MMC Benefits Handbook
Physical Therapy
The plan covers the treatment to:
  • Evaluation and treatment by physical means or modalities
  • Includes rehabilitative and habilitative services
Prior authorization for physical therapy is recommended. Contact the Claims Administrator for specific details. Ongoing therapy is subject to periodic clinical review to determine medical necessity for continued therapy.
The plan covers evaluation and treatment by physical means or modalities that:
  • Follows a specific treatment plan prescribed by your physician and is expected to significantly improve or restore physical functions lost as a result of an acute illness, injury or surgical procedure
Coverage includes services related to developmental delays.Ongoing therapy is subject to periodic clinical review to determine medical necessity for continued therapy.