New Patients

Forms

• Insurance accepted
• Q&A about insurance

Patients with hand problems can choose to fill out the registration form at home and bring it with them for their appointment.

HMO/ PPO Insurance – 

• Intake form to be filled before the appointment

Medicare 

• Intake form to be filled before the appointment 

Workers compensation

• Intake form to be filled before the appointment

Self Pay rate for 2024

• Intake for to be filled before the appointment
• Flat rate Specialized Upper extremity Eval $295 by a CHT
• Flat Rate specialized treatment $150 + Custom splints cost charged separately 
• If a splint is fabricated on the day of treatment then the flat rate pay plus treatment charges will be due for that day
• if a splint if fabricated on the day of the evaluation then the Evaluation charge plus the splint charges will be due for that day.

Consent to Treatment of a Minor

• Consent Form to be filled before a minor is seen

Kaiser Permanente

• Intake

When coming for therapy at Hands-On-Care

• Please Bring your Prescription 
• Wear short sleeves / tank top for shoulder patient or layered clothes for your appointment

At Hands-On-Care we accept all PPO Insurances and some HMO’s

If an Insurance plan is not listed here please call us to find out at 408-268-8536. We are always adding new health plans to the list of insurances we accept

• PPO
  • Blue shield
  • Blue Cross
  • Humana
  • Aetna
  • Fortified Provider Network
  • Claris Pointe
  • United Healthcare 
  • Unicare
  • Interplan Health group
  • TRPN (Three rivers provider network)
  • USA MCO
  • Cigna (Please be advised, most Cigna Plans (PPO) now require authorization after 5 visits. The visits are assessed by 3rd party American Specialty Health (ASH). There may be a waiting period from the time of application to approval and not all visits may be approved despite your unlimited therapy plan.) If you have a problem with this please contact your advocacy group or insurance commissioner.
  • Corvell
  • Great West
• Workers Compensation (Requires Authorization before patient can be seen)
• Medicare
• Tricare (Requires Authorization before patient can be seen)
• Self Pay 
• HMO (Requires Authorization before patient can be seen)
  • Kaiser with auth 
  • SCCIPA
  • Stanford Health Plan (Affinity)
  • PAMF 
  • Verity  
  • Medicare Advantage (Requires Authorization before patient can be seen)
• Some out of Network Plans
• Please call us to find out if your plan is included as we are constantly adding new plans to service our patients

Our HIPAA Policy can be found here: HIPAA