Elder Source Community: Blue Cross Blue Shield Federal Physical Therapy Coverage

This guide outlines Blue Cross Blue Shields coverage of therapy services. As a Blue Cross Community Health Plans member you have access to medical dental vision behavioral health prescription drug coverage and more.

Http Www Bcbsm Com Pdf Hospitals Application Outpatient Physical Therapy Wp 0364 May 04 Pdf

Then choose your location.

Blue cross blue shield federal physical therapy coverage. Physical speech and occupational therapy All plans also offer preventive services at no charge. This policy includes criteria for coverage approval for both. BCBSNC does not provide.

August 6 2010 Effective Date. This help line is staffed all. Static progressive stretch devices are eligible for coverage.

You pay nothing 0 when you go to a doctor or health care provider in the plans network. However some self-funded accounts do combine the three therapies into one benefit. Includes physical occupational and speech therapies.

Habilitation services Physical occupational and speech therapies. Outside the United States. Protection from excessive or unexpected medical outlays.

Ember of the Blue Shield Association BSC803 Physical Therapy Original Policy Date. Physical therapy and. To be considered eligible for coverage PT services must meet all of the following criteria.

You can search for Blue Cross Blue Shield Federal Employee Program Physical Therapists by symptom or visit reason. The limit applies to visits in the home or at the Allied Specialists office or facility. Covered Services For physical therapy to be medically necessary it must be reasonable and necessary for the patients diagnosis or treatment of the patients condition.

Speech therapy ST benefits are generally not included in the combined PTOT short-term rehabilitation benefit. Benefits for services for physical therapy are determined based on the members contract benefit. Zocdoc is a free online service that helps patients find Blue Cross Blue Shield Federal Employee Program Physical Therapists and book appointments instantly.

The ACA mostly affects health insurance coverage that small businesses buy and individuals pay for on their own. Based on that information youll see a list of providers. BCBSNC will provide coverage for Physical Therapy Occupational Therapy and Speech Therapy when they are determined to be medically necessary because the medical criteria and guidelines shown below have been met.

Blue Cross Blue Shield members can search for doctors hospitals and dentists. If you have questions our nurses have answers. Covered Services For physical therapy to be medically necessary it must be reasonable and necessary for the patients diagnosis or treatment of the patients condition.

For general information refer to the Provider Manual. Spring-loaded orthotic devices are eligible for coverage when the patient is not responding favorably to conventional methods for restoring joint motion such as exercise andor physical therapy. 25 Physical Therapy and Occupational Therapy 15 Speech Therapy.

For general information refer to the Provider Manual. This follows a long history of ACA legal insurance and legislative action which included a first time chiropractic benefit into the Blue Cross Blue Shield Federal Employees Plan the expansion of coverage to include physical therapy services as well as preserving the physician status for doctors of chiropractic under the program. Select Blue Cross Blue Shield Global or GeoBlue if you have international coverage.

30 coinsurance for agents drugs andor supplies administered or obtained in connection with your care. Page 1 of 15. In the United States Puerto Rico and US.

You wont pay a copay or coinsurance for these services and you dont need to meet your deductible before you use these services. Benefits for physical therapy services are determined based on the members contract benefits. May 1 2021 Section.

Cost savings for in-network treatment. Coverage or limitations on Physical MedicinePhysical Therapy benefits. Limited to 20 Physical Therapy and Occupational Therapy visits combined and 20 Speech Therapy visits per calendar year.

Horizon Blue Cross Blue Shield offers many benefits for patients including. Some special benefits include. The 60-visit maximum combines benefits for physical therapy PT and occupational therapy OT services.

Blue Cross Blue Shield for Therapy Blue Cross Blue Shield is one of the largest health insurance companies in the US providing coverage for one in three Americans -- including mental health behavioral health and therapy services. Call the National Information Center at 1-800-411-BLUE 2583 weekdays from 8 am. Medical necessity is indicated when.

Hippotherapy is considered investigational for all applications. 30visit for primary care provider 40visit for specialist Not covered 50 visit limitcalendar year. Physical PT Occupational OT Speech Therapy.

Performed to meet the functional needs of a patient who suffers from physical disability due to illness injury congenital anomaly or prior therapeutic intervention. Affordable Care Act ACA The ACA has a limited impact on coverage offered through most large employers including the federal government. Physical Medicine - Limited to 20 visits per calendar year and 3 modalities per visit.

If youre looking for physical therapy insurance coverage through Horizon Blue Cross Blue Shield in New Jersey Twin Boro has you covered. Medical necessity is indicated when.

Https Www Bluecrossnc Com Document Rehabilitative Therapies