Short answer
Yes, when the therapy is medically necessary. Traditional Medicare covers outpatient physical therapy for problems such as unsteadiness, falls or dizziness under a plan of care certified by your physician or another qualified practitioner1. North Atlanta Vertigo is in-network with Traditional Medicare at both clinics. We are out of network with Medicare Advantage plans, which are run by private insurance companies.
Answered by Dr. Manan Patel, PT, DPT, TPS, Certified Vestibular Specialist and Therapeutic Pain Specialist. Updated October 18, 2026.
What balance problems does Medicare cover therapy for?
Coverage depends on medical need, not on a list of conditions. Common reasons include dizziness and vertigo, BPPV, unsteady walking, recent falls, fear of falling that limits activity, and balance problems after illness or surgery. Your evaluation documents the problems we find and the goals of treatment1.
Do I need a referral for physical therapy with Traditional Medicare?
You can contact us directly. Medicare requires your physician or a qualified practitioner, such as a nurse practitioner, to certify the plan of care, and we send it to your doctor's office for signature1. Bring your Medicare card and a list of your medicines to the first visit.
What will I pay with Traditional Medicare?
After the annual Medicare deductible for outpatient care, Traditional Medicare typically pays 80% of the approved amount, and you or a supplemental (Medigap) policy pay the rest. Our team verifies your benefits before your first visit and explains your expected cost.
Do you accept Medicare Advantage plans in Cumming and Alpharetta?
No. We are out of network with Medicare Advantage plans, sometimes called Medicare Part C. If you have a Medicare Advantage plan, call us at (470) 380-7007 and we will explain your options before you book. With Traditional Medicare, BCBS / Anthem or Tricare, you can be seen in-network at our Alpharetta or Cumming clinic, serving Johns Creek, Milton, Roswell, Suwanee and Forsyth County.
Where can I get help in Alpharetta, Cumming and nearby?
Dr. Manan Patel, PT, DPT, TPS and our team of physical therapists see patients from Alpharetta, Johns Creek, Milton, Roswell, Cumming, Suwanee, Sugar Hill, Buford, Duluth and Forsyth County at two North Atlanta clinics. Every visit is 60 minutes, one-on-one, and urgent appointments are available within 48 hours. We are in-network with Traditional Medicare, BCBS / Anthem and Tricare, and offer a $129 rate per visit for self-pay and out-of-network plans. Not sure where to start? Take the free symptom self-check, or visit our Alpharetta clinic or Cumming clinic page.
Cumming clinic
Off GA-400 Exit 13 on Peachtree Parkway
Cumming, GA 30041
Alpharetta clinic
Inside Georgia Brain & Spine Physical Therapy
Alpharetta, GA 30022
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References
- Centers for Medicare & Medicaid Services. Medicare Benefit Policy Manual, Chapter 15: Covered Medical and Other Health Services, Section 220 (outpatient therapy).
- Montero-Odasso M, et al. World guidelines for falls prevention and management for older adults: a global initiative. Age and Ageing. 2022.
This answer is general education, not a diagnosis or a substitute for an examination. If you have new or worsening symptoms, contact your doctor. Call 911 for sudden severe dizziness with trouble speaking, weakness, numbness, double vision or a severe headache.
