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📍 Linden: (908) 925-9700 |📍 Metuchen: (732) 283-2500

INSURANCE & BILLING

Clear coverage.

No billing surprises.

 

Navigating insurance can be overwhelming. Our team checks your benefits, explains your costs and handles the paperwork — so you can focus on your recovery.

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

Not sure which option is right for you?

Let us know you’re out-of-network — we’ll handle the rest.

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.

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