Moving Into Harmony will work with you if you are choosing to utilize your medical health care insurance benefits. We provide physical therapy services with your out-of-network rehabilitation benefits. With the ever changing environment of health insurance we recommend you review your plan’s benefit descriptions AND call your health insurance agent, or a representative through the insurance company from the customer service number on your insurance card to:
- understand the deductible the insurance company has imposed for health care. This amount can change annually and best to know before starting treatment at Moving Into Harmony for your responsiblities.
- understand your co-insurance, you are responsible for, once your deductible has been met.
- answer your specific questions regarding required authorizations prior to treatment, specific limitations on your rehabilitation benefit from an out-of-netork provider.
- get clarity on the process of reimbursement (i.e., when you will see a check in the mail if you qualify for such).
They will recommend you see an in-network provider and try to steer you to make that choice. This is part of their job to make these suggestions, and sometimes ask why you are choosing to receive services from an out-of-network provider when you could be saving more money. and clearly help you understand your out-of-pocket expenses they impose on you to receive care.
It is very important you understand your coverage and financial responsibilities before receiving care under your medical health insurance policy.
If I choose to utilize my health insurance benefits for your services, do you bill my insurance?
- BILLING: we have changed our policy to submission. Due to the lack of timely payments, quality assurance, and “non” provider service as a non-contract provider we can not provide affordable care waiting and calling for unpaid services. We are happy to provide a paid invoice receipt (known as a “super-bill”) that you can submit to your health insurance company for your payments toward your out-of-network deductible, or any reimbursement based on your co-insurance responsibilities. It is ultimately your responsibility to follow-up with your insurance company to obtain information about your account. Help us by ensuring we have all of your updated insurance information to put on a paid invoice receipt.
- At each visit, you will be required to pay for services. Our policy regarding overpayment if your insurance company send a check to our office, we are happy to write a check of the amount to you, or credit your account.
- We realize that temporary financial problems may affect timely payment of your account. If such problems do arise, please contact us promptly for assistance. .
Do you take Medicare or Medicaid (Oregon Health Plan-OHP)?
Moving Into Harmony does not contract with Federal or State sponsored medical health insurance programs. These often require specific and restrictive contracts that limit the services provided. We are committed to offer the best practice services in the field of Manual Therapy and Movement Education that often exceed services provided by practitioners who contract with these programs. We invite you to experience our valuable best practice services and compare your experience of health care services.
Addendum – Moving Into Harmony will provide you with a detailed form explaining your services and specific cost of care, to provide clarity and assurance there are not extra or hidden costs to receive the care you want. An ABN Advance Beneficiary Notice of Non-coverage (ABN Form CMS-R-131) will be provided during your first visit specific to your care for this purpose.
Do you accept insurance for a Motor Vehicle Accident?
Under Oregon laws, you are covered for two years from date of incident for your Personal Injury Protection policy. We require that you know your coverage, your maximum benefit, and provide us with written information, including:
- date of accident,
- physician for your care,
- your available coverage,
- insurance company and claim representative names.
We recommend you review your policy benefit descriptions and call your health insurance agent that assisted you with your policy, or a representative through the insurance company you have representing your claim to answer your specific question about your benefits, and monies available for continued care (i.e. in Oregon the minimum benefit is $15,000 per incident, with more monies allowed based on your policy you contracted with). All services related to injuries and lack of function from an MVA, are financially your responsibility and the company you have contracted with; meaning, if the monies allowed are exhausted, you are responsible for reimbursing Moving Into Harmony for the services provided.
We also require a recent (1-3 weeks) prescription from a medical doctor (MD), an osteopathic physician (DO), a naturopath (ND), or a dentist (DMD). Referrals from a chiropractor (DC) per Oregon law, can not be accepted. The prescription must indicate the date of accident, the proper diagnostic coding for areas requiring treatment, frequency and duration of care.
If you are involved in a litigation or suit for continued care or support of the care you already received, it is important to inform us of your current situation including any legal representative and medical personal supporting you.
A release of medical information is required to communicate with any individual supporting your care.
What are the benefits of me participating in a cash-pay option?
Cash pay (often referred to as non-insurance reimbursed care) model for therapeutic intervention provides a broader range of individualized treatment approach that is tailored to your specific needs and goals for optimal recovery and beyond. Through assessing with a multiple system approach, not a symptom based management approach (areas and types of treatment dictated by insurance companies based on specific diagnosis). This approach allows for a more comprehensive treatment plan, more 1:1 time with a therapist, the fullest attention to your needs, and often a faster resolution of your challenges within a shorter time span because of the allowable integrative approach.
Further care may be available as a continuum and progression of your health and wellness goals, suited to your individual needs for the outcome(s) you are searching for. This is a benefit because you have developed a relationship with a therapist who understands your tendencies, your strengths and flexibility, your efforts, your interests and goals from the time spent assisting you in your recovery. Why not have the same therapist assist you into greater realms of health and well-being?
You may also see a reduction in the amount you pay because there are minimal overhead administrative costs and loss of time treating due to greater requirements by third party payers, giving more time to the therapist to work with you. We respect your decision and will always offer the best possible care under the circumstances of your situation.
How much is a visit?
Initial Consultation – $175 – $300 (see Your First Visit)
Initial Consultations are typically a 1&1/2 hour session, which includes the interview – history & review of systems, evaluation and assessment, treatment, movement education and initiating a home-self care program. A follow up email reviewing key points of your visit and references/resources is included in the fee for this session.
Manual Physical Therapy sessions – $200 – $250 (see description of service)
These sessions are time and service based. Per insurance codes (CPT codes), there are specific charges (reasonable and customary fees set by the Oregon Health Authority, per 15minute interval) for the type of skilled service provided, such as:
- Gait (walking) Training,
- Manual Therapy,
- Kinetic Activity (1:1 functional movement),
- Neuromuscular Re-Education (balance, coordinative activities), and
- Therapeutic Exercise (instruction in exercise program including home programs).
Sessions can be scheduled for 45, 60 or 75 minutes depending on your needs and treatment provided.
Please inquire with any questions you may have.
Movement Therapeutics sessions – $100 – $150 (see description of service)
These sessions are time based. Sessions are typically 50 – 75 minutes depending on your needs and treatment provided. These session are not medically based services as above, therefore do not qualify for coverage under your health insurance policy.
Please inquire with any questions you may have.
Packages & Discounts
We do not want finances to get in the way of you getting better. Packages are available to support consistency and continuity of care. It is possible that a portion of your payment for your package may qualify for a deduction from your health insurance (non-Medicare/Medicaid) deductible, or for reimbursement process. Please inquire into this option with the purchase of a package, and from your health care insurance representative.
Discounts are available for services paid at time of visit, private pay (no medical insurance billing or submission), students of the Hatha Yoga classes with Moving Into Harmony, and Federal Poverty sliding scale applicants.
Please inquire with any questions you may have.
Federal Poverty Guideline Sliding Fee Application
For those who may be experiencing financial hardship, sliding fees may be available to private pay patients who have no insurance coverage and have an annual combined household income that falls within the Federal Poverty Guidelines.
Please inquire with your questions or interest with this program.