Yes, we accept private insurance plans as an out of network provider and we are in-network with the following plans: Aetna, several Florida State Managed Medicaid Plans, and Early Steps. Because of the nature of our specialty programs, it may be possible to attain coverage for therapy through your insurance plan even as an out of network provider. Please contact us to discuss any specific questions, complete a review of your insurance benefits for therapy, and receive phone counseling on charges, deductibles and covered visits. This is valuable information that may prove our services to be comparable to other in-network organizations.
In order to process your claims with insurance, you will need a physician’s referral or prescription to receive an evaluation and therapy intervention. Private-pay clients do not require a physician’s referral or prescription, however, our therapists may ask for one to keep on file and in addition, paperwork will be given to your physician to review and sign, should therapy services be required after the initial consultation.
We work with children of all ages from infancy through young adulthood (21 years). We also accept adult clients (over the age of 21 years) with diagnoses of childhood that are of neuromuscular origin in our intensive program model. These diagnoses may include cerebral palsy, stroke, muscle dystrophies, and traumatic brain injury.
Payment is required at the time that service is provided. Clients whose children receive PT service several days weekly can pay once during the week for all visits within that week. However, please contact us if you require a different payment schedule. We will do our best to accommodate your request. Upon request, you will receive a coded receipt for all services provided. It is the discretion of YBR to determine the payment schedule for electronic/paper billing.
Yes, we are able to co-treat with therapists of any other discipline, including: Speech and Language Therapists, Occupational therapists, Behavior Analysts/Therapists, Audiologists, Psychologists, Neuropsychologists, or Vision Specialists. Also, if you feel that your child requires additional therapy services, such as speech and language therapy, we would be happy to refer you to several excellent professionals of the above mentioned disciplines.
Most insurance companies do cover or reimburse payment for limited Physical Therapy services. Each policy is different and we are happy to help you determine the best options for attaining services. We will review your policy coverage with you prior to your visit; however, it is the client’s ultimate responsibility to know and understand their specific policy’s coverage.
Each case is different, but for the most part, clients are seen one or two visits per week for 60 minute sessions. The frequency and duration of therapy services is determined with physician referral/request, parent input, and based upon the results of the PT evaluation. Intensive programming is typically applied in 3 week increments of time for 3-4 hour sessions consecutively.
Parents and physicians both refer children for evaluations. Florida is a “direct access state.” This means you are allowed to go directly to a physical therapist without a physician’s referral first and receive treatment for 30 days. Often a child is referred to us based upon a condition that requires rehabilitation. Parents may also notice a delay in developmental skills, or be currently enrolled in physical therapy and can contact us for a screening or evaluation.
Remember that school district physical therapists operate under separate guidelines than private practitioners. For a child to receive physical therapy in the schools it must prove to be “educationally relevant” and must focus on educational goals and objectives. Your child may have been dismissed because they had reached a higher level that is not seen as “educationally relevant” or easily addressed in the school setting. If you feel that your child still needs physical therapy services, you have the right to pursue private treatment from a pediatric physical therapist in a private practice setting.