I want to be straightforward about this, because it is the thing people are most hesitant to ask on the phone.
We are an out-of-network provider. The short answer for why is that we work for you, not your insurance company.
What insurance actually changes about your care
Insurance companies dictate treatments. Treatments that take more time and are not as effective, which is what you see in a traditional therapy setting, where providers struggle to spend even fifteen minutes one-on-one with their clients.
That is not a criticism of those therapists. Many of them are excellent and deeply frustrated. It is a description of what the reimbursement model requires of them: high volume, several clients on the floor at once, and much of the hour delegated to aides or spent on documentation.
By removing insurance from the equation, you are in charge of your healthcare experience. That is what allows one-on-one, research-based treatment methods delivered at the level of care actually needed — which usually means faster results in fewer treatments.
Do the arithmetic on the whole episode
Almost everybody compares the cost of one visit here against the copay for one visit somewhere else. That is the wrong comparison, because it silently assumes the two courses of care take the same number of visits.
The typical client here is seen one to two visits a week for a total of four to eight visits. Each session is 60 minutes with the same therapist. Compare that against a course of two or three visits a week for two or three months, and the totals look very different — before you count the drives, the parking and the hours away from work.
I am not going to tell you this is cheaper for every person in every situation. It is not. But the number that matters is the cost of getting better, not the cost of an appointment.
What a superbill is
Each client, at the end of every treatment, is provided a superbill. That is an itemised receipt containing the codes and information your insurer needs.
You submit it to your insurance company and, depending on your out-of-network benefits, you may be reimbursed for part of what you paid. Whether that happens and how much comes back is between you and your plan — I cannot promise a number, and anyone who does is guessing.
It is worth one phone call to your insurer before you start. Ask specifically about out-of-network outpatient physical therapy benefits, your out-of-network deductible, and the reimbursement rate.
No referral needed
A prescription for physical therapy is not required. You can call and make an appointment immediately.
That matters more than it sounds. Quick and immediate access to physical therapy can be the difference between a condition being acute and becoming chronic. Waiting a week to see your primary care physician before you can be seen by us is a week the problem gets to keep working on you.
Packages, and a free first conversation
Besides individual sessions, there are packages at a discounted rate — the WELLNESS WARRIOR package, the ELITE 8 package, and the most popular option, the BLOOD FLOW RESTRICTION (BFR) STRENGTH package. Pricing is given directly, over the phone, so it can be matched to what you actually need rather than what a website guessed.
Before any of that, there is a free discovery visit. It exists so you can find out whether this approach fits your problem without spending anything to find out. If it is not a good fit, I will tell you, and I will usually be able to point you somewhere better.
