Patient Resources

Patient Resources

Patient Forms

New Patient Registration Information – All Patients

Patient Information Form – All Patients

Health History Form – All Patients

Chiropractic Waivers Form – Chiropractic Patients

Insurance / Billing Information

The Aspen Club Sports Medicine Institute contracts with the following insurance providers. If you have questions about your insurance eligibility or benefits, our office staff can help clarify your benefits. If you are out of network with our providers, we offer affordable cash rates and can provide you with a superbill to submit the claims to your insurance carrier. Please review the Physical Therapy Packages below for details.

Physical Therapy Packages:

Cash Rates are applicable only if:

  • A patient has no health insurance or no physical therapy benefits OR
  • We are out of network with your health insurance carrier or plan
  • A patient has exceeded their annual benefit maximum for physical therapy
  • A patient is seen for services that are not medically necessary or are not covered by their insurance carrier

Single Physical Therapy Session (includes initial evaluation)
$150

Packages

5 Visit Package
$700 ($140/visit)

10 Visit Package
$1300 ($130/visit)

20 Visit Package
$2400 ($120/visit)

No-show and late cancel policy apply to all scheduled sessions. Please note that we can only provide you with a superbill to submit to your insurance carrier if we are out of network with your insurance provider.

Participating Networks:

  • In-network Physical Therapy:
    • Assurant (AETNA ASA Assurant Health)
    • Cigna
    • Cofinity
    • Medicare Part B*
    • RCI/Cofinity
    • Workers compensation*
  • In-network Chiropractic:
    • Assurant with Cofinity
    • Cigna
    • Cofinity
    • Workers compensation*

 

*Doctor’s prescription is needed

Colorado is a Direct-Access state, which means you do not have to have a prescription to make an appointment for Physical Therapy (except for Medicare and Worker’s Comp insurances). Check with your insurance to see if a referral is required for coverage. We also offer self-pay rates and discounts in the form of visit packages for those whose insurance benefits have run out or have insurance that we are not contracted with at this time.