I have decided to be an out of network clinic which means that I do not accept insurance directly. I do this on purpose because I believe in putting you, the patient, first rather than treating based on what insurance will or won't cover.
What Does This Mean For You?
This means that my patients pay me directly for each visit and I do not submit claims to insurance. This allows me, as a Doctor of Physical Therapy, to spend my full time treating my patients and not spending unnecessary time seeking approvals or authorizations from insurance companies for the care you need. All services from me are covered under my flat rate which means that you will never be mailed a surprise bill and you know exactly what your care costs. You also don't need a referral or preauthorization from your insurance to see me.
If your insurance plan covers out of network services, you are welcome to submit claims on your own to your insurance carrier. After each visit, I can provide you with a superbill or invoice that you can use in the submission of your claim. Reimbursement varies by plan. You can use this worksheet to gather all the necessary information from your insurance carrier to find out if you have out of network benefits.
Why Have I Chosen to be Out-of-Network
Unfortunately insurance reimbursement for physical therapy continues to decline which forces many in-network clinics to schedule multiple patients at the same time, thus decreasing the amount of time you actually get to spend with the physical therapist. Insurance also reimburses certain treatments at a higher rate which means physical therapists get pressured into selecting treatment that will pay more versus what would be the most beneficial to you. Insurance may also limit how long you can be seen which means you may not have fully met your goals and are forced to be discharged from care or pay out of pocket anyway for continued treatment.
Many times you can't be treated for multiple problems by the same provider or at the same visit (i.e. pelvic floor issues and foot pain), requiring you to schedule more appointments, pay more co-pays, and have a decrease in your continuity of care.
Out-of Network Can Save You Time & Money
Due to most visits at in-network clinics being only about 20-30 minutes with the actual physical therapist, you are recommended to come 2-3 times per week, which means more time away from your family, work, and other obligations. You also have to pay a co-pay or co-insurance at each visit. The average can range from $25-$90 which means you could still be spending $50-$180 per week for 6-12 weeks.
Since I see each patient for 60 minutes of direct 1:1 care, this decreases the need to come as often and also allows us to spread out your plan care, thus ensuring that we solve your problem long term and give you the tools & knowledge you need to take care of your body and stay symptom free for life. On average, patients see me for 5-10 visits for a plan of care.
Don’t hesitate in reaching out to me with any questions that you might have!
Email: emily@rxdpt.com
Phone: (989)318-3839