top of page

Frequently Asked Questions

FAQ: FAQ

Do I need a doctor’s referral?

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 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 exactly 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. 

Do you take my insurance?

Jersey Shore Pelvic Health currently accepts traditional MEDICARE plans (not Medicare Advantage) and is OUT OF NETWORK with all other plans.  This means we are a "fee at time of service" basis. So we charge you at the time of session, and then provide a "Superbill" that you can submit to your insurance for possible reimbursement.

Unfortunately, most health insurance policies do not recognize and reimburse well for this type of specialty service and care; they also like to control the type and how much care you are allowed to receive whether or not your problem has been healed. It is for these reasons that we are not an in-network provider with insurance companies. 

By choosing to work out of network with me, YOU have the control in your treatment plan and not your insurance provider. Every visit will be 1:1 in the comfort of your home, so we are able to spend more time together which usually ends up being less total visits needed compared to more traditional outpatient places that accept insurance. You will never be "cut off" because your insurance said so. We get to work together until you have decided your goals have been met. 

Upon request, you will be provided what is called a "Superbill" - which is essentially an invoice/receipt to submit to your Insurance provider for possible reimbursement.

What happens if I have my period when scheduled for an 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.

What should I ask my insurance provider regarding my 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. 

How many visits will I need?

This answer depends on the reason for referral and current complexities of the problem. On average I see people for 5-10 visits spread out over multiple weeks/months, but this is greatly dependent on your individual needs.

bottom of page