check to make sure physical therapy is covered with Out-Of-Network benefits with your insurance carrier. Individuals with these plans will pay the private pay rates and then submit paperwork to the insurance provider to be reimbursed.**

Private Pay New Evaluations - $165 due at visit

Private Pay Follow-up - $135 due at visit

Out- of Network Unable to Treat

L&I and Workers Compensation, Traditional Medicare, Medicaid (Molina, Most Coordinated Care Plans, CHPW, ProviderOne, Ambetter) as the primary insurance.

**At this time Mission Peak Physical Therapy is not contracted with Medicaid or traditional Medicare programs or L & I Worker's Comp. The law prevents us from providing normally covered physical therapy services to individuals with these plans. We apologize for the inconvenience.**

Self Pay/Un-insured Rates

New Evaluation - $165 due at the time of service

Follow-up - $135 due at the time of service

Do you have a high deductible plan or co-insurance? 

What is a deductible? 

A health insurance deductible is the amount of money you pay out of pocket for health care services before your insurance plan starts contributing to the cost.

What is a co-insurance?

Coinsurance is the sharing of costs by your insurance company and you for covered services after you've met your deductible. Coinsurance is usually shown as a percentage. 

Do you need physical therapy but are worried about the cost? You're not alone. Navigating the healthcare system can be stressful—financially, emotionally, and physically. However, putting off care now can cause more problems in the future. Benefits of getting physical therapy early include:

  • Faster Recovery

  • Less pain and discomfort

  • Lower risk of complications after surgery

  • Improved quality of life

At Mission Peak Physical Therapy, we understand that cost can be a barrier to getting the care you need. We are committed to transparency and accuracy in estimating the future costs of our treatment. We can also offer payment plans that fit your budget and needs. Please call our office if you have any questions or concerns, 509-888-4088.

Referrals

Orthopedic Patients:

  • Referral required for treatment post-surgery. 

  • Referral required if you are on a Med Advantage plan.

  • Some insurances require physician referral for coverage, we are able to help with the guidelines.

 

Women's Pelvic Floor Patients:

  • Referral required for prenatal and postpartum care (within past 6 months)

  • Referral required for treatment post-surgery

  • Some insurances require physician referral for coverage, we are able to help with the guidelines.

  • Based off the nature of your symptoms, your physical therapist may request you have been evaluated by your physician to proceed with physical therapy treatment.

If you are ready to set up your initial assessment, request an appointment.

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