BEST Physical Therapy

Insurance Information

Insurance

In California, physical therapists have direct access to treat patients who have been given a physician’s diagnosis. Most insurance plans include physical therapy benefits. Many insurance companies require a physician’s referral to deem treatment is medically necessary and thus payable under the insurance plan. We accept most insurance plans, and we are preferred providers (PPO) for more than 50 plans in the Silicon Valley including:

  • Aetna
  • Anthem Blue Cross
  • Blue Shield of California
  • Medicare
  • Valley Health

We are Medicare providers and accept most Worker’s Compensation plans. If we are not listed as a provider in your insurance booklet, please call our office, as the booklet may not be current and we are continually joining new plans. In addition, many insurance plans offer out of network benefits so that you may have access to any provider. We will directly bill your insurance carrier for your treatment.

Insurance plans vary from employer to employer, even when provided by the same carrier. If you have specific questions about your insurance plan, please call (408) 257-6708. Please have your insurance card available so that we may assist you.

INSURANCE TERMINOLOGY

When you schedule an initial Physical Therapy appointment at BEST PT (and you wish to bill your treatments through your insurance) our administrators will work to verify your insurance benefits. Here are explanations of three important insurance terms that represent the portion of the medical bill that you are responsible for.

Deductible – A deductible is usually a fixed dollar amount that you have to pay out of your own pocket before the insurance will cover the remaining eligible expenses. Depending on the insurance plan, the deductible can range from $0 all the way up to thousands of dollars. It can also be paid per sickness/injury (per condition) or per certificate period.

Coinsurance – Coinsurance is usually a percentage, and represents the percentage cost that you will need to pay and the insurance plan will pay towards your eligible medical expenses. Some common coinsurance examples include: 80/20, 90/10 and 50/50 – so if you have 80/20 coinsurance on your insurance plan, it means that the insurance company will cover 80% of your medical cost and you are responsible for paying the other 20% yourself. A deductible is commonly used together with coinsurance. In this case, you would pay the deductible amount first and then you would have the leftover coinsurance amount.

Copay (copayment) – Copays are similar to deductibles, in that it is usually a fixed amount of money you have to pay each time you need to use your insurance plan. Unlike deductibles, copays tend to be smaller dollar amounts and are applied on a per-visit basis so that you would have to pay it each visit. At BEST, your copay will be collected prior to every session.

DIRECT ACCESS

BEST PT accepts patients without a physician referral. In the state of California, patients are able to be evaluated and treated by licensed physical therapists without a physician referral. This means you no longer have to wait to get treated for injuries that would immediately benefit from physical therapy services and this allows patients to expedite treatment while saving money. Expedited treatment time helps reduce total injury time and allows you return to normal function faster. It also saves you from having a costly doctor visit for a prescription prior to a physical therapy visit.

For self-pay patients and some insurances, you do not need a physician referral to come to BEST PT for treatment. However, certain insurances may require a physician referral in order to cover your PT visits. Call our office and our administrator will determine your benefits under direct access and be happy to verify coverage with your insurance company.

What our Patients are Saying…

Staff are Skilled, Knowledgeable and Friendly

Every single staff person is on point. From day one when I called to schedule my first appointment and throughout Read more “Staff are Skilled, Knowledgeable and Friendly”

Anne

Worked With BEST

Worked With BEST to Properly Recover. I then worked with BEST to properly recover, exercise and eliminate this from happening Read more “Worked With BEST”

Brian L.

A God Send!

A God Send! Best Physical Therapy, Cupertino, has been a God send for our son! They have given him the Read more “A God Send!”

Brigid G.

I Love the BEST Approach

This is my 3rd experience with physical therapy. I never completed my treatment with the first two because I was Read more “I Love the BEST Approach”

Benjamin

Still Feeling Great

So a year later I’m feeling great and still doing all the exercises I was taught to stay in shape! Read more “Still Feeling Great”

Andrew H.

Significant Progress

I’ve noticed significant progress in my rehabilitation. I would without a doubt recommend BEST PT to family, friends and a Read more “Significant Progress”

Eric

This Place is Amazing!

This Place is Amazing! This place is amazing. The staff is very friendly, helpful and knowledgeable. The environment is very Read more “This Place is Amazing!”

Alex Y.

Incredible Overall Experience!

Incredible Overall Experience! I have been to at least seven other physical therapists in my life, but I’ve never had Read more “Incredible Overall Experience!”

Stacie B.

I Always Look Forward to My Sessions

Although getting released from physical therapy is a great thing, it can be bittersweet. I always looked forward to my Read more “I Always Look Forward to My Sessions”

Martha 

Phenomenal!

Phenomenal! About a year ago I had a work related injury and was referred to Best Physical Therapy by my Read more “Phenomenal!”

AWESOME!

I love my physical therapist.  She makes me feel so good after I’ve just beat myself up at the gym.  Read more “AWESOME!”

Cheryl

Two Locations

I like that BEST has two locations and has always been able to accommodate my Read more “Two Locations”

Bill C.

I Have Recommended BEST Physical Therapy

I first started PT at BEST Physical Therapy in 2008. Over the years I have been back after other surgeries Read more “I Have Recommended BEST Physical Therapy”

Cindy 

The Fine Line

Excel at Finding the Fine Line. Both Kathy and Kathryn excel at finding the fine line between discomfort and pain Read more “The Fine Line”

Sally P.

The Premier Physical Therapy Center

The Premier Physical Therapy Center. BEST Physical Therapy is the premier physical therapy treatment center in the South Bay. I Read more “The Premier Physical Therapy Center”

Gail B.

Help Your Quality of Life

Help Your Quality of Life. BEST makes sure you are cared for explaining and teaching you what you need to Read more “Help Your Quality of Life”

Tom

I Have Made Tremendous Improvement

Kinjal is an excellent physical therapist. I made tremendous improvement under her care and guidance. Always educating her patient, smiling Read more “I Have Made Tremendous Improvement”

Carolee

My Physical Therapist was Amazing

My Physical Therapist was Amazing. She got right to the root of the problem and addressed each muscle individually. She Read more “My Physical Therapist was Amazing”

Lauren

The Folks at BEST Physical Therapy Can Help!

Don’t Live with Physical Ailments! Don’t resort to steroid injections, pain pills, or simply living with physical ailments! The folks Read more “The Folks at BEST Physical Therapy Can Help!”

Bobby M.

Super Professional!

Super Professional! I enjoyed how much they got to know me, what I will be doing, and what I am Read more “Super Professional!”

Scott