Don’t Lose Your Benefits: How to Maximize Your Extended Health Care Before the Fall Rush


By: Backs in Action 

If you have extended health care coverage through your employer, you are already paying for your wellness benefits out of every paycheck. However, millions of insurance dollars go completely unused every year simply because people wait until the end-of-year rush to book their visits.

At Backs in Action, we make it seamless to utilize your coverage by offering direct billing, comprehensive treatment plans, and coordinated care across multiple specialties. Booking your assessment now ensures you stay healthy, active, and pain-free through the sunny months and beyond.

3 Reasons to Schedule Your Appointments This Summer

Waiting until the autumn to use your benefits is a common mistake that often results in missing out on care entirely. Taking action during the summer offers three distinct advantages:

  1. Beat the Autumn Bottleneck: Clinic schedules experience severe bottlenecks in in September, October, November and December as everyone rushes to use their remaining balances. Booking a summer slot guarantees your choice of prime morning or evening appointment times.
  2. Preventative Health Maintenance: Increased summer activity, from gardening and patio projects to hiking and sports, places unique demands on your body. Addressing a minor, nagging ache now prevents it from developing into an acute, debilitating injury when your routine changes in the fall.
  3. Coordinated Treatment Timelines: True structural recovery takes time. Starting a treatment plan in the summer allows your physiotherapist or chiropractor to build a progressive, multi-week routine without rushing against a hard insurance deadline.

What is Direct Billing and How Does It Work?

In summary: Direct billing is a financial service where a medical clinic submits your treatment claim directly to your private insurance provider on your behalf. Instead of paying the full treatment fee out of pocket, submitting a manual claim, and waiting weeks for reimbursement, you only pay the remaining co-pay or deductible amount at the time of your appointment.

We provide direct billing for a wide range of paramedical treatments to minimize your upfront costs. Our clinic handles direct claims for major providers, including:

  • Pacific Blue Cross
  • Canada Life
  • Sun Life
  • Manulife
  • Desjardins Insurance

Paramedical Insurance Coverage Limits & Reset Deadlines

Most private insurance policies assign a specific dollar amount (e.g. $500-$1,000 per year), a capped fee per visit (e.g. max of $110 per physiotherapy visit) or cover just a percentage of the visit price (e.g. 80%). These usually apply to different wellness categories like the ones listed below. Understanding these distinctions ensures you do not leave money on the table.

Practitioner SpecialtyCommon Symptoms Addressed
PhysiotherapyJoint stiffness, sports injuries, post-surgical recovery, muscle strains
Chiropractic CareLower back pain, neck stiffness, poor posture, alignment issues
Active Rehab / KinesiologyChronic injury management, strength training and recovery, mobility training, flexibility, muscle rebalancing, exercise plans and personal training
AcupunctureChronic pain, inflammation, balance and regulate hormones, stress and anxiety management, headaches and migraines, sleep disorders such as insomnia, digestive issues
Registered Massage TherapyMuscle Pain, Stiffness, Low Back Pain, Soreness, Stress Relief
Registered Clinical CounsellingStress, anxiety, trauma, behavioural change, addiction, psychological effects of pain, relationship challenges, supporting change and life adjustments
OrthoticsImprove foot function, realign the musculoskeletal system, correct biomechanical issues, relieve foot and back pain, plantar fasciitis, flat feet, bunions, metatarsalgia, diabetic foot complications

Insurance benefits do not roll over. If your policy operates on a calendar year or resets mid-year, any unused funds evaporate on the deadline date.

How to Check Your Extended Health Insurance Balance

1.Check Your Balances: Takes 2 minutes.

Log into your provider portal (like Pacific Blue Cross or Sun Life) to see exactly what funds you have remaining for physiotherapy, chiropractic care, acupuncture, registered massage therapy, counselling or mental health services or active rehab.

2.Beat the Autumn Bottleneck: Why summer matters.

September, October, November and December are the busiest months of the year for wellness clinics. Booking your assessment now ensures you get the prime morning or evening slots before the post-summer rush fills the schedule.

3.Let Us Handle the Paperwork: Zero-friction checkout.

Don’t worry about upfront costs or messy paperwork. Our administrative team provides direct billing to maximize your convenience and lower your out-of-pocket expenses.


Frequently Asked Questions About Private Health Insurance

What is Direct Billing and How Does It Work?

Direct billing is a financial service where a medical clinic submits your treatment claim directly to your private insurance provider on your behalf. Instead of paying the full treatment fee out of pocket and waiting for reimbursement, you only pay the remaining co-pay or deductible amount at the time of your appointment.

Can I combine physiotherapy and chiropractic care in one session?

Yes, if your insurance plan covers both disciplines independently, you can claim both services on the same day provided, they are performed by separate licensed practitioners as part of a coordinated care plan.

What happens if my insurance only covers 80% of the visit?

Our administration team will directly bill your insurance provider for the 80% portion. You will only be responsible for paying the remaining 20% co-pay at our front desk following your treatment.

Do insurance benefits roll over to the next year?

No. Insurance benefits do not roll over. If your policy resets mid-year or on a calendar year, any unused funds evaporate on the deadline date.

Do I need a doctor’s referral to use my benefits?

The majority of insurance companies do not require a physician’s referral for physiotherapy or chiropractic care. However, a small percentage of specific employer packages do require one; we recommend checking your provider’s online portal prior to booking.

Ready to Maximize Your Benefits?

Don’t let your hard-earned health benefits go to waste. Contact our team today to verify your insurance coverage, or use our online portal to schedule your summer clinical assessment.


Ready to Get Back in Action?

👉 Book Your Appointment Now!