In-Network Insurances

We are in network providers with the following insurances: 

  • Blue Shield of NENY
  • Blue Cross (Anthem, Empire, Federal, Medi-Blue, & Forever Blue) (Excellus Blue & Anthem Blue require BC referrals) 
  • GHI (Emblem Health) 
  • MVP (Cigna)
  • Medicare (requires script) 
  • Shared Health Networks, POMCO
  • United Health Care (Excluding NYSHIP)
  • Worker's Compensation
  • No Fault
  • Aetna
  • CDPHP HMO, PPO, EPO
  • CDPHP Medicare HMO, PPO

We can directly bill your insurance and your co-pay and authorized visits will be determined by your plan with your insurance company. 

Each insurance company has different policies for physical therapy.  It is strongly recommended that you review your benefits information. Any questions regarding coverage should be directed to your insurance carrier directly. Please bring all insurance cards and therapy prescriptions with you to your first appointment. 

Scripts will be required after thirty days according to NYS Direct Access laws. Referrals may be required, so please check with your insurance provider. 

Out-of-Network Insurances

Although we are out of network with certain insurances, we are still able to submit to use out of network benefits. 

  • Tri-care
  • NYSHIP/Empire Plan

"Out-of-network" means that we send your bill to our billing company,  who then sends it to one of the above respective insurances.  The co-pay and authorized visits will be authorized by the insurance company. 

Scripts will be required after thirty days and referrals may be required, so please check with your insurance. 

Non-Participating Insurances

The insurances listed below are not accepted and do not allow for out of network benefits.  We do, however, offer private pay prices.

  • Medicaid
  • Fidelis
  • Wellcare

With these insurances, we cannot submit billing.  Patients would need to be self-pay. 

Self - Pay Options

Our self- pay option is available to you if we do not participate with your insurance, you do not have insurance, or you go over the number of authorized visits allowed by your insurance plan.   Listed below are the prices for our self-pay option:

20 minute session: $45.00

30 minute session: $60.00

40 minute session: $85.00

60 minute session: $115.00

A script will be required after thirty days from your first appointment.  Direct Access is available.  Direct Access means that for therapists who qualify, you can be seen for physical therapy without a script for 10 consecutive visits or 30 days, whichever comes first.  After that time period, a script must be obtained, even if it is not required by your insurance company.  This is NY state law.

Workers Compensation/No Fault: 

We do participate with workers compensation, however, coverage may be dictated by the following:

  • If you have had prior therapy
  • Your insurance carrier
  •  A script, variance, or referral may be needed
  • The date of the injury
  • An active workers compensation claim

We also work with No Fault,  although the following will be required:

  • A new script every 45 days
  • Your no fault carrier information
  • A claim number and date of accident
  • An active claim

Scripts or referrals may be required, please check with your insurance.