Telehealth FAQs

General Questions:
  • What is a Telehealth visit?
    Patients will be able to get real-time treatment from one of our Physical Therapists via video conferencing. Sessions last about 25-60 minutes, and can be booked within clinic hours, Monday through Friday from 8am to 5pm.

    As of April 6, 2020, we are now offering Initial Evaluation appointments via Telehealth. Self-pay rates are as follows: $145 for Initial Evaluations, $80 for Follow-Up Office visits. For more information about Telehealth insurance coverage, see the Insurance Questions section below.

  • What will I need for my Telehealth session?
    We are conducting visits using Zoom. Access to a computer, tablet, or phone with reliable internet connection is required. It is recommended that you download the application on your phone or tablet prior to your visit; you can access the session from your browser on a computer without having to download the application.
  • What Physical Therapy services can I expect via Telehealth?
    Your Physical Therapist will be able to provide similar care to what you can receive in our office. Our staff is trained to help guide you through alternative solutions to any care that would require physical contact.

Insurance Questions:

  • Which insurance companies cover Telehealth insurance?
    As of March 18, 2020, the California’s Department of Managed Healthcare has directed all commercial health plans to ensure reimbursement for care provided through Telehealth. You can read the letter here: ALL PLAN LETTER: Reimbursement for Telehealth Services.

    Medicare, United Healthcare, Blue Shield of California, AETNA, Health Net, and CIGNA have acknowledged California’s Department of Managed Healthcare order and confirmed they will provide coverage for Telehealth services. If your insurance has not acknowledged the order from California’s Department of Managed Healthcare, this does not necessarily mean your insurance will not cover Telehealth visits.

    Presidio Sport & Medicine strongly recommends that patients verify their individual policy’s coverage of Telehealth, regardless of your insurance’s acknowledgment of this new order.

    Each insurance policy’s coverage can vary. If your insurance chooses not to cover your Telehealth appointment, you will be responsible for the services at our self-pay rate for your care.

  • What if I have a self-funded insurance plan?
    If you are self-insured through a program like Covered California, the California Department of Managed Healthcare order does not apply to your insurance policy. You may have access to Telehealth visits through your insurance but you will need to contact your insurance directly to determine your policy’s coverage.
  • What about Worker’s Compensation or Motor Vehicle Accidents plans?
    The California Department of Managed Healthcare order does not affect some Worker’s Compensation or Motor Vehicle Accident policies. We suggest independently contacting your adjuster about confirming coverage.
  • If I want to check with my insurance company about coverage, what should I be inquiring about?
    You can inquire with your insurance company if your policy will accept CPT codes 97164, 97110, 97535, 97530, and 97112 as Telehealth services.

Comments are closed.