We participate in the following health plans and networks:
Aetna . Active Care . Align Network . AmeriHealth . Argosy . Beech . ChoiceCare/Humana . CIGNA Health Care . Commonwealth of PA(KeyScripts) . CompAmerica/EOS . CompServices . CorVel CorCare . Devon Health Services . Dept. of Labor . Coventry/First Health . FOCUS . Gateway . Health America . Health Assurance . Highmark . InterGroup . Integrated Health Plan . Managed Medical Assurance . Multiplan . Ohio BWC . OptumHealth Care Solutions . Physicians Health Services . Preferred Provider Network . Premier Comp Solutions . Prime Health Private Health Care Systems . Procura . SelectCare Access . Tricare . TheraMatrix . UnitedHealthcare/Optum Health . UnitedHealthcare Community Plan . UPMC(HMO,PPO,EPO, Advantage For Life) . USA . MCO . VA . WorkWell.
Click here to go to Schedule Appointment
If you do not see a plan, please call (800) 783-1008.
Managed Care Benefits
PHYSICAL THERAPY MANAGED CARE BENEFITS/PRIOR AUTHORIZATION
Scheduling and Billing: 1-800-783-1008 www.theptgroup.com
Outpatient Physical Therapy Centers
Apollo . Connellsville . Derry . Greensburg-Pellis Rd . Greensburg-Ortho & Sports-Rugh St . Greensburg-W. Newton St . Harrison City . Irwin/N. Huntingdon . Jeannette . Johnstown/Richland . Latrobe . Lower Burrell/New Kensington . Monroeville . Moon Township . Mt. Pleasant . Murrysville . New Alexandria . Penn Hills . Pittsburgh-Downtown . White Oak/McKeesport
Derry . Greensburg-Pellis Rd . Harrison City/Penn Twp . Irwin/N. Huntingdon . Jeannette . Johnstown/Richland . Latrobe . Lower Burrell/New Kensington . Monroeville . Moon Township . Mt. Pleasant . New Alexandria . Penn Hills . Pittsburgh-Downtown . White Oak/McKeesport
Below is a summary of physical therapy benefits and prior authorization requirements of managed care organizations. If you are aware of changes, or plans that you would like us to participate with, please contact Walt Henry, Director of Marketing and Development/Partner at 1-800-783-1008.
Direct Access Offices
Direct Access – Physical therapy evaluation and treatment without a physician’s referral for up to 30 days is permitted by PA legislation, regulation, and licensure. Highmark, Health America, and Aetna recognized and reimburse for Direct Access; Medicare and Medicaid managed care programs do not. All other insurance is authorized on a case-by-case basis.
The following offices accept Direct Access clients-
Apollo . Greensburg-Pellis Rd . Greensburg Ortho & Sports . Greensburg West . Harrison City/Penn Township . Irwin/N. Huntingdon . Jeannette . Johnstown/Richland . Lower Burrell/New Kensington . Monroeville . Moon . Mt. Pleasant . Murrysville . Pittsburgh/Down-Town . White Oak/McKeesport