Insurance
District Physical Therapy is in-network with CareFirst BlueCross BlueShield — the local BCBS plan for DC, MD, and Northern VA. Many Anthem BCBS members from other states have out-of-network benefits at DCPT through the BlueCard reciprocity program. We verify your specific benefits in advance so there are no surprises.
Most Anthem BCBS plans have out-of-network benefits, which means they'll still cover a portion of PT charges at DCPT. The exact coverage depends on your plan's out-of-network deductible and coinsurance. We file claims directly with Anthem on your behalf — you don't pay the full amount upfront and wait for reimbursement.
If you have Anthem BCBS from another state but are now in DC or MD, the BlueCard program means your Anthem plan often processes through CareFirst (the local BCBS). In some cases this means you're treated as in-network. We verify the specifics during intake.
If your plan has out-of-network PT benefits, you'll typically pay your out-of-network deductible first, then coinsurance (commonly 30–40% of the contracted rate). We provide a Good Faith Estimate before your first visit so you know your expected cost.
Some Anthem HMO plans don't cover any out-of-network care. In that case, our self-pay rate of $150 per session is straightforward and includes all the same one-on-one care our insurance patients receive. Many self-pay patients submit their own claims to Anthem for reimbursement using superbills we provide.
Call your nearest location or book online. We'll verify Anthem benefits (in-network reciprocity status, out-of-network coverage, deductibles, copays, visit limits) within 24 hours of intake and give you a clear cost estimate before scheduling.
Not directly. We are in-network with CareFirst (the local BCBS plan). Many Anthem plans process through BlueCard reciprocity, which can sometimes mean in-network treatment. We verify each patient's specific plan.
Usually yes, but at out-of-network rates unless BlueCard reciprocity applies. We confirm before your first visit.
Anthem PPO plans typically don't require referrals for direct-access states like DC, MD, and VA. HMO plans may. We verify.
Both are BCBS-affiliated plans. CareFirst is the local BCBS plan for DC, MD, and Northern VA. Anthem operates in other states. They're separate companies but share the BlueCard reciprocity network.