Frequently Asked Questions
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Our PT clinic is a fee for service provider, out-of-network, rehab, and performance center. Before you get concerned, out-of-network physical therapy will likely save you more time, money, and resources, while also helping you achieve your desired results.
Insurance companies want to save money, like any other business. And that saving on their end more often than not comes at the cost of your outcomes as a patient. They (insurance) put limits on how many visits, where you can go, what services are able to be rendered, among a list of other variables. We want each patient of ours to not only reach their rehab goals, but set new personal goals. That can truly only come through personal and customized 1 on 1 care. If you have more questions or concerns about this model book a free discovery call today.
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In an out-of-network treatment model, our PT enters into an agreement with you as the patient, not your insurance company to provide physical therapy services. Insurance companies want to save money, like any other business. That savings on their end often comes at the cost of your outcomes as a patient. With declining reimbursement, many clinics are forced to treat multiple patients an hour and lower patient care standards to make ends meet. These clinics rotate patients in and out and use assistants and techs to complete treatments.
With our cash-based practice, you and your PT can decide together how you should treated as we are not bound to the insurance company reimbursement. During your treatments, you pay at the time of each day of service so there are no surprise bills. We are able to provide personalized one-on-one care for our patients over the course of our one-hour treatment session with the same physical therapist every time.
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We are an out of network provider, so we do not directly participate with any insurance plans. However, we do provide you with an invoice that includes yours treatment and diagnostic codes, which you can submit to your insurance company for reimbursement
We are not in network with health insurances. However, if you contact your health insurance company and learn that you have out-of-network benefits, then we are able to supply an itemized bill for you to submit to your insurance company. By submitting your receipt, you may be able to recover a percentage of the cost you pay upfront from your insurance company.
You may also choose to pay with the following methods:
• HSA (Health Savings Account)
• FSA (Flexible Spending Account)
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It may be less expensive for you to pay cash than using a traditional insurance-based method.
Without insurance constraints, we can design a custom treatment program, and you will spend the entirety of each therapy session one-on-one with your therapist. This helps get you results in less time and with fewer sessions. This keeps our prices competitive with what your co-pay costs would be. Also, if you have out of network coverage, you can choose to submit our itemized bill to your insurance company for out of network reimbursement.
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Yes and no. If you have commercial insurance (anything other than Medicare) or no insurance, you can directly access physical therapy for up to 21 days or 10 visits without a referral. Treatment beyond that point will require a provider referral.
Medicare patients need to have a provider referral to begin therapy.
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Yes. We will accept self-payment in full from the beneficiary at the time of service. We will courtesy bill Medicare on your behalf and Medicare will remit applicable reimbursement directly to you.