Rates and policies

Insurance, out of pocket and Medicare

We’ll help you navigate your coverage. For any additional questions not covered below, please email billing@chicagopt.org

Basic Rates & Policies

Insurance

We are an in-network provider for BCBS PPO and BCBS Choice plans. (Not BCBS HMO plans.) Health insurance typically covers physical therapy. We will work with any insurance.

  • In-network patients pay nothing up-front. We will submit claims for you. If there is a co-payment or charge due to a deductible not yet met, the patient will be notified of any balance with an electronic invoice.

  • If you have a different insurance company we recommend that you call the benefit number listed on your insurance card to check your specific benefits before starting physical therapy.

  • If you have out-of-network benefits your insurance may pay part of the total amount of your treatment with Chicago Physical Therapists. You are responsible for full payment at time of service, but we will submit a claim to your insurance for reimbursement.

  • If you are verifying with your insurance we are in-network and cannot find it under Chicago Physical Therapists, try Meredy Parker.

Out-of-Pocket Rates

These charges apply for out-of-network plans. These are due at time of service. When billing in-network insurance, charges may vary based on procedure codes and time spent.

  • Initial Evaluation: $195

  • Follow-Up Treatment Sessions: $175

  • 4-pack of Follow-up Sessions: $640 (breaking down to be $160 each session)

  • 90 Minute Initial Evaluation: $295 (for cases needing a longer evaluation due to complicated medical history or complicated delivery)

  • 90 Minute Evaluation for EDS/Hypermobility: $295

  • TeleHealth - PT Treatment (60m) $175

  • Running Analysis - Initial Evaluation $195

  • Clogged Milk Duct Evaluation Treatment $195

  • Clogged Milk Duct Follow Up Treatment $85

Cancellations and Late Arrival

It is important that we have adequate time to fill your spot should you not be able to attend.

  • If you need to cancel within a 24 hour period, we ask that you move your appointment to Telehealth (unless you are sick or unable to do so).

  • There is $75.00 cancellation fee if you do not show up for your appointment, or for cancelling with less than 24 hours notice (emergency and special circumstances are considered).

  • If this occurs more than once, you will be charged a full $175.00 fee.

  • Arrival 15-30 minutes late will be charged a $30 fee.

Please note these fees will be charged automatically to your account, and insurance does not apply.

Medicare

Our clinic is considered a non-participating provider for Medicare. This means we accept Medicare patients: you are responsible for payments up-front, we will bill Medicare and then you will be reimbursed directly from Medicare.

Typical reimbursement for Medicare is very good but you need to keep track of how close you are to the Medicare cap for each year.

We can help check your Medicare cap for you if you’ve had physical therapy at another facility before visiting us and you want to know how close you are to meeting your cap.

To make a payment to your account

In order to make a payment to your account, please visit this page.

Alternatively, Quickpay/Zelle payments can be sent to Meredy@chicagopt.org

Please see our FAQ page for more details or contact us with questions at billing@chicagopt.org