Patient Resources
Your First Visit
- Each visit, including your initial evaluation, will involve 60 minutes of hands on assessment and targeted exercises.
- Prior to your first visit, you will receive an email with clinic paperwork and instructions to get into the building. Please submit completed forms ahead of time, or arrive 10 minutes early to complete them in the clinic.Â
- Wear loose, comfortable clothing so the treating therapist has access to assess specific body structures (loose t-shirts or tank tops for the upper body, and shorts for the lower body).
- A referral is no longer required to see a physical therapist, however, feel free to bring relevant paperwork from your other medical providers detailing your current injury, precautions, or rehabilitation protocol.
Insurance
- We are In-Network with BCBS, and as a courtesy, we will look up your specific plan and let you know what your physical therapy benefits are. It is the patient's responsibility to verify insurance benefits and network status prior to services being rendered.
Dynamic Physical Therapy accepts Medicare, but is a Non-Par provider with Medicare. As a non-par provider, Dynamic Physical Therapy will bill a Medicare patient for their physical therapy sessions based on a Medicare fee schedule at the time of service. Dynamic Physical Therapy will also bill Medicare for the patient at the time of service. The Medicare patient should receive reimbursement (in approximately one month) from Medicare and their secondary insurance. This reimbursement should cover approximately all but 15% of what was charged from Dynamic Physical Therapy.
Dynamic Physical Therapy is not responsible for the reimbursement payment. It is the patient’s responsibility to follow up with Medicare and their secondary insurance with any questions. Please submit a copy of your Medicare card and secondary card to [email protected]
- We also recommend that you periodically check your benefits throughout your plan of care to stay up-to-date on any visit limits your insurance plan may apply to physical therapy services.
- Keep in mind that many policies combine physical therapy, occupational therapy, speech therapy, and chiropractic care within their visit limits. Please notify your therapist if you are seeing one or more of these providers, as this may affect the amount of visits in your case.
Self-Pay
- The self-pay rate is $175 for the initial evaluation and $150 for each follow-up visit. This rate is based on market standards, and cannot be negotiated. Each session includes one hour of one-on-one work with an experienced physical therapist. As a courtesy, we will provide you with a receipt so you may submit to your out-of-network insurance for possible reimbursement.
- We also offer an individual rate for Dry Needling only. Please contact us at (312) 643-1555 or [email protected] to learn more.
Appointment Cancellation Policy
- Your appointment time has been reserved just for you. Keeping all your appointments is an integral part of your recovery and ability to make progress. If you need to cancel an appointment, please be aware of our requirement for at least 24-hour notice. Failure to cancel your appointment with more than 24-hour notice will result in a $75.00 cancellation fee, if the appointment cannot be rescheduled within the same calendar week. Insurance will not pay for this fee, and you will be required to pay it at your next visit.
Forms
- Click below to access our intake paperwork via IntakeQ. All forms will be submitted and stored in our secure electronic medical record system. Please complete these forms prior to your initial evaluation.
Billing Statements and Payment
- Billing statements go out each month for patients utilizing insurance that display your financial responsibility. Billing is done at the beginning of the following month. Invoices will be sent via email, including a link.
- Self-pay, estimated deductible payments, and co-pays are due at the time of service. We accept Zelle, Venmo, credit cards, HSA, FSA, cash, and checks. We also require a credit card to be kept on file. This will be kept in a secure/encrypted database.
- Zelle:Â Dynamic Physical Therapy Chicago, LLC (312) 778-6455
- Venmo: @dynamicpt
- Please be aware that a $10 Late Payment Fee will be enforced if payment is not submitted within 60 days of receiving your billing statement. An additional $10 fee will be accrued each month that passes without payment. Outstanding balances of 90 days and greater are turned over to collections. This is our standard office policy for all delinquent accounts. If ever there is a question about a bill, please contact us as soon as possible.
- If you would like to set up a payment plan, please contact [email protected], and we will happily negotiate the terms of the payment plan on a case-by-case basis.
Good Faith Estimate
- Patients who do not have insurance, or are not using insurance, have right to receive a good faith estimate for the cost of their physical therapy care. Throughout your plan of care, other services may be recommended by your physical therapist, that were not originally estimated within the good faith estimate. If your bill exceeds the estimate by at least $400, a dispute for that statement may be filed.