Insurance

Networks

We are in network with :

  • Wellmark Blue Cross Blue Shield
  • United Health Care
  • Coventry
  • Align Networks
  • UMR
  • Aetna
  • Cigna
  • Medicare
  • Tricare

We are not in network with insurance that is specific to:

  • Unity Point
  • Mercy Catholic Health Initiatives

Unity Point and Mercy specific health plans will not allow us in network as we are a private clinic and not part of their system

We are not in network with Iowa Medicaid

Unfortunately we are a small clinic and the timeliness of payment and authorization for physical therapy services is prohibitive to us offering quality care.

What you need to know about insurance

  • Most insurance companies require a referral from a physician
    • Blue Cross Blue Shield does not – they are a direct access carrier
  •  Most insurance companies have a visit limit per calendar year
    • Some can be extended based on medical necessity, some are a hard max no matter what the issue
  • We bill as an office setting
  • If you call to check your own benefits this is a crucial piece of information to provide as it can make the difference in whether your visit is applied to deductible or subject to a copay.
    • Some insurance companies apply chiropractic visits toward your physical therapy count for the calendar year. Please inform us if you are under the care of a chiropractor.

Cost per visit

  • We will check your benefits prior to or during your first appointment. If you have questions about benefits please contact our office manager at janis@absoluteperformancetherapy.com.
    • With proper information given, you will not leave our office without knowing your patient portion per treatment. We pride ourselves on making sure there are no surprises with your benefits.
  • Depending on your plan you will have a standard copay per visit or you will have a coinsurance per visit (a percentage of the visit that you are responsible for)
  •  Copays and coinsurance are due at the time of treatment
  • We have a cash rate of $100/visit if you chose to not utilize your health insurance or you have no health insurance.