FREQUENTLY ASKED QUESTIONS:
What do I need to bring to the first session?
Please bring your medical aid details and any referral letters, x-rays or relevant reports, should you have any.
What do I wear?
It is recommended that you wear comfortable clothing. In order to perform a proper assessment and treatment, it may be necessary for the physiotherapist to uncover parts of the body. This will at all times be done in a professional, respectful manner. Shorts and appropriate clothing will be provided.
Do we submit to medical aids?
Unfortunately we do not submit directly to medical aids. We request that you pay us directly and then claim back from your medical aid.
Can I claim back from my medical aid?
Yes, we provide you with a statement and receipt on payment. Please note that the practice charges a private rate to simplify our billing, as we prefer to focus our attention on providing quality treatment to our clients. The private rate is in line with most medical aid rates.
If, and how much your medical aid will pay depends on your medical aid and plan and funds available. Different medical aids pay different amounts for each code and your medical aid may not refund you in full.
Will the medical aid pay for all the modality codes used?
Billing Structure: This practice uses the South African Society of Physiotherapy (SASP) coding structure for billing and not the NRPL coding structure used by many medical aids.
The difference between the two structures:
Rule 0008 modifier code: The SASP structure allows a 4th modality code, where the NRPL structure allows up to 3 modality codes. (Your medical aid may / may not pay for the 4th modality with 0008 modifier code.)
The SASP structure contains counselling and rehabilitation codes, which has not been accepted yet by many medical aids. (e.g. rehabilitation codes from 600 - 607 and counselling codes from 712 to 715)
What are the rates?
This practice charges a Private Rate and is up to about 2% higher than the average medical aid rates. The estimate/average charge per condition varies between R480 to R600. This is only and estimate and the exact amount can only be determined after the initial treatment. Subsequent treatments may differ in value due to change in modalities and techniques.
Multiple conditions: Please note that two conditions treated in the same session will result in additional costs.
How do I pay?
We accept cash, EFT and have credit card facilities available.
How long is a session?
A session is may vary between 30 minutes to 1 hour, depending on the condition treated.
What if I need to cancel?
Should you not be able to make your appointment, we request that you let us know at least 4 hours prior to the appointment. A fee will be charged if cancellations are not made within 4 hours prior to the appointment. This fee will be payable by the patient and will not be refundable by your medical aid.
Do I need a Doctor’s referral letter for Physiotherapy?
No, Physiotherapists are first line practitioners, so you do not need a referral letter.