Select your text size for this site here: Normal Text Medium Text Large Text

Insurance & Financing

Clear Passage has recently instituted financing options. These are provided by a finance company and available to patients, based on that company's credit criteria. Please contact CareCredit or our front office for the most current information.

Clear Passage Therapies does not accept insurance. The following information is intended to give you a guideline to determine how much, if any of your costs will be covered by your insurer.

Insurance

Our clinics address pain, adhesions and microadhesions that cause pain and poor function. We treat the adhesions. Decreased pain and increased function are secondary to our adhesion treatment.

We provide physical therapy (PT) services. Physical therapists are healthcare professionals. In the US, they are licensed by the state to treat pain and dysfunction.

While you will pay us directly for our services, some insurance companies may reimburse you for part or all of your therapy here, especially if you have complaints of pain. We will give you copies of all paperwork including your initial evaluation, daily notes, an itemized billing statement and a letter from our therapists to your insurer stating why they should cover 20 hours of "out of network" physical therapy (see last paragraph, at bottom of this page).

Our procedure codes are defined and approved by the American Medical Association, and include common PT codes such as:

You may feel more comfortable about possible reimbursement if you call your insurer to clarify your benefits before coming to our clinic. Here's what we suggest:

Call your insurer and inquire about your "outpatient physical therapy benefits." We are "out of network" for you. If you are coming to us for treatment of pain or adhesions, tell your insurer that you will be receiving "physical therapy treatment for pelvic adhesions" or "physical therapy treatment for pelvic (or other) pain."

Ask if you need preauthorization. If so, your doctor's office needs to contact your insurance company for an authorization number, which you will keep for your records. Ask if you need a physician's written referral. If so, have your physician write on his/her prescription pad "physical therapy for treatment of pelvic adhesions (or pain)." If you are coming for the accelerated program, it should specify "20 hours of therapy over five days." S/he should sign, date and hand you the note.

Accelerated program clients should tell their insurer that they will be receiving several hours of therapy a day (usually 4 hours a day for 5 days = 20 hours of therapy). Twenty hours of physical therapy per year falls within the parameters of most insurers, but some try to limit you to one hour of therapy a day. Tell them this is a special case, that this is one of the few clinics in the country which treat adhesions and/or pelvic pain without the risks of surgery or drugs. Remind them that therapy is much less expensive than surgery (which can cost $10,000 or more, with anesthesia and hospital surgery room charges). Ask to speak with a supervisor, if necessary. Record the name, time & date of the person with whom you speak.