Frequently Asked Questions

Do you take insurance and can I get re-imbursed for these services?

We are an out of network, cash based PT provider which means we do not bill health insurance; HOWEVER, our services may be covered in part by your insurance out of network benefits. You may submit these payments toward your deductible and utilize an HSA or FSA for payment since we are a licensed healthcare practice. This model ensures we can provide you the care you need without insurance limitations or restrictions. 

I can provide you with a receipt of services (called a Superbill) after each visit if requested and you may submit this receipt to your insurance company for possible reimbursement for out of network care as determined by your insurance plan. 


So, why not bill insurance & be in-network?

Insurance companies often limit several factors including the types of services provided, how long you can be seen, what you can be seen for, as well as delay your start of care. Our direct care service model will ensure we can use the tools we have at our disposal to help you feel and perform better in life. We are not limited by number of visits or a specific body part written on a referral to get what we need to do done. 

By addressing your health concerns sooner, you can ultimately save yourself time and money as you won't be waiting for permission to begin therapy, and you'll receive a focused, one-on-one treatment plan that can often yield better results, & faster. You will never receive a bill later in the mail regarding hidden, non-transparent costs that you did not expect or know about. Your time will be highly valued and you will not have to share it with anybody else, as is common in other clinical settings. 



What is the No Surprises Act / Good Faith Estimate and where can I get more information about what costs I might incur by participating in these out of network services? 


Please follow this link to the CMS website to get more information about the No Surprises Act. It states that you should be aware of possible and expected costs prior to receiving these out of network services. If you'd like any more information, please don't hesitate to ask. I will provide clear details on the potential costs you might incur by being seen in my practice. 


Fact Sheet:

https://www.cms.gov/files/document/nosurpriseactfactsheet-whats-good-faith-estimate508c.pdf


Other resources:

https://www.cms.gov/nosurprises/policies-and-resources/overview-of-rules-fact-sheets



Do I need a referral to be seen?

No referral is needed since we are an out of network provider in a state with direct access to PT! Physical Therapists are licensed doctors of their profession and are trained to make appropriate referrals regarding your medical care should another specialty be more appropriate for you at this time. If you have a primary care provider and would like for me to send them your physical therapy plan of care to keep your medical doctor in the loop, I would be happy to do so.


Why should I try Physical Therapy? How might it help?

Did you know that Physical Therapists are holistic wellness practitioners, movement diagnosticians, and experts in injury prevention and care? I am here to help you bridge the gap between how you are functioning now and how you see yourself thriving in the future.


This is not your typical Physical Therapy.


Here at Element PT & Wellness, we establish a plan together to not only improve your painful symptoms, but also dive deeper to find the root cause. You CAN improve performance and function without the excessive costs of expensive medication or surgery. Additionally, you do not have to be in pain to work with me.  As a PT, I offer skilled coaching in prevention to customize a program that meets YOUR needs to help you reach your fitness and wellness goals.

Can I be seen with Medicare?

Element PT & Wellness is not contracted with Medicare, so if you should require treatments for a condition specifically requiring manual therapy services,  feel free to speak with me and I can help refer you to a participating PT provider in the area. The good news is, Medicare beneficiaries are welcome to schedule individual sessions or participate in the Wellness Program here on a cash pay basis at Element PT & Wellness, where we can address general health, fitness, and exercise goals. You are also eligible to receive Dry Needling treatment if appropriate. These services are non-covered services by Medicare, so you will not be able to submit a receipt for reimbursement. Contact me if you have any questions.

What should I expect from my sessions?