FAQ
DO I NEED A DOCTOR'S REFERRAL?
You do not need a referral to use any of our services. However, if you plan on using a health benefit plan to cover the cost of your treatment, you should check with your insurer to see if a referral is required by your particular plan.
IS PHYSIOTHERAPY COVERED BY OHIP?
The provincial government health plan (OHIP) covers physiotherapy for people who are aged 19 and under and 65 or older. However, patients who fall within those age categories do require a doctor’s referral and must attend an OHIP-insured clinic. PhysioSense is currently not an OHIP-insured clinic. There is often a lengthy waiting list to receive services at OHIP-insured clinics, so if you’d like to be seen right away, we hope you’ll come see us at PhysioSense.
HOW SHOULD I DRESS?
Loose fitting clothing is always the best option. The area that is being assessed and/or treated may need to be exposed. For instance, if your knee is being assessed then shorts or athletic pants are great. When assessing a low back, a loose or stretchy waist band is helpful. If the problem is your shoulder, a tank top – or at least short sleeves – is best.
HOW LONG WILL I BE THERE FOR THE INITIAL ASSESSMENT?
Your assessment will take anywhere from 30 to 60 minutes. Occasionally, a more involved case may go a bit beyond an hour. There is paperwork that needs to be completed prior to your assessment, so it is important to either complete it ahead of time (you can print the forms from our website) or arrive a minimum of 20 minutes before your scheduled appointment time.
DO YOU OFFER DIRECT BILLING?
We are able to offer direct billing with certain insurance companies. If your insurance company is one of them, then we can obtain payment directly from them. If your coverage is partial, then you would still be responsible for any balance. If your insurance company does not allow for direct billing, then you would be responsible for paying the cost of your treatment and then submitting to the insurer for reimbursement.
WHAT HAPPENS I NEED TREATMENT BEYOND WHAT MY COVERAGE WILL PAY FOR?
We will most definitely try to work within your coverage limits, but we will also be very honest and let you know what is required to achieve full recovery. If your insurance doesn’t fully cover what is required, then we ask that you think about what’s most important to you – and we hope it’s your health. Perhaps consider what it would be like to not have any insurance at all!
CAN I USE MY PHYSIOTHERAPY COVERAGE TO RECEIVE MASSAGE THERAPY (OR VICE VERSA)?
If you have coverage that is designated for one particular service (e.g. physiotherapy), then that is the only service it can be used for. Applying it for use of another service is considered fraudulent and could result in very serious consequences for both you (the patient) and us (the provider). However, one of the great things about a multidisciplinary clinic like PhysioSense is that your condition can often be helped by more than one provider, thus making the most of your coverage.
Physiotherapy/Chiropractic Initial Assessment
$90
Subsequent physiotherapy session
$75/$45
Subsequent chiropractic session
$70/$45
Massage – 60min
$105*
Massage- 45min
$90*
Massage- 30min
$70*
*HST included
PhysioSense will bill your insurance carrier on your behalf when direct billing is possible.
In the following circumstances you will be responsible to pay at the time of service or product purchase:
- When you do not have any insurance that will cover the product or service, or when your insurance has been exhausted
- When your insurance carrier sends payment directly to you or requires that you pay and submit your expenses
- When your coverage does not pay 100% (you are responsible for the copayment)
- When a product is custom made (deposit is required before ordering)
I have reviewed the fee schedule and read and understand the above statements regarding financial responsibility.
