
Extended Health Coverage (EHC)
We offer direct billing for clients with EHC through their workplace or school insurance plans, provided their plan allows for it. Some clients are covered under other family members their spouse or parents.
The Cambridge Physiotherapy offers direct billing to:
SunLife, Blue Cross, CINUP, Cowan, GSC, Desjardins, Great-West Life, Chamber of Commerce Group, SSQ, Manulife, Maximum Benefit, RBC Insurance, WSIB, IA Financial Group, Canada Life, Claim Secure, Equitable Life, Green Shield, Manion Wilkins, Empire Life, MDM Insurance, MVA, and more.
FAQs About Physiotherapy Direct Billing in Cambridge
How do you direct bill on my extended health benefits?
With your consent, Cambridge Physiotherapy will submit your claim through an online portal for the services you receive. By providing your insurance policy number and member ID, we will be able to directly bill your insurance
How much do I need to pay?
You don’t pay anything if your insurance covers 100% of your costs. If your insurance covers 80% of the visit, you pay the balance, the other 20%.
What treatments can be directly billed?
All physiotherapy and massage services.
Is a doctor’s referral needed for physiotherapy or massage therapy?
In Ontario, you have direct access to physiotherapy and massage services without a referral from a doctor. However, very few insurance policies require a referral, so we check your coverage before your visit. If your insurer requires a referral, you have one month to submit that referral so you can get physiotherapy and massage therapy immediately.
What if I have coverage under more than one insurance plan? Do you coordinate benefits?
We first submit fees to your primary insurance. Once the primary insurance has paid, we try making a further submission to your secondary insurance. Only a few insurers allow secondary coordination of benefits through direct billing. You may need to pay the balance left after your primary insurance pays and submit a receipt to your secondary insurance policy.
Can I get a receipt?
Yes, you will receive a receipt upon request for any portion you pay directly to the clinic. For direct billing, you can also request a copy of the statement submitted to your insurance company.
What happens if my insurance company doesn’t process my bill?
Simply pay us and get reimbursed by your insurance company. We accept e-transfer, Visa, MasterCard, Debit or cash. You will get a receipt to submit to your insurance company.
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. We use the HCAI portal to direct bill to your car insurance company, so you don’t have to worry about paying out of pocket. Simply provide us with your insurance details and pink slip for direct billing.
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.
What if I have further questions?
For additional information, please Contact Us or call us at 519-621-9355 or email us at thecambridgephysio@gmail.com