|Service||Cost Per Session|
|Physiotherapy Pelvic Floor||$180|
|Physiotherapy Vestibular Rehab||$120|
WorksafeBC (WSBC), previously known as WCB
WorksafeBC suports injured workers by covering them for their visits to a Physical Therapist or a Registered Massage Therapist at no cost to the patient. It’s very important that any injured worker communicates to either of these therapists that the appointment is because of an injury that occured at their workplace. We require your WSBC Claim number, and any details of the injury so that we can properly treat your injury both safely and effectively.
You should also keep in mind that WSBC only covers one kind of treatment at any given time, for example, massage OR physio OR chiropracitic therapy. For any kind of additional treatment that is received which isn’t related to the injury or condition, we will bill you, the patient directly, outside of the WSBC claim.
We accept and work with any ICBC related claims. However, if you endured an automobile accident then be sure to double check with your ICBC adjuster to confirm that you have coverage for Physical or Massage Therapy treatments. And if so then be sure to provide us with your ICBC Claim number, adjuster’s name, and any kind of contact information you have when you come to your appointment.
Members of the RCMP are covered for treatments, whether you need Physical or Massage Therapy, and we will take care of billing the RCMP directly on your behalf. You will need to fill out a RCMP treatment form when you come in for your appointment, or if you would prefer, for your convience you can complete a treatment form prior to your appointment and bring it in with you for submission.
Veterans Affairs Canada (VAC), previously known as DVA
15 sessions each calendar year at one hour per session is covered by VAC, at the discretion of the therapist(s) who’s performing the treatments. If more sessions are needed beyond the 15 that are covered in a calender year by VAC, then you have to request authorization from VAC for additional coverage, and a physician’s referral is needed as well.
Patients who are eligible for MSP Coverage Premium Assistance can receive up to 10 treatments for each calendar year, and these are partially covered under their BC CareCard. These treatments can be any combination of sessions from a Registered Massage Therapist, Physiotherapist, or other supplementary health benefit including acupuncture, chiropractic, naturopathy, and non-surgical podiatry.
Please note that patients who have MSP coverage, are still required to pay any difference in cost from the private rate which depends on the visit’s length. As soon as the MSP coverage has been all used up by the patient, then he or she is expected to pay the regular private rates. Our clinic can work with you if needed, to see if you have MSP coverage.
Private and Extended Insurance (Group Benefit Plans)
The vast majority of workplace group insurance plans cover massage therapy treatments when these are performed by a Registered Physiotherapist or a Registered Massage Therapist. All of our practitioners at Downtown Physio are either a Registered Physiotherapist or a Registered Massage Therapist, so coverage from extended health plans will be honoured at our clinic.
Depending on your extended health policy you may need to pay the private rate first, and then send in your receipt(s) to your coverage company for reimbursement. We provide detailed receipts for every appointment at our clinic.
For most Private Insurers we can bill them directly on your behalf, which results in less out of pocket expenses for you.
We are proud to announce that Downtown Physio is now actively offering direct billing to a few specific insurance companies. Your benefits plan can be billed by us right at the time of your appointment. This saves you the challenge of submitting your receipts to your insurance provider, and your out of pocket expenses are then reduced for any covered treatments that you receive. This is a complimentary service that we love providing to our valued patients! Please note that we can’t guarantee direct billing at every appointment as there may be unforeseen issues with benefit plans, clinic logisitical issues, or problems with the submission portal that we use.
Any of the below insurance companies can be directly billed by our staff:
- Medavie Blue Cross which includes RCMP, Canadian Armed Forces, Veterans Affairs
- First Canadian
- Desjardin Insurance
- Manulife Financial
- Johnson Inc.
- Johnston Group Inc.
- Sun Life Insurance
- Green Shield
- Pacific Blue Cross
- Great-West Life
- Chambers of Commerce Group Insurance
- Industrial Alliance
Do I need a doctor’s referral?
For the most part it isn’t needed. Massage, Chiropractic, and Physiotherapy treatments are direct access in BC. Please note that you should check to see if your benefits plan requires a doctor referral, however very few cases require one.
Can I check my specific coverage and how many sessions are covered?
If you want to see what insurance coverage you have, your remaining balance for sessions covered, deductibles, or need other information, then we encourage you to contact your provider directly.
How exactly does direct billing work?
All we need to perform direct billing is your policy number or ID, and we will take care of the submission on your behalf, it’s that simple.
What kind of treatments can your clinic directly bill for?
Massage Therapy and Physiotherapy treatments both qualify.
Do I receive a receipt through direct billing?
Whatever portion that is not included in your insurance plan you will get a receipt for upon payment.
If your clinic can’t process my direct billing for whatever reason, then what happens?
You will pay for your appointment in full, and then we will provide you with a receipt that you then submit to your insurance company to receive whatever reimbursement that you are entitled to.
Can my future appointments be prepaid through direct billing?
No, only appointments that have been completed can be direct billed at the time.
Will I need to pay anything out of pocket?
It depends on your specific coverage, but if there’s an outstanding balance that isn’t covered by your plan, then you will be responsible for paying that amount at that time. If your plan covers 100% of a treatment, then you can keep your wallet in your pocket and smile.
Why does coverage vary depending on the insurance company and the member?
Every plan is unique to each member, and insurance companies typically have several different plans available.
If I carry more than one insurance plan, can your clinic help to coordinate multiple claims?
As of now we unfortunately don’t offer the ability to combine different coverage plans together for one session. We can only accommodate one direct billing, and you will need to manually submit a claim to any other insurance companies you have coverage with to receive additional reimbursements.