Rates

Initial evaluation – 1 hour comprehensive evaluation with treatment and home exercise program included (for new patients only) $165

Treatment sessions – 1hour sessions (for existing patients only) $130 each session

Do you take my insurance?

No. Flow Physical Therapy and Pilates is an out-of-network provider (AKA private pay or “cash-based” practice). Rates are fixed, regardless of treatment types performed, and due at the time of service. A superbill (see below) can be provided for self-file if requested.

Why is Flow Physical Therapy and Pilates out-of-network?

The most straightforward answer is this: I am committed to providing quality physical therapy that truly makes a positive change in a person’s life. Unfortunately, insurance coverage for physical therapy services has been increasingly restrictive, prioritizing profits over proper care. Traditional physical therapy clinics have resorted to shorter treatment duration, overlapping patients, and using unlicensed aides. I believe people deserve better.

Stepping outside of the insurance cage allows me to spend more time for each evaluation and treatment session in a one-on-one model. Longer sessions promote patient comfort, allow patients to truly be heard, and are conducive to focused, thorough, and comprehensive evaluations. Quality evaluations lead to appropriate treatments (not treatments dictated by billing codes).

The result is better progress, longer lasting outcomes, less visits overall, and increased likelihood of successful return to daily life/athletics/hobbies. The quality is worth the cost.

What payment methods are available?

Credit card, personal check, Health Savings Accounts (HSA) and Flexible Spending Account (FSA) cards are acceptable forms of payment. Payment is due each session.

Can I be reimbursed by my insurance?

That depends on your provider and your specific plan. I am happy to provide a receipt (a superbill) that includes billing codes and diagnostic codes, upon request if a patient would like to self-file to their insurance provider for reimbursement. Every insurance plan is different and may have its own requirements. It is the responsibility of the patient to contact their insurance provider to learn the details of “out-of-network coverage for private outpatient physical therapy” if they want to seek reimbursement.

What about Medicare and Medicaid?

Flow Physical Therapy and Pilates has no relationship with Medicare, meaning we are not allowed to perform physical therapy services for Medicare beneficiaries at this time. This is due to restrictions imposed by Medicare. Yet, if you are unwavering in your desire to be seen by Flow PT & Pilates, we happily provide services not covered by Medicare (ie. preventative and wellness care, fitness exercises, massage therapy, and other non-covered services). You would be required to sign an ABN (Advanced Beneficiary Notice) form stating understanding that reimbursement by Medicare or secondary insurances is not possible.

Please be aware that physical therapists are excluded from the list of practitioners that are allowed to “opt out.” The ability to “opt out” is what allows Medicare reimbursement for out-of-pocket expenses. Some Medicare patient representatives do not understand this nuance, and give inaccurate information regarding reimbursement.

Due to Medicaid requirements, this clinic is unable to see patients with Medicaid at this time.

Please don’t hesitate to contact the clinic directly to further discuss any questions about payment.