FAQs
A collection of frequently asked questions.
Insurance information
What is a referral ?
A referral is a written order from your physician/dentist to obtain specialty services
What is an authorization?
Some insurance providers require authorization to be obtained from them for certain specialties. Most require it AFTER the initial evaluation has been completed. Tricare Prime is the exception and they require Authorization PRIOR to the initial evaluation. (Side Note: “Referral & Authorization” are used interchangeably with Tricare Prime.)
Why do we require a referral?
A referral is required by most insurance companies to ensure that a patient is being seen by the correct provider(s) for the correct problem(s) or Issue(s). The referral also assists in obtaining payment and coverage from your health insurance.
What are your payment options?
- Insurance: We will bill your Health Insurance for services rendered. Please note you are responsible for the copay/co-insurance amount as well as any deductibles and/or out-of-pocket costs that are dictated by your health insurance provider. Monies will be due at the time services are rendered.
- Self-Pay/Bundle Packages: In the event that your insurance has a high deductible or limited coverage for services. We do offer a self-pay bundle package. Please speak with our front office for details.
- If you have an outstanding balance you will not be permitted to resume therapy until the balance has been paid.
Who are we in-network with (insurance providers)?
- Tricare Prime
- Tricare Select
- Optima Health Plans
- Virginia Premier
- Optima Family Care
- Cigna
- Anthem Blue Cross Blue Shield of Virginia
- Federal Anthem Blue Cross Blue Shield
- Anthem Healthkeepers
- Anthem Healthkeepers Plus
- Healthy Blue of NC
- Aetna
- Aetna Better Health of Virginia
- Medicare
- MedCost
- Direct Access Medicaid of NC