Frequently Asked Questions:
Do you accept insurance?
No, we are an out of network provider, meaning that we do not submit claims to the insurance company on your behalf. You can, however, submit the claims yourself for possible reimbursement.
Do you participate with Medicare?
No. We do not participate with Medicare. However, many patients choose to see us and pay out of pocket for our services because of the individualized attention and specialized treatment approach which they may be unable to find in a Medicare participating clinic.
Why don’t you participate with insurance?
The reason we have a fee-for-service PT practice is because we believe that our patients deserve a certain level of care which cannot be achieved in the insurance-based PT clinic. Insurance companies are reimbursing less and less, so most therapists who accept insurance have to limit time with patients or use Assistants or Techs/Aides in order to stay in business. Our therapists spend the full appointment session one-on-one with each patient, and the focus is primarily on manual therapy techniques and/or dry needling. With this approach, we usually have patients maximally recovered in less than half the amount of visits needed at a traditional insurance-based clinic.
Can I (the patient) request reimbursement from my insurance carrier?
Yes. We will provide a full detailed receipt for physical therapy which YOU can then submit to your insurance company for a possible reimbursement. Furthermore, if you submit the receipts, they may apply to your deductible.
I have a high deductible insurance plan, so I end up paying for most of my physical therapy “out of pocket.” Why am I better off going to a facility like yours?
At a typical physical therapy office, you will be seen 2-3 times per week for 4-6 weeks on average – this usually ends up costing you approximately $100 per visit (although this amount can vary greatly) for a range of 8 to 18 visits. So, if you do the math you will be paying $800 to $1800 at a traditional insurance based physical therapy office. At Restore, patients are typically seen once per week for a one-on-one session with a doctor of physical therapy; and many will see significant improvement of their pain in just 2-4 visits, getting better faster and costing less out of pocket.
I have good health insurance, why would I choose to pay out of pocket for my physical therapy?
Many patients will have a copay ranging from $20 (the lucky ones) to as much as $60 per visit. That adds up to $60 to $180 per week in copays for a patient going to therapy 3 times/week – and this can go on for several months, at times. We typically see patients once per week and the treatment techniques that we use with patients usually results in a faster recovery with fewer visits required. Many patients with out-of-network benefits have told us that once they have been reimbursed for their PT at Restore Physical Therapy, they ended up paying less for the course of their treatment at our facility than they had spent doing months of therapy at a traditional PT office. They say “I wish I had just come to you first!”
Do I need to get a referral from my doctor?
No. You can come directly to Restore Physical Therapy to receive treatment for your pain. During the evaluation, if the treating therapist has any concerns, they will refer you to the appropriate physician.