Have questions or ready to start feeling better?
Fill out the short form and a member of the Limitless Concierge Physical Therapy team will reach out shortly to help schedule your appointment.
Patient Responsibility for Insurance Policy Information and Payment Obligations
I understand and agree that it is my responsibility to know and understand the details of my
health insurance policy, including but not limited to coverage for physical therapy services,
deductibles, copayments, coinsurance, out-of-pocket maximums, in-network/out-of-network
status, prior authorization requirements, and any limitations or exclusions. Functionally Limitless
LLC. will verify insurance benefits to the best of our ability based on the information provided,
but this verification is not a guarantee of payment or coverage by my insurance company. I
acknowledge that I am ultimately responsible for any amounts not covered or paid by my
insurance, including any patient responsibility portions.
Furthermore, pursuant to Florida law, including Florida Statute § 817.234 (which addresses
false and fraudulent insurance claims and related practices), Functionally Limitless LLC. is
required to collect the full amount designated by my insurance company as the allowable or
contracted rate for services rendered. We will bill and collect according to the insurance
company's determination of covered amounts, patient responsibility, and any applicable
adjustments. Failure to collect such amounts could be considered a violation of state law
prohibiting certain billing practices that could be construed as fraudulent or misleading to
insurers.