What are your goals when you go in to see a practitioner? Is it for them to look at one joint or issue and treat your symptoms? Or perhaps hand you a standard handout of exercises for your diagnosis? Well if you answer yes to these questions, then stick with your standard run of the mill practitioners. If not, you may want to try and find and Out of Network PT.
Individualized Treatment If you are looking for something a little bit different, then you are in the right place. You are a whole person and should be treated as such. When having knee pain, there could be many influences contributing to this discomfort. Perhaps you struggle to push off your foot correctly or struggle to pronate. There could be limitations in your hips limiting your ability to internally rotate at your knee to push into the ground. Could there be a pelvic floor component? Why does your right knee hurt versus your left? Is it perhaps because you put more weight on your right leg than your left? Is this due to limitations in your diaphragm pulling down more on your right side or not? Are your ribs restricted from rotating from one side to the other? This is quite the thought process isn’t it? These are just some of the thoughts that go through my head when I’m working with someone. In order to go through this thought process, I need the time and freedom to explore. Being an out of network provider allows me to do that. Your needs are my priority. Care is always provided one-on-one while taking into account your individualized needs. Standard sheets of exercises are not an option. What if there are other things in your life contributing to pain? Did you know that high stress, lack of sleep, decreased hydration, and poor eating habits can leave you in pain for longer? Addressing and problem solving through some of your other health basics can drastically assist with your recovery. We have the freedom to discuss stress coping strategies and problem solve some of the other obstacles in your life in order to get you on a better track.
Goals and Timelines
Think back to what your goals are when seeing someone! These goals are emotionally driven. You are passionate about these goals or they are essential for you to function. Sometimes goals take a while to reach. It could be as simple as being able to get off the floor without pain or lifting your child without urinating. Perhaps you have dreams of being able to play on a recreational soccer team, level up your aerial skills, or run a marathon while staying healthy. Whatever these goals may be, under an insurance model there is typically a finite timeline in which we need to accomplish them. Sometimes they will cut you off before you feel ready to be done. With your goals as priority, we can take as long as we need to reach them.
Other Differences
No Referral Necessary: Did you know that in the state of New Hampshire, we have what is called Direct Access? Direct Access means that you are able to come see a Physical Therapist without a Physician referral. It is typically certain types of insurance plans that restrict you from being able to do this.
Productivity Requirements: Did you know that some practices have standards of what treatment codes need to be billed per treatment for reimbursement purposes? Have you every wondered why almost every patient prior to leaving ends up on Ice and an electrical stimulation unit? This is not the case at all facilities, but is true at some. Therefore, your physical therapist may have to do certain types of treatment to meet those productivity and reimbursement needs.
What if I want to treat multiple things at once?: It can be challenging to treat multiple areas at one time under an insurance model, since they will not allot greater time with one person in a day. Insurance would prefer that you attend treatment multiple times per week to address everything. Most of the time, this is challenging to accommodate in your schedule.
Other FAQ’s Can I get some sort of reimbursement?
If you have out of network coverage on your commercial insurance plan, then you may be able to seek reimbursement. All you have to do is call your insurance company and ask if you have out of network coverage. They may be able to reimburse you in partial or full with the submission of a superbill. Please note that this does not guarantee reimbursement for services. Also ask if there is an out of network deductible that may need to be met prior to this coverage taking effect.
Can I use my HSA or FSA to pay for Services?
Yes! You can use your HSA or FSA to pay for Physical Therapy Services. Check with your HSA and FSA for specific guidelines. Most need a receipt and some require a superbill.
Can I come in Monthly to keep up with some Body Maintenance?
Yes! We can get you on a schedule that works best to meet your needs!
If you have any further questions on Out of Network Services, please feel free to ask! I just wanted everyone to be informed of my big reasons for being an Out of Network PT! Bottom Line: You come first and I want to treat you as such!