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 2025, 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
✅Mountain Health Co-Op of Utah
✅Aetna - some plans
✅Cigna - some plans
✅Idaho Workers Compensation ( State Insurance Fund)
✅Wyoming Workers Compensation
✅ 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!
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!
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 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, we do not contract with either Medicare or Medicaid. ❌.
We have chosen to not participate with Medicare or Medicaid, as we believe that we can provide much better care to these patients if we are not constricted by the rules and regulations required by these plans. Also , there are many of our services that are not covered by Medicare or Medicaid. We prefer to provide the best care possible, and not be restricted by the guidelines and rules of these plans that are not always in the best interest of the patient. We prefer to put our patients' health first, not their insurance.
If you would like to be seen by our clinic, you will be signing up with our Self-Pay Plan.
It is important that you understand, that you will not be eligible to submit bills for out -of- network reimbursement.
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 Comp. Patient, you will need a doctor's referral,
Deductibles VS copays:
A deductible is the amount of money you pay for covered health care services before your insurance plan starts to pay. This is usually a dollar amount as oppose to a percentage.
A copay is a fixed amount you pay for covered services after you've met your deductible. Co-insurance is a form of a co-pay, that you pay a percentage of the medical bills compared to a set dollar amount.
*source: Google AI Overview
