1
Provide your insurance information
Share your current insurance details when scheduling or before your first visit so our team can review the plan information available.
INSURANCE & PAYMENT INFORMATION
Clear information before you start care.
Insurance can be confusing. Our team can help verify plan information and explain what we see, but your exact benefits, coverage, and patient responsibility are determined by your insurance plan.
Questions about insurance?
For general insurance and billing questions, call 404-600-4627 or contact us at contact@onepointpt.com.
New patient scheduling:
Call 404-600-4627 and select option 1.
CURRENT INSURANCE PLANS
Plans we currently work with.
This list reflects OnePoint’s current insurance participation. Individual plan networks and benefits can vary, so we recommend confirming your specific coverage before treatment.
Aetna
Ambetter
Amerigroup
Anthem / Blue Cross Blue Shield
Cigna
GA Medicaid (under 21)
Medicare
Medicare Advantage plans
MultiPlan / PHCS
Peach State Health Plan
Tricare
Workers’ Compensation
HOW VERIFICATION WORKS
What our team can help with.
We can review the insurance information available to us and help you understand the benefits that appear to apply to outpatient physical therapy.
2
We review benefits
Our team can check items such as network status, deductible, copay or coinsurance, visit limits, and whether authorization may be required.
3
Your plan makes the final determination
Insurance verification is not a guarantee of payment. Final coverage, processing, and patient responsibility are determined by your insurance company.
COMMON INSURANCE TERMS
What the numbers may mean.
Amount paid before certain benefits begin
Your plan may require you to pay a set amount out of pocket before insurance begins sharing the cost of covered services.
Fixed amount per visit
Some plans assign a flat-dollar copay for outpatient physical therapy visits.
Percentage of the allowed cost
Instead of a fixed copay, some plans require you to pay a percentage of the insurance-allowed amount.
Approval that may be required
Certain plans require prior authorization or continued authorization for physical therapy visits.
OTHER ITEMS TO CHECK
Benefits can differ even within the same insurer.
Annual or condition-based limits
Some plans limit the number of therapy visits available during a calendar year or benefit period.
Plan-specific requirements
Some insurance plans or clinical situations may require a referral or other documentation before treatment.
In-network vs. out-of-network
Network status can affect reimbursement and patient responsibility, and may differ by specific plan product.
Coordination of benefits
If you have more than one insurance plan, the order in which plans process claims can affect billing.
IMPORTANT TO KNOW
Verification is helpful, but it is not a guarantee of coverage.
Insurance information provided before treatment is based on the information available from the plan at that time. Claims are processed later by the insurance company, and final patient responsibility may differ from an initial estimate.
If your plan changes, you receive a new insurance card, or you become aware of a change in benefits, please let our team know as soon as possible.
For the most definitive benefit information
You can also contact the member-services number on the back of your insurance card and ask specifically about outpatient physical therapy benefits, network status, deductible, copay or coinsurance, visit limits, and authorization requirements.
SPECIAL COVERAGE TYPES
A few plans require additional coordination.
Some coverage types may have unique eligibility, authorization, age, or claim-handling requirements.
Medicare & Medicare Advantage
Coverage and patient responsibility depend on the specific Medicare or Medicare Advantage plan and applicable benefit rules.
Georgia Medicaid
OnePoint currently works with Georgia Medicaid for patients under age 21, subject to plan requirements and eligibility.
Work-related injuries
Workers’ compensation cases often require authorization and coordination with employers, adjusters, nurse case managers, or other parties before or during care.
FREQUENT QUESTIONS
Insurance questions
Can you tell me exactly what each visit will cost?
We can help estimate your responsibility using the insurance information available to us, but the final amount depends on how your plan processes the claim and where you are with your deductible and other benefits.
Does being listed here mean every plan from that insurer is in network?
Not necessarily. Insurers may offer multiple plan products and networks. Our team can help review your specific plan, and you can also confirm network status directly with your insurer.
What if my insurance changes during treatment?
Please tell us as soon as possible so we can update your account and review any new benefit or authorization requirements.
Who should I contact with a billing question?
Call 404-600-4627 and select option 5 for the billing department. For general insurance questions, you can also use contact@onepointpt.com.
NEED HELP?
We can help you understand the next step.
For new-patient scheduling, call option 1. For insurance or billing questions, our team can help direct you appropriately.
Main Phone
404-600-4627
Option 1: New patient appointments
Option 5: Billing department General / Insurance Email contact@onepointpt.com
Option 5: Billing department General / Insurance Email contact@onepointpt.com