*COVID-19 UPDATE*

Our facility is open at this time and complying with the Health Officer Order to Shelter in Place issued in Santa Clara County. We have created and implemented the following social distancing protocol at our facility:

  • Face coverings are required by all patients and staff.
  • All patients must wash their hands upon arriving and before leaving.
  • Patients will be screened before given an appointment.
  • Patients that are sick (fever/cough) will be denied an appointment until cleared by a doctor as non-contagious and symptoms are gone.
  • Patients who have travelled or been in contact with anyone who has travelled in the past 30 days, will be denied an appointment for 14 days from last exposure.
  • Staff who exhibit COVID-19 symptoms will not be working until clearedby a doctor as non-contagious and symptoms are gone.
  • Only a limited number of patients will be allowed in the clinic at one time in order to maintain at least 6 feet social distancing from individuals. Please keep in mind that this may lead to limited appointment availability.
  • Hand sanitizer is available at the entrance, as well as two handwashing stations throughout the clinic.
  • Apple pay may be used for contactless payment, and payment portals will be cleaned after every interaction.
  • All equipment and tables will be disinfected after each use.
  • All tables and equipment are at least 6 feet apart.

We will continue to comply with all Santa Clara County orders and help in flattening the curve of the COVID-19 pandemic. According to Dr. Luis Matos, an expert in host/pathogen interactions, physical therapists play an important role in helping people improve and keep them out of doctor offices/ER's. This will limit the exposure of these patients as well as keep medical teams free to treat those impacted by COVID-19.

Click Here For COVID-19 Frequently Asked Questions for Patients

Insurance

We accept Medicare, workers compensation, and most private insurance plans. Please call us for more detail regarding insurance and fees. Our staff will verify and explain your benefits before treatment.

Health Insurance Terms

Below, you will see a list of terms that pertain to insurance coverage and payment for health services.

  • Co-insurance: in indemnity, the monetary amount to be paid by the patient, usually expressed as a percentage of charges.
  • Co-payment: in managed care, the monetary amount to be paid by the patient, usually expressed in terms of dollars.
  • Consumer Driven Health Care (CDHC): refers to health plans in which employees have personal health accounts such as a health savings account, medical savings accounts or flexible spending arrangement from which they pay medical expenses directly.
  • Deductible: the portion of medical costs to be paid by the patient before insurance benefits begin, usually expressed in dollars.
  • Denial: refusal by insurer to reimburse services that have been rendered; can be for various reasons.
  • Eligibility: the process of determining whether a patient qualifies for benefits, based on factors such as enrollment date, pre-existing conditions, valid referrals, etc.
  • Exclusions: services that are not covered by a plan.
  • Flexible Spending Arrangements (FSAs): an account that allows employees to use pre-tax dollars to pay for qualified medical expenses during the year. FSAs are usually funded through voluntary salary reduction agreements with an employer.
  • Gatekeeper: in managed care, it refers to the provider designated as one who directs an individual patient's care. In practical terms, it is the one who refers patients to specialists and/or sub-specialists for care.
  • Health Maintenance Organization (HMO): a form of managed care in which you receive your care from participating providers.
  • Health Savings Account (HSA): a savings product that serves as an alternative to traditional health insurance. HSAs enable you to pay for current health expenses and save for future qualified medical and retiree health expenses on a tax-free basis.
  • Managed Care: a method of providing health care, in which the insurer and/or employer (policyholder) maintain some level of control over costs and utilization by various means. Typically refers to HMOs and PPOs.
  • Member: a term used to describe a person who is enrolled in an insurance plan; the term is used most frequently in managed care.
  • Open Enrollment: a set time of year when you can enroll in health insurance or change from one plan to another without benefit of a qualifying evening.
  • Out-of-pocket: money the patient's pays toward the cost of health care services.
  • Payer: the party who actually makes payment for services under the insurance coverage policy. In the majority of cases, the payer is the same as the insurer. But, as in the case of very large self-insured employers, the payer is a separate entity under contract to handle the administration of the insurance policy.
  • Policyholder: purchaser of an insurance policy; in group health insurance, this is usually the employer who purchases policy coverage for its employees.
  • Preferred Provider Organization (PPO): a form of managed care in which the member has more flexibility in choosing physicians and other providers. The member can see both participating and non-participating providers. There is a greater out-of-pocket expense if member sees non-participating providers.
  • Premium: the cost of an insurance plan shared by employer and employee.
  • Provider: one who delivers health care services within the scope of a professional license.
  • Reimbursement: refers to the payment by the patient (first-party) or insurer (third-party), to the health care provider, for services rendered.

Reference: www.apta.org

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