Medicare FAQs

  • Do you accept Medicare?

    Yes! We are in-network with Medicare Part B, which means we can bill Medicare directly for your physical therapy services if you have traditional Medicare coverage.

  • What if I have a Medicare Advantage plan?

    We are not in-network with Medicare Advantage (Medicare Part C) plans. If you have a Medicare Advantage plan, you can still receive care at our clinic as an out-of-network provider, but you will be responsible for payment at the time of service. We can provide you with a receipt (superbill) that you may submit to your plan for potential reimbursement, depending on your policy.

  • Do I need a physician’s referral to start physical therapy?

    In Colorado, you do NOT need a physician’s referral to begin physical therapy. Colorado is a direct access state, meaning you can start treatment with us right away. However, if you are using Medicare Part B, Medicare does require that your physical therapy plan of care be reviewed and signed by a physician or other qualifying provider (such as a nurse practitioner) within 30 days of your first visit. We can help coordinate this process if needed.

  • Will I have any out-of-pocket costs if I have Medicare Part B?

    Medicare typically covers 80% of the approved amount for outpatient physical therapy services after your annual deductible is met. The remaining 20% is your responsibility, which may be covered by a secondary insurance or supplement plan if you have one. We can help verify your benefits before your first visit so you know what to expect.

  • If I have a secondary insurance that typically covers my 20% can you submit to them to cover it?

    Unfortunately, we are not able to submit your claim to an insurer besides Medicare. However, we are able to provide you with a superbill you can submit to try and receive some form of reimbursement.  Please note that we are out of network with all insurers except Medicare and this may affect your ability to receive reimbursement for your 20%.  We recommend calling your insurance to learn the specific details and requirements of your plan. 

  • Why should I choose your practice for Medicare-covered physical therapy?

    Unlike many traditional clinics that see multiple patients at once, we provide one-on-one, hands-on care that is highly individualized. Our focus is on getting you better faster so you can stay active and enjoy the activities you love.  At our clinic you will work with the same therapist at each visit and can expect to spend the full length of your treatment with your therapist - we do not use aides or assistants - instead our focus is 100% on you each and every visit.

  • How do I get started?

    If you have Medicare Part B, we can verify your benefits and schedule your first appointment. If you have a Medicare Advantage plan, we can discuss your out-of-network options. Call us at (303) 993-2237 or schedule an appointment online by clicking here.