How do you direct bill on my extended health benefits?

With your permission, Cambridge Physiotherapy submits your claim using an online portal for the services you receive. You provide your insurance policy number and member ID. Your Portal gives us an idea of the amount your plan covers. You might have to pay the balance, depending on your coverage.

(Note: Most extended benefit coverage offers direct billing, but not all.)

How much do I need to pay?

You pay the balance of your visit fee after your insurance plan pays what it covers. If your insurance covers 100% of your costs, then you don’t pay anything. If your insurance covers 80% of the visit, then you pay the other 20%.

What treatments can be direct billed?

All physiotherapy and massage services.

Is a doctor’s referral needed for physiotherapy or massage therapy?

Yes and no. In Ontario, you have direct access to physiotherapy and massage services without a referral from a doctor. However, some insurance requires a referral, so check your coverage before your visit.

What if I have coverage under more than one insurance plan? Do you coordinate benefits?

The Portal allows only one direct billed insurance plan. So, you pay the balance to the clinic, we give you itemized receipts, and you submit those for reimbursement under your other insurance policy.

Can I get a receipt?

Yes. You get a receipt automatically for any portion you pay to the clinic. For direct billing, you can get a copy of the statement submitted to the Portal.

What happens if my insurance company doesn’t process my bill?

Simply pay us and get reimbursed from your insurance company. We accept e-transfer, Visa, MasterCard, Debit or cash. You will get a receipt to submit to your insurance company.

What if I have further questions?

For additional information, please Contact Us or call us at 519-621-9355

How do you bill motor vehicle accident physiotherapy services?

We direct bill for MVA patients. We are required to follow FSCO guidelines. Your private benefits are billed prior to your car insurance company. For additional information, please Contact Us or call us at 519-621-9355

How do you bill WSIB for work-related injuries?

Work related injuries are covered under WSIB for physiotherapy in Cambridge. We direct  bill to the Workplace Safety Insurance Board. Before booking your appointment with us, report your injury to your employer and submit the appropriate paperwork to the WSIB. For additional information, please Contact Us or call us at 519-621-9355