If you’re in need of physical therapy, you may be wondering how insurance copays and deductibles come into play. Don’t worry, we’re here to help break it down for you in a casual and easy-to-understand way.
What is a Copay?
First, let’s talk about copays. A copay is a fixed amount of money you pay out of pocket for each physical therapy session. For example, if you have a $30 copay for physical therapy, you’ll have to pay $30 for each session, regardless of the total cost of the visit. Copays for physical therapy can vary depending on your insurance plan, so it’s important to review your plan to understand your copay amount.
What is a deductible?
Now, let’s talk about deductibles. A deductible is the amount of money you have to pay out of pocket before your insurance starts covering the costs of physical therapy. For example, if you have a $1,500 deductible for physical therapy, you’ll have to pay $1,500 out of pocket before your insurance starts covering the costs. It’s important to note that some insurance plans may have separate deductibles for physical therapy and other healthcare services.
Insurance May Limit Physical Therapy Visits
It’s also important to note that some insurance plans may have limits on the number of physical therapy sessions they will cover. For example, your insurance may cover up to 20 sessions of physical therapy per year. If you exceed that limit, you may be responsible for the full cost of additional sessions.
When it comes to selecting a health insurance plan for physical therapy, it’s important to consider your needs and budget. Plans with lower copays or deductibles may have higher monthly premiums, while plans with higher copays or deductibles may have lower monthly premiums. It’s important to weigh your options and consider your healthcare needs when selecting a plan.
Summary
In conclusion, copays and deductibles are important terms to understand when it comes to insurance coverage for physical therapy. Copays are the fixed amount you pay out of pocket for each session, while deductibles are the amount of money you have to pay out of pocket before your insurance starts covering the costs. Make sure to review your insurance plan to understand your copay and deductible amounts, as well as any limits on the number of sessions your insurance will cover.
SOURCES:
- HealthCare.gov. “Deductible.”
- HealthCare.gov. “Coinsurance.”
INVIVO Wellness in downtown Milwaukee, Wisconsin offers a whole-body approach to physical therapy meeting the needs of all age groups. Our therapists specialize in evaluating and treating disorders of the joints, muscles, fascia, and nerves that prevent normal movement, cause pain, and limit an active lifestyle.
Research-based individualized treatment plans may include hands-on manual therapies of joint and spine mobilizations/manipulations, massage and stretching techniques, electrical stimulation, therapeutic exercise programs, dry needling, and self-management recommendations. Ensure you can enjoy the benefits of an active, pain-free lifestyle.
INVIVO Wellness is a Physical Therapy preferred provider for over 170 insurance plans. Learn which insurance plans are accepted.
