Going Out-Of-Network means you will be receiving medical care from a provider that is outside of your insurance network. Per your request, we will call your insurance company to verify if you have out of network coverage. We will let you know the approximate cost of each session and how much your insurance should reimburse you for these services. Our concierge billing service will provide you with detailed invoices, at no additional cost, to submit to your insurance company for possible reimbursement you may receive. These invoices are provided per visit, weekly, monthly, or at the conclusion of your Physical Therapy; just let us know your preference. We are committed to explaining your benefits to you to the best of our ability; it is ultimately your responsibility to know and understand your insurance policy details.

Our policy is to collect in full at the time services are rendered each visit. Even though we do not participate in your insurance network, we are fully credentialed by insurance companies to provide services.

Why Do We Not Participate In-Network?

In-Network reimbursement rates are too low for us to see just one patient at a time. Our therapists are not required to meet productivity standards such as those at other larger clinics due to contractual agreements with insurance companies. We opt not to contract with insurance companies; therefore our out-of-network status allows for a 1:1 or 1:2 therapist-to-patient ratio at all times. Our 1:1 or 1:2 therapist-to-patient ratio allows for improved results as their focus and attention is not divided among 4 or more patients at a time.

Health Savings Account (HSA) or Flexible Spending Account

You are more than welcome to use your HSA or Flex Spending Account for the services we provide to you. We will provide invoices for the services you receive; you can have them to keep on file for your medical records.

Cost Comparison between In-Network versus Out-of-Network Physical Therapy

 

In-Network Out-of-Network
1-on-1 Treatment Time with Your Physical Therapist: 15 minutes 60 minutes
Cost per treatment session: $50 co-pay* $250*
Cost per minute: $3.33 per minute $2.20 per minute

We are available to answer your questions and schedule your first appointment. As a courtesy, we will call your insurance company to verify if you have out of network coverage. If out of network coverage is available to you, we will also confirm the details of the coverage available. Our concierge services include assisting you with the arduous insurance process.

*example of an out-of-network provider charge in the Houston area. Please call to discuss out-of-network charges appropriate for your diagnosis.

Health Savings Account (HSA) or Flexible Spending Account You are more than welcome to use your HSA or Flex Spending Account for the services we provide to you. We will provide invoices for the services you receive; you can have them to keep on file for your medical records.

 

While receiving care from a *participating Physical Therapist may minimize your financial responsibility, there may be good reasons to see a Physical Therapist who does not participate with your insurance plan. If you need a Physical Therapist that has special skills you are seeking, or if the location or other aspects of the care or facility meet your needs, going out-of-network may be a good choice for you.

We bill for only the services we feel you need to meet your goals; thus keeping your billed services below market average.

We provide invoices for services received, as a courtesy, for you to submit to your insurance company for potential out-of-network reimbursement. While there is no guarantee of reimbursement for services received out-of-network, most insurance companies do reimburse a portion of the total amount billed. Please keep in mind, it will be your insurance’s position to encourage you to go in network.

*in network with insurance plan

Health Savings Account (HSA) or Flexible Spending Account

You are more than welcome to use your HSA or Flex Spending Account for the services we provide to you. We will provide invoices for the services you receive; you can have them to keep on file for your medical records.

Pilates is a great way to supplement your Physical Therapy, be it In-Network or Out-of-Network.  AATB Pilates, our Pilates studio, offers a class to fit your rehab and budget needs 5 days a week.  Pilates improves your range of motion, breathing while exercising, flexibility, strength, balance, precision, muscle integration and your over all mood!  Our Physical Therapy practice incorporates Pilates as a part of our rehab approach and most all our patients opt to continue Pilates classes upon discharge.  come join us!

Contact Us For More Information!