This agreement explains payment, cancellation and insurance responsibilities for services provided by Beta for Your Body. Current service prices are displayed on the Beta for Your Body website and booking page and will be confirmed before the appointment.

Payment

Payment is due in full at the time of service unless Beta for Your Body agrees in writing to another arrangement. Accepted payment methods will be identified before the appointment. The client or responsible party agrees to pay the fee for each service received.

Cash Pay And Insurance

Beta for Your Body is a cash-pay practice and does not submit insurance claims or accept assignment of insurance benefits. Upon request, an itemized receipt or superbill may be provided for eligible physical therapy services. The client is responsible for confirming out-of-network benefits, deductibles, referral or authorization requirements, claim deadlines and submission procedures. A superbill is not a guarantee of reimbursement, and the client remains responsible for the full charge regardless of an insurer’s decision.

HSA and FSA Funds

Physical therapy provided to diagnose, treat or mitigate an injury or medical condition may be eligible for HSA or FSA payment. General fitness, wellness or athletic-performance services may not qualify. The client is responsible for determining eligibility under the applicable plan and retaining supporting receipts.

Cancellation and No Show Policy

Appointments canceled or rescheduled less than 24 hours before the scheduled start time, and appointments missed without notice, will be charged the full scheduled service fee. The fee may be waived at the discretion of Beta for Your Body for an emergency or exceptional circumstance. Insurance generally does not reimburse cancellation or no-show fees.

Late Arrival

A late arrival may shorten the appointment so that the next client is not delayed. The full scheduled fee remains due. When the remaining time is insufficient to provide the service safely or effectively, the appointment may be rescheduled and treated as a late cancellation.

Good Faith Estimate

Uninsured or self-pay patients receiving health care may have the right to a written Good Faith Estimate of expected charges. The individualized estimate is provided separately because anticipated services and costs may change. A client may request an estimate before scheduling or at any time.

Agreement

I have reviewed the current fee for my scheduled service, understand this agreement, and accept financial responsibility for services and applicable cancellation or no-show charges.