600 Valley Centre Dr,
Driggs, ID 83422
(208) 354-0089
Common Insurance Questions
⭐We are here to help!⭐
If you have any immediate inquiries, please look below at our frequently asked questions regarding insurance, or navigate to another page listed below.
For more specific information, please contact our clinic directly.
In-Network VS Out-of-Network:
✔️"In-Network" simply means that our clinic is in a contract with a particular insurance provider. It also means that we are able to reach out to them on your behalf and verify information regarding your benefits for you. If we are "In-Network," we will be able to see if your insurance will authorize future visits and how many.
❌To be "Out-of-Network" simply means that you, as the subscriber, will need to call your insurance and verify benefits on your own. The clinic will not be involved in that process if we are "Out-of-Network" with said insurance. We can provide you with billing information that you can then submit yourself for out-of -network processing. You will be seen at our clinic as a Cash Pay ( Self Pay) Patient.
What insurance do you accept?
As of January of 2026, we are "In-Network" with the following insurance companies:
✅Blue Cross of Idaho, which may include other states Blue Cross plans ( This does NOT include Blue Shield or Regence Blue Shield Plans)
✅Blue Cross Federal
✅Blue Cross of Wyoming
✅Select Health
✅Pacific Source
✅Mountain Health Co-Op of Utah
✅Cigna - some plans
✅Idaho Workers Compensation (State Insurance Fund)
✅State of Wyoming Workers Compensation
✅Intermountain Claims Inc.
✅ other Local Workers Compensation Plans - we accept most workers compensation insurances for businesses located in Teton Valley, Idaho
*Please note that coverages may vary depending on the situation at hand. We cannot promise full benefits with insurances we are In-Network with, but we do our very best to advocate for the patient in terms of sessions covered. If eligibility is low-to-none, please consider signing up for our cash-pay plan!
Will my insurance cover PT?
This depends on the insurance company you subscribe to. After getting in touch with our clinic and swapping insurance information, we will be able to reach out to your provided insurance and find out how many sessions they will authorize.
How do I know if my insurance is In- or Out- of Network?
The list posted above mentioning insurances we are currently In-Network with is a good place to double check. If you have any further questions or concerns referring to this topic, please call our clinic via the number listed at the top of this web page. We will be happy to assist you!
How many sessions will my insurance cover?
This depends on the information we receive upon reaching out to your insurance provider. We will be able to find out these answers for you after getting a chance to gather some of your insurance information from you personally.
Do you accept Medicare/Medicaid?
❌ No, at this time, we are not contracted with Medicare or Medicaid.
✅ We’ve made this choice so we can focus on providing personalized, high-quality care without the limitations that often come with insurance regulations. Many of the services we offer are not covered by these plans, and operating outside of them allows us to put your care and needs first.
If you choose to receive care with us, visits are offered through our Self-Pay Plan. Please note that services are not eligible for out-of-network reimbursement submission.
If you have any questions, we’re happy to help and would love to talk more about how we can support your care!
Do I need a referral from my doctor before coming in?
For most insurance plans, a doctor's referral is not required to be seen for physical therapy, but this does vary for each insurance plan, and you may want to check with your specific insurance provider. A doctor's referral is NOT required if you are Self Pay.
If you are a Worker's Compensation Patient, you will need a doctor's referral,
Deductibles VS Copays VS CoInsurance:
A deductible is the amount you pay out of pocket for covered health care services before your insurance plan begins to pay. This is typically a set dollar amount.
A copay is a fixed amount you pay for certain covered services, such as specialist provider services (which may include physical therapy). Copays often apply even if you have not yet met your deductible, depending on your plan.
Coinsurance is the percentage of costs you share with your insurance company after you’ve met your deductible. For example, you may pay 20% of the cost of a service, while your insurance covers the remaining 80%.
