Frequently Asked Questions

How long is my appointment?

Innova strives to give the best value and health care to our patients. Our practice model is unique and provides patients with 60-minute appointments one-on-one with your therapist. Both your initial evaluation and follow up appointments are 60 minutes.

 

What should I wear to my appointment?

Wear comfortable clothing that does not restrict your motion and will facilitate the visualization of the spine.

 

What should I bring to my appointment?

Bring a copay if applicable.

Bring a prescription or referral from your physician.

Bring all related medical records and/or diagnostic reports (X-rays, MRI, etc).

Bring a valid insurance card or claim information (motor vehicle or Labor & Industries).

Please print the new patient forms, fill them out, and bring them with you to your appointment.

Orthotic appointments: Be sure to bring the footwear that we are crafting the orthotic for with the same suggested clothing described above.

TMD appointments: Please bring all splints, retainers, night guards, and a copy of your panoramic x-ray.

 

How many visits am I allowed to have?

When you set up your initial appointment, our front desk collects your insurance information. They use the information you give to them to check online portals and call your insurance for specifics regarding your coverage and how many visits you may have. We provide this information at your first visit. We cannot guarantee accuracy through our online portals, so we recommend the patient to call their insurance company to confirm the information we provide.

 

What if you don’t take my insurance? (Not in Network)

You can self pay. There are two type of self-pay.

  • Self-pay discounted rate. This is not reimbursable by your insurance. Payment is due at time of service.
    • $150.00 for Physical Therapy Evaluation
    • $125.00 for Physical Therapy Follow Up appointments
    • $80.00 for 60-minute Massage Therapy appointments (typical)
    • $120.00 for 90-minute Massage Therapy appointments
  • Self-pay insurance rate. This rate includes diagnosis and procedure codes that will allow you to seek reimbursement by your insurance. Payment is due at time of service.
    • $250-400.00 for Evaluation
    • $175-225.00 for Follow Up appointments
    • $120.00 for 60-minute Massage Therapy appointments

 

What if I don’t have insurance?

You can self-pay at discounted rate, as described above.

 

How much does Physical Therapy Cost with insurance?

This depends on your insurance coverage. Almost all insurances have some type of coverage for physical therapy. It is less common for insurances to cover massage therapy.

Some patients pay a co-payment at each appointment, while others that are in-network are responsible for around $128 per appointment until they meet their deductible.

Please call your insurance prior to your visit in order to have a proper understanding of your financial commitment.

 

What if I was in a car accident?

You have to have PIP (personal insurance protection) available to you. We will bill them in your behalf.

We do not accept:

  • 3rd party payers (if you are the passenger, we cannot accept driver’s insurance. We can only accept yours)
  • Cases in litigation
  • Exhausted funds
  • Letter of lean
  • If you have an attorney involved

 

Do I need a referral?

Washington is a direct access state. This means that you can be seen by a physical therapist without a doctor’s referral. However, your insurance may require you to have a referral in order to reimburse your appointment.

Most insurances do not require a referral but can sometimes instead require approval through third parties like eviCore. Innova recommends getting a referral to help prove medical necessity if needed.

It is ultimately the responsibility of the patient to know the requirements of their insurance. We recommend verifying with your insurance to confirm.

Medicare patients absolutely must have a referral from an MD for physical therapy.

Premera Microsoft patients must have a referral from an MD for massage therapy.

Our in-house billing specialist can help you determine if you need a referral.

 

What is eviCore and careCore? How does this effect my appointments?

Evicore and carecore are synonymous. This is a company that is hired by your insurance carrier. They review your medical records and make decisions regarding your treatment with us. We are your advocates and always seek approval for your appointments.

You should receive letters in the mail regarding approval or denial for your visits.

Typically, you will receive a minimum of 6 visits before having to apply for more. Innova applies for move visits as needed and will communicate with you if you are not approved for further visits to discuss your options.

 

What if I forgot about my appointment or a schedule conflict came up?

Please call the front desk to cancel or reschedule. You can leave a voicemail if you are unable to reach someone. Any reschedule or cancel for any reason within 24 hours of your appointment is considered ‘late’ and is subject to a $60 fee.