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Patient resources

Insurance, billing & patient forms

Everything you need to prepare for your visit, understand insurance and payment options, access forms, and contact our team.

Questions? Call or text (949) 540-5641. Text is fastest.

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Insurance

Insurance & payment options

KOH Physical Therapy Lab works with most PPO, EPO and POS insurance plans, including Medicare. We also work with workers' compensation, Med-Pay, personal injury cases, and medical liens.

Other coverage we work with

Workers' Compensation
Contracted with a wide range of workers' compensation plans, including MedRisk and MTI America.
Med-Pay
Med-Pay benefits related to motor vehicle accidents.
Personal Injury
Physical therapy as part of a personal injury case.
Medical Liens
Physical therapy under a medical lien.

In-network coverage

In-network insurance plans

We are an in-network provider with the insurance plans and medical groups below, and many more. Coverage varies by plan, so we verify your benefits for you.

Private PPO insurance plans

We are preferred in-network providers for many private PPO insurance plans, including:

  • Aetna
  • Anthem Blue Cross
  • Blue Cross Blue Shield (BCBS)
  • Blue Shield of California
  • Health Net
  • UnitedHealthcare
  • And many more

Medicare

We accept Medicare and many Medicare Advantage plans, including applicable secondary insurance benefits.

  • Medicare
  • Many Medicare Advantage plans

Medicare requires a prescription at your first visit.

Tricare & veterans

  • Tricare West (TriWest Healthcare Alliance)
  • VA Community Care Network (VA CCN)

HMO medical groups

We are contracted with several HMO medical groups, including but not limited to:

  • Allied Pacific of California IPA
  • Accountable Health Care IPA
  • Community Family Care Medical Group
  • Seoul Medical Group

HMO members need a referral from their medical group before starting care.

Benefits verification

Don't see your insurance listed?

Insurance coverage varies by individual plan. If your insurance is not listed here, that does not necessarily mean KOH Physical Therapy Lab is out of network. Our team can verify your benefits and explain your options.

Payment options

Other ways to pay

  • Self-pay

    For patients paying directly for physical therapy services. Text or call the office for details. If you are uninsured or not using insurance, you can ask for a Good Faith Estimate.

    (949) 540-5641
  • KOH treatment packages

    Customized treatment package options. Text or call the office for details.

    (949) 540-5641
  • Concierge physical therapy

    Optional enhanced-access services, paid out of pocket and separate from insurance.

Billing

Common billing questions

Insurance terminology can be confusing. Here are a few terms you may see when reviewing your physical therapy benefits.
What is a deductible?
A deductible is the amount you pay for medical services before your health insurance begins to pay. If your deductible has not been met, we may need to collect a portion of the payment at each visit.
What is coinsurance?
Coinsurance is cost sharing with your insurance. You pay a percentage of the cost of your care after your deductible has been met. Depending on your plan, we may collect a portion of your coinsurance at each visit.
Why do I have a copayment?
Your copayment is set by your contract with your insurance company, which is usually chosen by you or your employer.

More answers about insurance and visits are on our FAQ page.

Resources

Patient resources

  • Patient forms

    Complete new or existing patient forms in the secure portal before your visit.

  • Patient portal

    Sign in to your patient portal to upload reports and manage your forms.

  • Medical records

    Need a copy of your records? Contact our team and we will explain how to request them.

Ready to get started?

Have questions before scheduling?

Our team can help with insurance verification, scheduling, patient forms, and general questions about getting started at our Irvine and Long Beach clinics.