Insurance Information

PARTICIPATING INSURANCE NETWORKS

Bothell Pediatric & Hand Therapy is currently in-network with the following insurances:

  • Aetna
  • Aetna MedAdvantage
  • Blue Cross Blue Shield
  • Blue Cross Federal
  • Cigna
  • CHPW
  • Department of Labor & Industries
  • First Choice Health Network
  • GEHA
  • HealthNet
  • Kaiser PPO
  • Lifewise
  • Medicare Part B – Hand Clinic only
  • Meritain Health
  • Multiplan/PHCS
  • Premera Blue Cross
  • Providence
  • Regence Plans: HMA, Uniform Medical Plan, Administrators
  • Regence MedAdvantage
  • Tricare
  • UMR
  • United Healthcare
  • US Family Health
  • Workers Compensation/ L&I

We may be covered by additional insurance companies not listed here. Please contact your insurance carrier directly to confirm if we are in-network on your plan. The above list is subject to change without notice. 

Learn more about Telehealth benefits by reading our Telehealth FAQ >

Insurance Verification

It is your responsibility to understand your insurance coverage.

Before treatment in either of our clinics, as a courtesy we will contact your insurance company to verify eligibility and determine if prior authorization is needed for treatment. We cannot guarantee that our services will be covered 100% by your insurance. Therefore, we recommend you contact your insurance company directly for details of your specific plan’s limitations, exclusions, and benefits. 

To start the therapy process for you or your child, please visit our Intake page >

Financial Policies & FAQ

Below are our Billing Policies and answers to Frequently Asked Questions:

Telehealth (also called teletherapy) is therapy provided over the internet through a live video connection, for optimal social distancing. Patients will receive a similar treatment session as they would in person, it’s just done through the computer utilizing equipment from home. A teletherapy session uses a setup like a FaceTime or Skype connection, except it’s secure and encrypted to protect the patient’s privacy.

We are offering teletherapy as a stopgap measure during the COVID-19 crisis to increase patient access to necessary treatment. This allows us to provide continuity of care to our patients when they cannot be seen in person for therapy. It is imperative that we help our patients maintain progress towards their goals and newly acquired functional gains, preventing regression.

Depending on the age or ability of the patient, a technology support person or caregiver may be helpful (in the patient’s home) to assist in delivering components of the therapy, via guided coaching from the therapist.

The professional staff at Bothell Pediatric & Hand Therapy is committed to our patients’ healing and developmental success in their activities of daily living, work, and play.

In respect for our patients and our continued business operations, our policies are as follows:

Attendance

Treatment is dose-dependent as a prescription, so committing to the frequency recommended by your therapist is essential to helping you or your child successfully achieve their treatment goals. We expect you to attend your scheduled appointments in order to achieve optimal therapeutic results. 

We understand it’s inevitable to miss an appointment here and there, and when that happens, we recommend you reschedule your appointment within the same week. If your attendance falls below 80% of your scheduled appointments in a rolling 90-day period, we may move you to a flexible scheduling arrangement or find a recurring time that is better suited to your availability.

Late Cancellation

• We require a 24-hour notice for all cancelled appointments. Please notify our office 24 hours or more in advance if you must reschedule your appointment.

• Patients will be charged a $50.00 fee for cancelling an appointment with less than 24 hours’ notice.  If cancellations, reschedules or no-shows occur for more than 20% of the scheduled visits in a 3-month period, the patient may lose their recurring spot and will only be scheduled as a weekly fill in. Patients can leave a message at any hour at 425-481-1933 if they are unable to make their scheduled appointment time, and advanced notice is appreciated.

Late Arrival

• Patients that arrive more than 10 minutes after their scheduled appointment time will be charged a $30.00 late arrival fee.

Late Pickup

• Patients that are picked up more than 10 minutes after the end of their scheduled session will be charged a $30.00 late pickup fee.

No-Show

• If you do not arrive for your scheduled appointment and did not notify our office, there will be a flat fee of $100.00 for each missed session.

• Please note, most Groups are a cash pay service and reimbursement for missed appointments will not be refunded.

• If 2 or more appointments are missed due to no-shows, it may result in the loss of your recurring time slot. We require 24 hours notice for missed appointments. Patients can leave a message at any hour at 425-481-1933 if they are unable to make their scheduled appointment time. Thank you for your consideration. 

Please be advised that most insurance plans do not cover 100% of your care, and there will likely be a portion of your bill for which you are financially responsible. Most commonly, insurance plans require a co-payment which we will collect at check-in for each visit. It is the responsibility of the patient to know if they have a co-pay.

Because there are many combinations of insurance plans and varying levels of patient responsibility, we strongly encourage our patients to contact their insurance company directly to determine their specific level of benefits and coverage.

If you have a patient balance, you will be asked to pay in full each time you check in for an appointment. If you have not already received a statement, we will print one for you upon request. We accept cash, checks, debit, VISA, MasterCard, American Express, Discover and HSA cards, or you may pay your bill online through our mobile-friendly website www.bpandht.com/pay-my-bill.

  • Insurance co-pays, co-insurance and deductibles are due at the time of service. A $15.00 late co-payment fee will be applied to my account if not paid at the time of service.
  • For self-pay patients, payment is due at the time of service.
  • All charges are due in full within 30 days from Date of Service unless a separate payment arrangement has been approved and signed by both BPHT and the patient. Any unpaid patient balances over 60 days will be charged 3% interest (36% annually).
  • If claims are submitted to insurance and payment is not received within 45 days, you agree to follow up with the insurance company regarding payment and to personally make regular payments to BPHT on your account.
  • In the event that your insurance provider denies payment, you are fully and directly responsible for the payment of all charges. Your portion of the bill is due upon receipt of the statement.
  • Patient balances unpaid over 90 days will be sent a final statement requiring a response from the patient within 15 days. If the patient does not contact the BPHT Billing Department at (425) 481-1933 within those 15 days, their balance will be sent to collections.
  • Balances over $300 will be resolved promptly, or an arrangement will be made with Billing Department for a payment plan prior to continued service.
  • A $50.00 fee will be assessed for all NSF checks.

Monthly payment plans for patients with financial hardship can be arranged by calling our Billing Department at (425) 481-1933.

BPHT’s Hand Clinic has successfully treated workplace injuries for many patients, enabling them to restore optimal function, so they could return to work. 

If you were injured at work, it is your choice whether to file an L&I (worker’s compensation) claim. Your employer’s Human Resources department can guide you through this process.

We require a doctor’s referral in order to begin your hand therapy rehabilitation program. 

To start hand therapy, please fill out the intake forms on our Forms page >

Our office will bill Personal Injury Protection (PIP) coverage through your auto insurance as long as you provide complete claim information. If your PIP benefits become exhausted, we will transfer the charges to your private health insurer.

As a general rule, we do not bill third parties, i.e. automobile, homeowners, business liability insurances or attorneys.

Any outstanding balances are due at the time of your next appointment. Patients experiencing financial hardship may contact our Billing Department at (425) 481-1933 to discuss a payment plan.