Physical Therapy 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 willing to consider the details of their out of network benefits when determining the cost of services” Jennifer PT

What it Means to Go Out of Network & Submitting Invoices for Reimbursement

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 fee for service or in network clinic  JKPT can charge less because the simplified cash-based fee structure eliminates the need for a billing department and allows the focus and energy to go 100 % to patient care.  It also allows patients to make informed decisions regarding the costs of their healthcare choices. There are MANY insurance companies, each with their own contracted rates and regulations, and JKPT’s energy is best spent working with the patient, as opposed to billing and pursuing collection.  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

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”.

Cost Comparison between In-Network vs. Out-Of-Network Physical Therapy

 

  In-Network Out-of-Network
1-on-1 Treatment Time with Your Physical Therapist: 15 minutes 60 minutes
Cost per treatment session: $50 co-pay* $150*
Cost per minute: $3.33 per minute $2.50 per minute

We are available to answer your questions and schedule your first appointment. As a courtesy, we will call your insurance company to verify if you have out of network coverage. If out of network coverage is available to you, we will also confirm the details of the coverage available. Our concierge services include assisting you with the arduous insurance process.

*example of an out-of-network provider charge in the Houston area. Please call to discuss out-of-network charges appropriate for your diagnosis.
Health Savings or Flexible Spending Card

You are more than welcome to use your HSA or Flex Spending Account for the services we provide to you. We will provide invoices for the services you receive; you can have them to keep on file for your medical records and accountant.

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!

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