Terms & Policies

 

Thank you for choosing Spero Rehabilitation, LLC as your rehabilitation provider. We are committed to providing our patients with the best available medical care. Our billing department will be available to discuss our fees and policies with you if you have an questions. We ask that all responsible parties read and initial our financial and office policies prior to being seen by a therapist:

NO SHOWS AND CANCELLATIONS:

If you fail to show for an appointment without a phone call to cancel, you will be assessed a $40 fee to your account. We require a 24 hour advance notice if you want to cancel or change your appointment.This fee is not covered by your insurance.

LATENESS:

Being more than 15 minutes late may require you to reschedule, however, a $20 fee will be charged and partial services may still be offered at the discretion of the therapist.

COPAYS, COINSURANCE & DEDUCTIBLES:

All copays, deductibles, and/or coinsurances are due at the time of service. We do not choose these fees. They are provided to our office by your insurance company when we call to verify benefits and/or the terms agreed upon by you (or your employer) and the insruance company. It is unlawful to avoid paying your copay, coinsurance or deductible. Under Federal Standards, you may NOT routinely evade paying your responsibility portions for medical care as outlined in your insurance plan even if your doctor allows it.

PERSONAL CHECKS:

Any personal check returned for insufficient funds will be charged a fee of $35 in addition to the amount of the check. After one instance of a returned check, all further payments will be required to be in the form of a credit card or cash.

REQUEST FOR MEDICAL/BILLING RECORDS:

There is a $25 fee per case (example: PT case, OT case, SLP case) per request for copies of medical and/or billing records.

PCP REFERRALS:

Some insurance companies require an authorization for your Primary Care Physician (PCP) in order to receive physical therapy services. Please note that this is different from an order for physical therapy. This is authorization that your PCP must get from your insurance provider. Our office must have this in hand at the time ot your first appointment.

YOUR RESPONSIBILITY:

We verify insurance benefits as a courtesy to our patients. All charges are your responsibility whether your insurance company pays or does not pay. Not all services are a covered benefit in your medical plan. Some insurance companies select certain services they will not cover. Please contact your insurance company if you have questions as to what is covered. You are ultimately responsible for all charges that are not covered under your health care policy.

NOTE:

Your insurance is a contract between you (or your employer) and the insurance company. We are not a party to the contract. It is very important that you understand the provisions of your healthcare policy. We cannot guarantee payment of all claims. If your insurance company pays only a portion of a bill or rejects your claim, any contract or explanation should be made to you, the policy holder. Reduction or rejection of any claim by your insurance company does not relieve you of your financial obligation. In the event that your insurance company pays us for a claim that you had already paid and you are due a refund, we will be happy to expedite your refund or credit your account.

VISIT LIMITATIONS:

It is your responsibility to keep track of the number of visits that your insurance company covers per year. Going over the limit will cause claims to be denied and will ultimately be your financial responsibility at time of service.