To get started, please call us at 510-547-1630 to schedule a physical therapy evaluation. Please have the following information available when you call us: (1) Your calendar; (2) Your insurance card (if you intend to use insurance to pay for your visits) and (3) Your referral or prescription (if you have one).
Does SOL Accept Insurance?
Yes! SOL accepts most major PPO’s, Workers’ Compensation, Auto Insurance, and Medicare Part B. If you do not have insurance or have a high deductible to meet, we offer discounted “private-pay” rates.
As part of our service, we will verify your benefits with your individual policy, and a Front Office Coordinator will meet with you to help answer any billing or insurance questions you may have. While we provide insurance estimates as a courtesy, all patients are strongly encouraged to verify their coverage directly with their insurance provider.
Will all of my treatments be covered by my insurance?
Coverage varies on a plan by plan basis. Your contribution will depend entirely on your insurance company and the plan you are on with them. Much of the physical therapy you receive is billable to insurance and will be covered as part of your insurance. Our services do qualify for Health Savings or Flexible Spending account use.
Many of the most innovative – and most effective – treatments offered at SOL are not fully covered by traditional insurance. If you wish to have these ‘concierge’ services, or if you have a high deductible to meet or no insurance, we offer our popular discounted “private-pay” rates to all our clients and patients! Bottom line – you don’t have to be an elite athlete to receive the best treatments!
Why is SOL out of network with my insurance?
Every decision we make at SOL revolves around our mission: Helping active individuals reach their performance goals. We help our patients reach their goals by taking the time to customize a treatment plan specific to their unique case, and by modifying that customized treatment plan as they progress. If we aren’t in network with your insurance company, it’s because their allowable rate does not enable us to spend enough time with you. If we took your insurance, we would have to modify our successful model around the insurance company.
If we aren’t in network with your insurance, we offer ways to help you manage the cost of visits and we are happy to provide everything you need to submit to your insurance company for reimbursement.
Do I need a physician’s prescription or referral before receiving treatment?
No, you do not need a physician referral to set up an appointment at SOL Physical Therapy, but if you have one please bring it with you. California is a “direct access” state, which means that you may receive physical therapy services without a physician prescription or referral, although most insurance companies continue to require it for billing purposes.
If you do not have a referral then you will need to pay out of pocket at time of care. If you plan to be reimbursed by your insurance, you will still need to pay out of pocket at time of care and we will provide you a receipt for you to submit to your insurance carrier.
If I don’t have a referral, will insurance reimburse me for the out-of-pocket cost of my treatment?
Insurance carriers honor direct access on a plan-by-plan basis. We recommend you call your insurance carrier for more information. You should be able to print claim forms off your insurance carrier’s website and send it in with the receipts and treatment codes that will be provided upon request by the clinic. The amount of reimbursement is completely dependent on your insurance plan. If you call your insurance provider, you should ask about reimbursement for “out-of-network” Physical Therapy expenses.
My physician referred me to another physical therapy clinic. Can I still come to SOL for physical therapy?
Of course! As a patient you have the right to receive physical therapy at any place you choose. If you feel that SOL Physical Therapy is a better match for your needs, you may bring your physician’s referral to us and we will honor it. We will also be happy to speak with your physician about your choice, if needed. At SOL Physical Therapy, you will receive the highest quality care while achieving the results you need. We are confident in our ability to help you reach your goals and live a pain-free life.
How many physical therapy visits will I need?
This really depends upon your goals and condition. If your issue is simple, you could need only a few sessions. If your issue is chronic or complex, it could require 12 sessions or more. During your initial physical therapy evaluation, your physical therapist will estimate how long it will take to help you reach your stated goals. As you go through this estimated plan of care, your physical therapist will adjust the estimate as you progress.
How long do visits last?
Based on your needs, visit times may vary slightly from session to session. For your physical therapy evaluation, we recommend you set aside about one to 1.5 hours to complete all the necessary paperwork and orientation steps along with your evaluation. Your follow-up visits should be about an hour in total. Complex cases may take more time.
What should I bring to my first appointment?
When you come to SOL Physical Therapy for your first visit, our front desk staff will ask for the following:
• Driver’s License or identification
• Insurance Card
• Physician prescription/referral (if you have one)
• Form of payment (cash, check, or credit/debit card)Y
You should wear comfortable clothes such as shorts, T-shirt or athletic wear which will allow access to the affected area of your body.
How soon can I schedule a physical therapy evaluation?
For new patients with flexible schedules, we generally have open availability for physical therapy evaluations between 24 and 48 hours from the time you call us to schedule.If your schedule is more limited, or if you have a particular physical therapist in mind, we may have to look farther in the future to accommodate an evaluation that matches your needs.
I’m running late! What do I do?
Call us right away, and let us know how late you think you’ll be. Depending on how late you’re running, we will do the following:Less Than 15 mins: We will alert your physical therapist that you’re running behind schedule, and we will ask them if there are any specific instructions we should give you to expedite the start of your visit upon arrival.More Than 15 mins: At this point, your physical therapist will be unable to see you, and this appointment is considered a “No-Show.” You will be charged the $65 cancellation fee unless we can reschedule your appointment to later the same day.
I just found out I can’t make my next appointment! What do I do?
Give us a call right away. If you give us more than 24 hours notice, we will take your next appointment off the schedule, move it to another open appointment that same week, or move it to the end of your scheduled visits.Did you get routed to our voicemail? Leave a message and your reason for cancelling (especially if it’s over the weekend or when we’re closed). As long as we have a time stamp proving that you called more than 24 hours in advance, you will not be charged a cancellation fee.Is your appointment less than 24 hours away? Give us a call right away. If we can reschedule you to another appointment the same day or if we can can find another patient to fill your spot, the cancellation fee will be waived.
How far in advance should I schedule my follow-up appointments?
We recommend you schedule all the appointments indicated on your prescription, referral, or plan of care right away.If you are coming to the end of your first set of scheduled appointments, we recommend booking additional appointments 1 -2 weeks in advance.Although our front desk coordinators will do everything possible to ensure you have a consistent physical therapy schedule, we cannot guarantee there will be space for your appointments if you do not schedule them ahead of time.
At SOL Physical Therapy, we want to maximize your time with us. Prior to your first visit, please click on the applicable forms below, fill out and submit online.