Acute Program. The Acute Program includes live virtual sessions with a dedicated licensed physical therapist along with software guided rehabilitation and Participant education. If Sponsor selects and incorporates the Chronic Program, Sponsor may also elect to provide the Acute Program at a fee of $250 per year for each Participant who receives items or services through the Acute Program. However, a Participant enrolled in the Acute Program will only receive six virtual physical therapy sessions per episode prior to in-person healthcare provider or physical therapy care (additionally, other state laws may limit access without a physician’s referral). Once in-person healthcare provider or physical therapy care occurs, Participants can receive an additional six virtual physical therapy sessions per episode before the process repeats. Costs incurred by Sponsor’s group health plan(s) under the Acute Program for a specific Participant shall be offset against the $995 fees charged for such Participant should such Participant initially participate in the Acute Program, but later transition to the Chronic Program or the Surgery Program. In the case of such transition, should such Participant continue to participate in the Chronic Program beyond the one-year anniversary of such Participant’s enrollment in the Acute Program, Sponsor shall be billed the remainder of the Chronic Program or Surgery Program fees up to an annual maximum of $995 per the program per year. Should such Participant continue to participate in the Chronic Program or Surgery Program beyond the one-year anniversary of such individual’s enrollment in the Chronic Program or Surgery Program, Sponsor shall be billed an additional $995 for the new year.
