Direct Billing Physiotherapy Hamilton

Direct Billing Physiotherapy Hamilton

Direct Billing Physiotherapy Hamilton

Sterling Physiotherapy in Hamilton offers direct billing to most major insurance providers, including Sun Life, Manulife, Blue Cross, Canada Life, Great-West Life, and Desjardins. This means you pay nothing out of pocket at the time of your appointment - we submit the claim to your insurance company directly and you receive only the balance owing, if any. WSIB and Motor Vehicle Accident (MVA) patients are also billed directly with no upfront payment required.

Direct Billing Physiotherapy in Hamilton - We Handle Everything

What Is Direct Billing for Physiotherapy?

Direct billing - also called assignment of benefits - means that Sterling Physiotherapy submits your insurance claim on your behalf after each appointment. Rather than paying the full session fee upfront and waiting weeks for your insurance company to reimburse you, we handle all the paperwork and receive payment directly from your insurer.

Most patients with extended health benefits through their employer pay little or nothing at each visit. If your plan covers 80% of physiotherapy costs, for example, you would only pay the remaining 20% at the time of your appointment. Many patients are surprised to discover their insurance covers more than they expected.

If you are unsure what your plan covers, call us at (289) 401-2900 before your first appointment and our admin team will verify your benefits for you - at no charge.

Which Insurance Companies Does Sterling Physiotherapy Bill Directly?

We offer direct billing to the following major insurance providers in Hamilton:

  • Sun Life Financial
  • Manulife Financial
  • Blue Cross (Medavie Blue Cross & Alberta Blue Cross)
  • Canada Life (Great-West Life)
  • Desjardins Insurance
  • Industrial Alliance (iA Financial Group)
  • Chambers of Commerce Group Insurance
  • Johnson Inc. (formerly Cowan Insurance)
  • CAAT Pension Plan Benefits
  • Green Shield Canada
  • Cowan Insurance Group
  • Empire Life
  • SSQ Insurance
  • Equitable Life of Canada

Don't see your insurer on this list? Call us at (289) 401 2900 - we add new providers regularly and our team will check if direct billing is available for your plan.

Does Sterling Physiotherapy Accept WSIB?

Yes. Sterling Physiotherapy is an approved WSIB (Workplace Safety and Insurance Board) physiotherapy provider in Hamilton. If you have been injured at work and your claim has been approved by WSIB, we bill WSIB directly - you pay nothing for your physiotherapy treatments.

What you need to bring to your first WSIB appointment:

  • Your WSIB claim number
  • Your employer's information
  • Any documentation from your employer or doctor related to the injury

We treat all types of workplace injuries including back injuries, shoulder strains, repetitive strain injuries, slip and fall injuries, and post-fracture rehabilitation. Our WSIB physiotherapy page has full details on what to expect.

Not sure if you qualify for WSIB physiotherapy? You can visit wsib.ca or call us and our team will help you understand the process.

Does Sterling Physiotherapy Accept MVA (Motor Vehicle Accident) Claims?

Yes. If you were injured in a car accident in Ontario, your auto insurance policy covers physiotherapy rehabilitation through the Statutory Accident Benefits Schedule (SABS). Sterling Physiotherapy bills your auto insurer directly so you can focus entirely on your recovery.

Common conditions we treat for MVA patients in Hamilton include:

  • Whiplash and neck pain after a collision
  • Back pain and disc injuries from impact
  • Shoulder injuries from seatbelt or airbag impact
  • Concussion symptoms following a car accident
  • Soft tissue injuries and bruising

You do not need to wait for a settlement to begin treatment. Physiotherapy can begin immediately after an accident and is fully covered under your auto insurance. Visit our MVA physiotherapy page for more information.

Is Physiotherapy Covered by OHIP in Ontario?

OHIP (Ontario Health Insurance Plan) does not cover private physiotherapy at clinics like Sterling Physiotherapy. However, physiotherapy is covered under most employer-provided extended health benefit plans, and through WSIB for workplace injuries and auto insurance for car accidents.

If you do not have extended health benefits, you can still access our services and pay privately. Session fees at Sterling Physiotherapy are $90–$115 per session. Contact us to discuss a treatment plan that fits your budget and recovery goals.

How Does Direct Billing Work Step by Step?

  1. Book your appointment
    Call us at (289) 401 2900 or book online. Let us know you plan to use direct billing and provide your insurance plan details.
  2. We verify your benefits
    Before or at your first appointment, our admin team verifies your coverage and explains exactly what your plan covers - so there are no surprises.
  3. Receive your treatment
    Your registered physiotherapist provides your full assessment and treatment. No paperwork required from you during your session.
  4. We submit the claim
    After your appointment, we electronically submit the claim directly to your insurance company.
  5. You pay only the balance
    If your plan covers 100% of the session cost, you pay nothing. If it covers a percentage, you pay only the remainder. A receipt is always provided for your records.

That's it. No forms to mail. No waiting for reimbursement cheques.

Which Physiotherapy Services Are Covered Under Direct Billing?

Direct billing typically applies to all insured physiotherapy and registered massage therapy services at Sterling Physiotherapy. This includes:

Coverage limits vary by insurance plan. Most plans have an annual maximum (e.g., $500-$1,500 per year for physiotherapy). Our admin team can help you track your remaining benefits throughout the year.

Book Your Direct Billing Physiotherapy Appointment in Hamilton

Ready to start your recovery without the hassle of insurance paperwork? Book your appointment at Sterling Physiotherapy today. We serve patients from across Hamilton including Stoney Creek, Ancaster, Binbrook, Glanbrook, and the surrounding area.

No referral needed. New patients welcome. Direct billing to most insurers.

Frequently asked questions

Yes. If you and your spouse each have group benefits, you may be able to use one plan as primary and the other as secondary (coordination of benefits), potentially covering 100% of your costs. Let our admin team know and we will coordinate accordingly.

Yes, if your plan includes registered massage therapy (RMT) coverage, we can direct bill for your massage appointments as well. Our massage therapists are registered with the College of Massage Therapists of Ontario (CMTO).

No. You do not need a referral to book at Sterling Physiotherapy or to use direct billing. However, some insurance plans require a physician's referral for reimbursement — check your plan booklet or call your insurer to confirm. Our admin team can advise you based on which insurer you are with.

Yes. Children covered under a parent's extended health benefits plan are eligible for direct billing at Sterling Physiotherapy.

You pay only the portion your insurance does not cover. For example, if your plan covers 80% and your session is $100, you pay $20 at the clinic. We provide a full receipt after every visit.

Bring your insurance plan number, your certificate/member ID number and the name of your insurance provider. If you have a group benefits card, bring that. We will take care of the rest.

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