FAQ

 

Frequently Asked Questions

Is a doctor’s referral required?
A doctor’s referral is not required to see a physiotherapist in private practice. However, some extended health insurance benefit plans will not pay for treatment unless a physician’s referral is obtained. Always check your benefits policy prior to accessing these services. Unfortunately, a physician’s referral is required if you wish to attend physiotherapy in a hospital or through an OHIP funded clinic. hide answer
What should I expect at a Physiotherapy Assessment?
Physiotherapists need to test and measure muscle flexibility, strength and joint mobility to determine the biomechanical cause of a physical problem. Through partnership with the physiotherapist, a personalized treatment program is developed. Initial assessment will take approximately one hour. Subsequent treatments will be of 30 to 45 minutes duration. hide answer
Is there OHIP coverage for physiotherapy services?
Physiotherapy is not covered by OHIP unless the facility you are attending has a license to bill OHIP. In Cambridge, our OHIP Clinic (formerly Harrington Physiotherapy, 519 621-3035) has this billing privilege. In 1964, the Ministry of Health stopped issuing OHIP licenses to physiotherapy clinics. There have been no new licenses issued since that time. hide answer
Is there non-OHIP coverage for physiotherapy services?
The following can cover physiotherapy services:
  • Extended health insurance plans or benefits programs associated with your employment
  • Auto Insurance
  • Veteran‘s Affairs

Most extended health insurance plans or benefits programs include coverage for physiotherapy services. Coverage can have a one time deductible fee, a lifetime maximum, a yearly maximum, a treatment maximum or a percentage maximum. It is your responsibility to inquire about your coverage.

If you have been involved in an automobile accident, you have the privilege of accessing physiotherapy services without a physician's referral. These services are paid for by your automobile insurer and, if you have coverage, by your extended health benefits plan. If you have no coverage, the automobile insurer will provide payment for these services.

Veteran’s affairs provide some coverage of physiotherapy services for those who fought in the war.

At Grand River Physiotherapy, all physiotherapy is provided by registered physiotherapists.

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I was in a car accident. How can I get help?
What can physiotherapy treat?
Physiotherapy plays a vital role in healing, rehabilitation and pain relief following bone, muscle, nerve, ligament and joint injuries. Some physiotherapists can also treat disorders of dizziness. This is called vestibular rehabilitation.
Physiotherapy treats injuries and diseases by correcting and improving the body’s own natural healing mechanisms without the use of medication. It treats a number of disorders and injuries such as: Sports injuries, neck and back disorders, headaches, joint problems, fractures, orthopaedic conditions and pre and post-surgical conditions.
Dizziness is treated with special maneuvres that move errant inner ear crystals back to where they belong. Sometimes exercises are given that recalibrate a reflex referred to as the vestibulo-ocular reflex. Balance exercises are also given. hide answer
Information on Common Ailments

Spine, Head, Neck, Back

Shoulder

Elbow

Wrist and Hand

Hip

Knee

Ankle and Foot

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Should I Ice my Recent Injury?

If you sustained an injury recently, be it a bang, a trip, a fall, a muscle strain or joint sprain from a sports injury or car accident, how can you get better faster? Would you choose to put something hot or cold on your injury? We’ve all been confused by this choice; so which is it?

Well, the answer is COLD and preferably ICE if your goal is to speed up the healing process of an ACUTE injury, which is another name for a recent injury. Here’s why.

When you tear a muscle or bang your arm, you break a group of blood vessels. Much like a burst pipe spewing water into a room, the broken blood vessels bleed into the injured area flooding it with blood. Believe it or not, all that blood impedes the healing process because the body has to first clean up the mess caused by the broken blood vessels and only then can it begin the repair process. If you can get ice onto the injury quickly enough, you slow down the flow of blood into the injured area.

This is like turning off the water supply to a burst pipe. Now you’ve slowed the bleeding, your body doesn’t have to spend more time cleaning up the extra blood before it can start repairing the damaged tissue.

How long does the initial phase of an ACUTE injury last?

The Inflammatory Phase of an acute injury lasts from one to five days. The goal of treatment during this time is to decrease the inflammation. Apply the acronym RICE - Rest, Ice, Compression, Elevation following injury. During this time you should put ice on your injury as frequently as ten minutes every hour that you’re awake. To avoid ice burns put a damp fabric between the ice and your skin. You may also compress and elevate the injured area and, as well, discuss the use of anti-inflammatory medication with your doctor and/or pharmacist.

This information is only about how to immediately manage a recent injury. Management in the later stages of acute healing and the management of a chronic injury are both different than explained above. For answers about how to optimize the healing process of any injury contact us today.

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How do I make an appointment?
Appointments may be made in person, by calling (519) 621-3265 or by emailing us info@grandriverphysio.ca or info@grpt.ca. Appointments can be booked 3-4 weeks in advance. Please provide us with at least 24 hours notice for cancellations. hide answer
How will I be billed?
It is the client’s responsibility to ensure their account is up-to-date. We require immediate payment of the assessment by those attending under extended health care benefits. Subsequent treatments are billed on a weekly basis and will be submitted by the client to their own insurer, some insurance companies can be billed directly. Treatments are to be paid within 30 days. Those covered under their auto-insurer will not be required to pay immediately due to the processing of necessary paper work. hide answer
What is the Physiotherapy Motor Vehicle Accident Billing Procedure?

If you have Extended Health Care Coverage either through your work or your legal partner’s work, the Insurance Act requires us to bill for your treatments as follows:

All treatments have to be billed to your extended health. Your extended health may pay the full amount or a partial amount or none at all. Whatever they pay will be detailed on the cheque stub. The cheque, the stub and any paperwork accompanying the cheque must be brought in to the clinic. If your extended health pays less than the invoice, we then deduct what they paid and the balance is then invoiced to your auto insurance.

Because of the Private Policy Act, we cannot bill your extended health insurance directly. Only you can do so therefore, we ask that you send your invoices to them on a weekly basis in order to expedite payment.

When there are two extended health insurance companies, (yours and your partner), we must first bill yours. Whatever they don't pay we then bill the other insurance for the balance. Whatever the second insurance doesn’t pay we can then bill the auto insurance. Again, all cheque stubs and paperwork must accompany the cheque.

If the above information isn’t explicit enough, please do not hesitate to talk to either Kim, our Office Manager, or Linda from accounts receivable.

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What do physiotherapy treatments cost?
Charges for the assessment and treatment are in accordance with the Ontario Physiotherapy Association Guidelines and are as follows:
Dizziness Assessment$120.00 (>1 hour)
Dizziness Treatment$90.00 (30 - 45 minutes)
Orthopaedic Assessment$95.00 (1 hour)
Orthopaedic Treatment$60.00 (30 - 45 minutes)
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What do massage treatments cost?
All fees include HST:
30 Minutes$62.15
45 Minutes$83.62
60 Minutes$98.31
90 Minutes$131.08
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What is your policy for missed appointments?
Our policy is to charge a $30 fee for missed appointments that were not cancelled 24 hours in advance. Our answering service operates 24 hours a day so that cancellations can be called in to 519-621-3265 at any time. hide answer
Who are physiotherapists?
Physiotherapists are licensed health care professionals who specialize in improving movement and function, relieving pain and maximizing movement potential. They help people achieve their highest level of physical function through treatment and education. hide answer
What type of training do Physiotherapists have?
Physiotherapists are university trained. Specialized postgraduate courses further enhance clinical skills and treatment effectiveness. hide answer
What are: deductible fees, lifetime maximums, yearly maximums, treatment maximums and percentage maximums with reference to extended health care benefits?
Your extended health coverage may be subject to an annual deduction, a lifetime maximum of funds, a yearly maximum of funds, a treatment maximum or a percentage maximum per treatment. If you call your insurance company as listed in your health benefits booklet, they can give you all the details of your coverage. We encourage you to call them yourselves.
Annual Deduction: Some companies require you pay a yearly deductible fee when using your physiotherapy coverage.
Lifetime Maximum: Some companies impose a lifetime maximum meaning they will pay a set amount for physiotherapy over a long, specified time period.
Yearly Maximum: Your insurance company will pay upto a specified amount each year.
Treatment Maximum: Your benefits plan could specify a treatment maximum in the form of a specified number of visits, a specified amount of coverage per visit or a specified amount of coverage per visit in the form of a fixed percentage. hide answer

© 2011 Grand River Physiotherapy, Cambridge
519 621-3265