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Haleʻiwa
Physical Therapy
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Insurance & pricing

No referral needed to start

Hawaiʻi law lets you see a physical therapist directly — no doctor’s note required for us to evaluate you. Some insurance plans still want a referral or prior authorization before they’ll pay, so check what yours asks for below. Not sure where you stand? Call us and we’ll help you check.

Plans we accept

Insurance-based physical therapy on the North Shore. Call to check your plan, your PT benefits and any referral or authorization it needs before your first visit.

  • Military & veteran care

    TRICARE

    For about 10 years we’ve cared for TRICARE beneficiaries: active-duty service members, military families and retirees.

    TRICARE
  • Military & veteran care

    VA Community Care

    We care for veterans through authorized VA Community Care referrals, and coordinate with your VA care team.

  • HMSAPPO · Akamai AdvantageBlueCard (out of state): ask us
  • MedicareIncluding many Medicare Advantage plans
  • UHA Health Insurance
  • HMAA
  • Cigna Healthcare
  • AlohaCareQUEST
  • HMSA QUESTQUEST Integration
  • UnitedHealthcare Community PlanQUEST
  • Workers’ compensationCity & County of Honolulu, educators and other approved claims, once your claim is authorized.
  • Auto / no-fault (PIP)We bill your auto insurer directly. Bring your claim number.

Plus most Medicaid plans. Medicare, including many Medicare Advantage plans.

Not accepted: Kaiser Permanente and ʻOhana Health Plan.

Also ask us about

  • Out-of-state Blue Cross Blue Shield (BlueCard) and the Federal Employee Program (FEHB / PSHB).
  • Union and employer plans, including the Masters, Mates & Pilots Health & Benefit Plan, ATMA and Turtle Bay employee coverage.

Participation, benefits, referrals and authorizations vary by plan. Checking your coverage isn’t a guarantee of payment.

Don’t see your plan? Call or text us and we’ll check your coverage.(808) 260-7210 · text (808) 260-7210

What your plan requires, and what to bring

What each insurance plan requires
PlanWhat it requiresWhat to bring
Medicare, including many Medicare Advantage plansNo referral needed to start. We send your plan of care to your doctor to sign.Photo ID, Medicare card
HMSAAn order from your doctor, PA or APRN, plus prior authorization for visits beyond your first evaluationDoctor’s order, insurance card
UHAAn order from your doctor; prior authorization kicks in after 8 visitsDoctor’s order, insurance card
HMAACall and we’ll help you checkInsurance card
CignaCall and we’ll help you checkInsurance card
Med-QUEST (Hawaiʻi Medicaid)AlohaCare, HMSA QUEST and UnitedHealthcare Community Plan. What’s needed depends on your planInsurance card
TRICARE PrimeA referral from your PCMReferral, military/insurance ID
TRICARE Select / VA Community CareSelect: no referral, though some services need authorization. VA Community Care: a VA referralInsurance ID or VA authorization
Workers’ compA written prescription from your treating physician, plus your claim numberClaim number, employer/insurer info, doctor’s prescription
Auto / no-fault (PIP)We bill your auto insurer directlyClaim number, auto insurer information

Self-pay

If you’d rather pay directly, or you don’t have coverage that fits:

Self-pay rates aren’t posted online. Call (808) 260-7210 or text (808) 260-7210 and we’ll quote you.

If you have Medicare, federal law requires us to bill Medicare directly for covered services rather than charge you cash.

Billing & payments

Venmo, PayPal, card by phone or in person: every way to pay, and who to ask about a bill, is on one page.

Pay a bill

Good Faith Estimate

If you’re uninsured, or you’re choosing not to use insurance, you have the right to a written estimate of what your care will cost before you get it. Read the full notice on our Good Faith Estimate page.

Ready to get back out there?

Please don’t include medical details. Pay and pick up at the clinic.

Prices and stock can change. Call or text us to confirm before you come in: (808) 260-7210.

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