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Patient Resources


Patient Forms

Patient Registration Forms-English

Patient Registration Update Forms-English

Patient Registration Forms-Spanish

Medicare Forms



Upon your first visit to Excel Physical Therapy, you will need to complete the Patient Registration Forms. Also, please bring your health insurance cards and a photo ID.


Excel Physical Therapy will work with you in order to make the billing process as smoothly as possible and ensure your questions are answered along the way.

 

Some insurance questions you may have:

AARP Medicare Complete PPO

Allegiance

Anthem PPO

Blue Cross Blue Shields FL

Cross Blue Shields FL: FEP

Blue Cross Blue Shields Medicare Advantage

Blue Cross Blue Shields all states

Cigna PPO

Community Health Partners

Humana ChoicePlus Medicare PPO

Medicare (Part B)

Medicare RailRoad

Meritain Collier County Sherriff Department

United HealthCare PPO

TriCare for Life

TriCare East

Veterans Administration

WellMed

***If you do not see your insurance above, please contact our front desk at 239-213-4295, and we will be glad to verify your benefits, and let you know if your insurance will cover this service with us.***

A deductible is the amount you are responsible to pay for medical services before your health insurance begins to pay. If your health plan deductible has not been met, we may be required to collect a portion of that payment at each visit.

An Out of Pocket amount is when your insurance starts to cover, once you have met your Deductible. Most insurances cover at 20/80 after Deductible is met. Which means insurance will cover 80% of the visits and 20% (the Out of Pocket amount) is patient's responsibility. Once a patient meets their Deductible and Out of Pocket, then the insurance usualy covers at 100%.

Coinsurance is a form of cost sharing that requires you to pay a percentage of your medical services after your deductible has been met. Based on your insurance plan, we may be required to collect a portion of your coinsurance at each visit.

A copayment is a fixed amount you will pay for medical services at each visit. If your plan has a deductible for therapy services and it has not been met, you will be required to satisfy your deductible before the copayment will apply.

Your copayment amount is based on your contract with your insurance company usually chosen by you or your employer.

We accept all major credit cards (except American Express), cash or checks. Payments are made at the office, or over the phone.




 

 

Excel Physical Therapy of Naples, Inc.

13020 Livingston Rd., Ste 9

Naples, FL 34105

Phone: (239) 213-4295

Fax: (239) 354-9121

excelptofnaples@gmail.com



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