Insurance Questions
Do you take insurance?
Currently, I am in network with HMSA PPO insurance. I am in the credentialing process to be able to also accept HMAA, and UHA PPO insurances, as well as Medicare, but this process may take a few more months. In the meantime, I am accepting cash payment.
I can provide you with a Superbill that you may submit to your insurance company for physical therapy services. However, it is important to note that I have no control over the level of reimbursement you might receive.
More information on Superbills and out of network care
Do I need a doctor’s referral?
For cash-based services, you do not need a doctor’s referral. The state of Hawaii is an unrestricted Direct Access State, which means a patient may receive physical therapy services without a referral from another healthcare provider. This allows for quicker access to care, less jumping through hoops to see someone, and thus quicker recovery and results. Upon our initial session, as well as ongoing throughout your care, I will evaluate if your condition is beyond my scope of practice, and I will refer you to the appropriate healthcare provider as needed.
It is important to note, however, that if you do plan to submit a Superbill to your insurance, then you will want to check with your insurance company what is required in order to submit. They may require a referral or pre-authorization for reimbursement.
Can I see you for physical therapy if I have Medicare or Medicaid?
Unfortunately, I cannot accept cash payment for physical therapy services if you have Medicare or Medicaid as your insurance. Medicare and Medicaid do not allow cash payment for services that they cover, which includes medically necessary physical therapy. I may work with you for wellness services, but not physical therapy. I am currently going through the credentialing process to be able to accept Medicare, but this may take months (I will update this once that goes through).