📍 Linden: (908) 925-9700 |📍 Metuchen: (732) 283-2500
HOW BILLING WORKS WITH US
01 Share your insurance details
Call us or bring your card when you book your first visit.
02 We verify your benefits
Co-pays, deductibles and authorizations — we check them for you.
03 Know your costs upfront
No guesswork — we walk you through your options before treatment.
PLANS WE ACCEPT
Insurance plans we accept
Search for your carrier or browse by plan type. Coverage varies by plan — we’ll confirm your specific benefits before your first visit.
Plan networks change. Please confirm coverage for your specific plan with our front desk before your first appointment.
MEDICARE & ADVANTAGE
Medicare
Original Medicare (Part B)
MEDICARE & ADVANTAGE
Aetna Medicare
Medicare Advantage
MEDICARE & ADVANTAGE
Cigna Medicare Advantage Plan
Medicare Advantage
MEDICARE & ADVANTAGE
HealthSpring Medicare
Formerly Cigna Healthcare
MEDICARE & ADVANTAGE
United Healthcare Medicare Advantage
Medicare Advantage
MEDICARE & ADVANTAGE
Wellcare Medicare
Medicare Advantage
MEDICARE & ADVANTAGE
Clover
Clover Health
MEDICARE & ADVANTAGE
Braven Health
Medicare Advantage
COMMERCIAL
Aetna Commercial
Commercial plans
COMMERCIAL
Anthem BCBS
Blue Cross Blue Shield
COMMERCIAL
Cigna Commercial
Commercial plans
COMMERCIAL
Centivo
Via ASH
COMMERCIAL
Emblem Health
NYCE PPO Plan
COMMERCIAL
Horizon BCBS
Incl. NJ Family Health, NJ Total Care, Omnia Tier 1
COMMERCIAL
Nippon Life Benefits
Commercial plans
COMMERCIAL
Oxford Health Plans
Commercial plans
COMMERCIAL
United Healthcare
Commercial plans
NY STATE PLAN
NY State Empire Plan
NYSHIP
NY STATE PLAN
NY State Excelsior Plan
NYSHIP
NY STATE PLAN
NY State Student Employee Health Plan
SEHP
NY STATE PLAN
NY Power Authority Health Plan
NYPA
VETERANS
Veterans Affairs Community Care Network
VA CCN
We couldn’t find that plan on our list
That doesn’t mean we can’t help. You may have out-of-network benefits — call (908) 947-3200 and we’ll check for you.
INSURANCE NOT LISTED?
You still have options
Our goal is to make your care as smooth and affordable as possible. Choose the path that fits you — or call us and we’ll help you decide.
OUT-OF-NETWORK
Out-of-network benefits
Pay at the time of service and we’ll give you a superbill to submit to your insurer for possible reimbursement.
âś“ Benefits verification included
âś“ Superbill provided for your visits
SIMPLE & TRANSPARENT
Transparent self-pay
No insurance, or prefer not to use it? Know exactly what each visit costs before you start.
Initial evaluation: [$ rate]
Follow-up visit: [$ rate]
FLEXIBLE
Payment plans & packages
Spread the cost of your care, or save with a multi-session package designed for committed recovery.
âś“ Flexible payment plans
âś“ Multi-session packages
How do I know if my plan covers physical therapy?
Call either of our clinics before your first visit. Our team will verify your benefits — including visit limits, co-pays, deductibles and any required authorizations — and explain what to expect.
What will I pay at each visit?
That depends on your plan. Your co-pay or co-insurance is typically collected at the time of service. We’ll go over your expected cost with you before treatment starts.
Do I need a referral or prior authorization?
Some plans require a physician referral or prior authorization for physical therapy. We check this when we verify your benefits and help coordinate any paperwork needed.
BILLING FAQ
Billing questions, answered
Still have questions about co-pays, authorizations or statements? We’re here to help.
How does out-of-network reimbursement work?
You pay at the time of service, and we provide a superbill — an itemized receipt with the codes your insurer needs. You submit it to your insurance company for any reimbursement your plan allows.
What forms of payment do you accept?
[List accepted payment methods — e.g. major credit cards, debit, HSA/FSA cards.]
I have a question about my bill. Who do I contact?
Call our billing team at (908) 947-3200 or email info@primehealthpt.com. We’re committed to transparency and happy to walk through any statement with you.
Ready to start? Let’s check your coverage.
Call either clinic or email info@primehealthpt.com — we’ll verify your benefits and help you book your first visit.
