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Frequently Asked Questions

Do you take insurance?

We are an out-of-network provider because the business model necessary for an in-network practice to survive rarely ever allows for the high level care we insist on giving our patients. Due to progressively worsening reimbursement rates and pressure from insurance companies, most therapists at in-network clinics have to see 2-4 patients per hour and they often use assistants to provide much of the patient care. 

Out of pocket expense for our treatment sessions is sometimes less than a patient would pay at a clinic that accepts and bills their insurance. 

How is that possible? 

As deductibles and PT copays have skyrocketed in recent years, many of our patients who have high PT copays or have not met their deductible pay less out of pocket for our treatments than they would if they went to a clinic that accepts their insurance. 

 

If you have out-of-network benefits with your health insurance we will provide you with all of the documentation needed to turn into your insurance company for reimbursement. Some insurances require prior authorization for reimbursement after the initial evaluation. We can help you with this, so please be aware of the requirements of your insurance company and share this information with us. Payment is due at the time of service. We accept cash, check, HSA cards, and credit card payments. 

How much will treatment cost?

We offer a FREE 20-minute assessment that will allow us to pick out the primary issues and confirm that we can help and we are a good fit for your needs. At that point, you can decide if you would like to move forward and schedule a full evaluation and treatment session.  Fees can vary because we have a handful of different services. Before we can provide an accurate estimate, we need to know more about you and the best way to help you. Once we talk with you on the phone, we can supply you with an accurate cost.

What about Medicare?

Perry Physical Therapy, PLLC is not a Medicare provider at this time so law prevents us from providing Medicare patients with what would be considered "normally covered services". If you are a Medicare beneficiary and would still like to request treatment or have questions, please call us at 315-629-9798 or 218-343-1218. 

How do I know if I have out-of-network benefits?

Just call your insurance company and ask them if your plan includes out-of-network benefits. If you do have out of network benefits, ask your insurance company the following questions:

  • Do I have an out of network deductible?

  • Have I met my deductible for the year? If not, how far away am I from meeting my deductible?

  • Is there paperwork that must be filled out when submitting the out-of-network claims? If so, do you provide that paperwork? You should be able to print claim forms off your insurance company's website and send it in with documentation I provide. You may be able to submit electronically on your insurance's website. 

  • Do I need to be pre-certified or have a prior authorization for physical therapy treatment in order to receive reimbursement?

Do I need a referral from a doctor to see you?

You can be treated for 10 visits or 30 days, whichever comes first,  without a referral from you doctor. You will need a referral for physical therapy if your treatment exceeds these parameters.  Everyone is different, but you can expect it will take 4 to 8 treatments, once per week, for a complete recovery. Post-surgical patients can expect a longer recovery time, depending on the procedure and your surgeon. 

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