Frequently Asked Questions
DO YOU TAKE MY INSURANCE?
We currently accept traditional Medicare plans only and will bill Medicare directly. For all Medicare Advantage plans, we are unable to bill them directly. This means you are responsible for the bill at time of service, but you will receive an itemized bill that can be submitted to your insurance plan for reimbursement.
We are OUT OF NETWORK with all other plans. This means payment for the session is billed to you and due at the time of service. You will then be provided with a "Superbill" that you can submit to your insurance for possible reimbursement.
WHY ARE YOU OUT OF NETWORK?
Unfortunately, most health insurance policies reimburse quite poorly for Physical Therapy services and typically limit your access to visits and services. In order for us to provide this highly specialized level of care and 1:1 mobile services, we are unable to work with most insurance plans.
The benefit of choosing an out of network provider is that YOU have the control in your treatment plan and not your health insurance. This allows us to travel to you and provide longer sessions for your best comfort and healing. This individualized approach typically results in less visits needed as you get more quality time with the PT than in a traditional outpatient in-network facility. You will never be "cut off" because your insurance said so, and we will get to work together until you have decided your goals have been met.
Out of network also means you can choose to see me as frequently or infrequently as possible. Or if you have a flare-up months/years later - all you have to do is call/text me to book without having to go through any extensive process with medical appointments, prescription/referrals, prior authorization for insurance, etc. This makes the process of your best wellness care as quick and simple as possible.
My goal is for you to feel improved, educated, empowered and capable of managing your symptoms and healing process in as few visits as possible.
WHAT IS THE COST?
Initial evaluation: $180
Follow-up visits: $130
(price range due to travel)
The initial evaluation is approximately 75 minutes long and includes a full functional assessment, education, treatment, and ways that you can immediately begin self-managing your symptoms. If further visits are needed, this will be discussed at your first visit and a plan of care that suits your individual needs and schedule will be created together.
WHAT FORM OF PAYMENT DO YOU ACCEPT?
We accept cash, check, credit card, HSA or FSA cards
DO I NEED A REFERRAL FROM MY MEDICAL PROVIDER?
No, NJ is a direct-access state, so you do not need a referral or prescription from your Physician. Although for certain health issues and pregnancy, it is beneficial and recommended that you have seen a medical Physician first prior to starting PT. For example, if you are pregnant or recently had surgery, than you will need to be cleared by your medical provider before the start of physical therapy treatment.
WHAT LOCATIONS DO YOU TRAVEL TO FOR HOME VISITS?
Little Egg Harbor
Long Beach Island (October - April)
WHAT SHOULD I ASK MY HEALTH INSURANCE PROVIDER REGARDING BENEFITS?
Some policies have out of network benefits, and others do not. Some of a high deductible and others have low ones. You may be eligible for hidden benefits or "out and in benefits" which is when there are no in-network provider within a certain mile radius of you, then you may be eligible for reimbursement. This information is not a statement of your direct benefits, but is meant to be used as guidance for your conversation with your insurance representative if you are choosing to seek reimbursement eligibility.
You can call your insurance provider ahead of time to know what your benefits are and if they will reimburse in full or partially for out of network pelvic floor physical therapy services.
WHAT SHOULD I EXPECT FOR MY FIRST VISIT?
Your first visit will be approximately 75 minutes to review your current symptoms and other pertinent medical history, complete examination, provide education, and initiate treatment. It is my goal to make you feel comfortable with discussing areas of the body that are not commonly talked about. All examination and treatment techniques will be discussed and will only be performed with your consent before initiating.
It is recommended that you dress in comfortable clothing, as the evaluation typically involves assessment of your functional movement patterns and posture. Proper dressings and drapes will be provided to ensure hygiene and modesty at all times.
It is also important that you do not stress about trying to clean your house. It is imperative that you are in a state of low stress (or as close to it as possible) . Seriously though, I don't care if you have piles of laundry, toys on the floor, dishes in the sink, dog hair, etc. ...don't worry about it! And if you're not convinced, just know I have two little kids and a golden retriever, so my house is in a constant state of disaster - so no judgment!
HOW DO YOU ASSESS THE PELVIC FLOOR?
The majority of muscles in your body can be examined externally (from the outside). The pelvic floor muscles are unique and can be examined both externally and internally (from the inside). Just like any other muscle of the body, by feeling and testing it's function we can determine if the muscle is weak or strong, tight or overstretched, painful, and other possible functional issues. The unique beauty of being a woman means we have two access points to the internal pelvic floor muscles: both vaginally & rectally. Internal palpation may be appropriate in order to accurately feel and determine their function in order to provide the best treatment plan for you. An internal assessment is only a small part of the comprehensive examination. It will only be performed if appropriate and with your consent. If you are uncomfortable with this, than it does not need to be performed on the first visit or any following visits.
The internal assessment is not like the exam you've had by your OB/GYN. There are no instruments involved, no scooting to the edge of the table with legs propped open, and only one finger is used to palpate the muscles.
WHAT HAPPENS IF I HAVE MY PERIOD ON THE DAY OF MY APPOINTMENT?
No worries, we ask that you still continue with your appointment. We can still treat the same, or can treat externally depending on your preference. Sometimes symptoms and pain/discomfort can change during our menstrual cycle, so that can be an important time to be assessed and treated. As long as you are comfortable proceeding, then so are we.