Q: Does My Insurance Cover This?

A: We do not bill your insurance (with the exception of Medicare). However, you may be able to get your visit fully or partially covered. Most insurance providers will accept what is called a superbill. Direct PT is happy to provide a superbill upon request. 

​

Q: I have a Medicare plan and am recovering from surgery, will you come to my house?

A: Yes! If you have a traditional Medicare plan, you will be charged a $75 concierge fee and we will bill your Medicare plan. If you have a Medicare Advantage plan, we will charge you the cash rate ($240 initially, $200 for follow ups) and can provide you with a superbill to submit to your insurance for reimbursement.

​

​Q: What is a superbill?

A: A superbill provides the data from a patient visit needed to successfully submit an insurance claim. This includes provider information, patient information and visit information. Superbills are different from receipts/invoices because they provide additional information regarding the visit (diagnosis and procedure codes) that are needed to get a claim approved.

​

Q: How can I find out if my insurance will reimburse from a superbill?

A: To start this process, call the number on the back of your insurance card (usually titled member services), and select the option to speak with a customer service representative. Then, you can ask the questions listed below:

• What are my physical therapy benefits?

• What is my out of network percentage of coverage?

• Do I have a deductible?

• If yes, how much is it?

• How much of deductible has been met?

• Do I need a written referral from a doctor to go to a physical therapist?

• Does the referral need to come from my primary care doctor?

• Do I need authorization on file prior to starting physical therapy?

• If yes, is there an authorization on file already?

• How do I submit a superbill and will I be reimbursed if I submit it?

​

Q: Why can't you just bill my insurance?

A: Direct PT has a mission to provide great physical therapy at an affordable price. In order to do this, we have limited resources to allocate toward billing administration. Insurance companies have continued a trend of reimbursing less and less over time while requiring more and more administrative burden from PTs. Because we are such a small practice, it is not beneficial for us to utilize an insurance biller. We make an exception for those patients who have Medicare as we feel this is an underserved population that can largely benefit from physical therapy services. 

​

Q: Can I use my HSA to cover a visit?

A. Yes. 

​

Q: Do I need to buy equipment if I want in-home Physical Therapy?

A: No. The physical therapist will bring all necessary equipment to your house. We ask that you provide room for a treatment table and some space to move around for exercise. 

​

Q: Do you work with patients that are going to have or have had surgery?

A: Absolutely! Direct PT is perfect for someone in this situation. Seeing a physical therapist both before and after surgery is beneficial. Surgery can be scary but consulting with a physical therapist on what to expect as well as learning some pre surgery exercises can help ease some of your worries and optimize your outcomes. After surgery, you have the option to utilize in-home visits which can further reduce some of the stress and anxiety associated with surgery. Your physical therapist will ensure communication with your surgeon to foster a team approach to your recovery. 

​

Q: What else do you treat?

A: We treat a wide variety of conditions including (but not limited to):

• post concussion syndrome 

• surgical rehabilitation 

• sports injuries 

• headaches 

• neck/back pain 

• arthritis 

• balance disorders/fall prevention

• injury prevention​