Physical Therapy & Fitness Costs
“Many patients are happy to pay cash for Physical Therapy if it means receiving more personalized care such as one on one treatment for a full hour. I recognized this was what patients were asking for as it was lacking with other providers. In response, I set my clinic up in The Heights 10 years ago to meet this demand. With the current proliferation of high-deductible health plans, insured patients often face high out-of-pocket costs.
This being the case, there’s not a huge financial jump to move to cash-based services. Some patients have out of network benefits available to them as well; therefore, we are happy to take into consideration the details of their out of network benefits when determining the cost of services” Jennifer PT
What it Means to Go Out of Network (OON) & Receiving Invoices
Going out of network means your provider is not contracted with your insurance carrier. Most of the time, like with us, there is a fee range for services, and most of the time, it is well below the average charge submitted to the carrier in a typical in network clinic.
It is important to note that in network provider status is not based on education, experience, skills or treatment outcomes, but is often determined by the “number of providers” in the area.
We will call your insurance company to verify your out of network benefits & report back to you prior to your first appointment. At this time, a representative provides the information to us on the phone typically sends a fax confirmation of the information.This process, on average, takes 20-25 minutes.
We will provide you with invoices to submit to your insurance company for reimbursement. The invoices have all the necessary information(business name and address, tax ID, national provider identification, license number, etc)as well as proper billing codes.
What it Means to Go In Network (IN)
Going in network means your provider is contracted with your insurance carrier, likely at a negotiated rate less than the market competitive rate, in hopes of servicing a large volume of patients due to the “number of lives” your carrier insures in the area…….this is one reason not all providers can be in network as the carriers limit the number of in network providers per demographic area so there are not too many providers competing to service the “same insured lives”.
A Comparison of Potential "Cost & Time Spent with Physical Therapist" between IN & ONN Physical Therapy Providers
|1-on-1 Treatment Time with Your Physical Therapist:||15 minutes||60 minutes|
|Cost per treatment session:||$50 co-pay||$125-$150|
|Cost per minute:||$3.33 per minute||$2.50 per minute|
Health Savings Account or Flexible Spending Card
You are more than welcome to use your HSA or FSA for the services we provide to you.
Supplement Your PT with Our Pilates Classes!
Pilates is a great way to supplement your Physical Therapy, Pilates improves your range of motion, breath, flexibility, strength, balance, and posture, and your overall mood! Our Physical Therapy practice incorporates Pilates as a part of our treatment approach and most all our patients opt to continue Pilates classes upon completion of their Physical Therapy. Come join us! You do not have to be a Physical Therapy patient to do Pilates with us!
Our fitness privates/classes are designed to increase strength, improve flexibility, and address balance deficits. As a part of this service, we will provide you with a home exercise program to help keep you on track. Sitting all day, driving for your commute, and life in general can cause weakness and tightness in certain muscle groups. Our fitness program helps to reverse this for you.