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What about insurance?

As a solo practitioner without support staff,    I am unable to handle the complexities and demands of insurance billing.           Unfortunately this applies to all insurances including Medicare and Medicaid.  

I can provide a form to you upon request,

for you to submit to your insurance carrier

for reimbursement.

See information within this page.

Commerical Insurance

As a solo practitioner without support staff,    I am unable to handle the complexities and demands of insurance billing.  If  you have commercial insurance you may be able to file for reimbursement.  For each session,  I can provide you a document, known in the industry as a "superbill," that you can submit to your insurance.   The document has your diagnostic code and the codes that describe the services I provide.  Please contact your insurance company to determine if this is an option for you.   This would only apply to services that are medically necessary.  For short episodes of care you do not need a prescription.  If you need more care, I will contact your doctor to obtain the needed prescription.  

Medicare

As a solo practitioner without support staff,    I am unable to handle the complexities and demands of insurance billing.           Unfortunately this applies to all insurances including Medicare and Medicaid.  

 

Medicare has very strict rules about therapist’s relationship with Medicare recipients.

Since I am currently not a Medicare provider, I can only provide you services that are not covered by Medicare.  Here are some examples. 

  • I can act as a rehabilitation consultant.  If you don't know if you need therapy or if therapy with another provider isn't going the way you had hoped I can provide an extra set of eyes and maybe some ideas to help you get "unstuck."  I consult with therapists all over the country and can consult with yours.

  • I can consult with you and your personal trainer to help your time together be the best it can be.  

  • I can provide you with wellness services in these circumstances

    • You have "graduated" from Physical Therapy but still aren't where you want to be

    • PT discharged you because of lack of progress

    • Your condition isn't serious enough to to qualify as medically necessary

In those cases I can work with you because the service you  need isn't covered by Medicare.  

If you have a level of pain or disability that qualifies you to use your Medicare, I really encourage you to do so.  There are many great therapists out there. I really appreciate the skills and one on one attention at Redbud Health Services in Buchanan.   You've paid into the system and now you can use that investment.  If you condition makes PT medically necessary  Medicare will pay for it and insists on doing so. 

Let's Work Together

I offer a free 30 minute consult.  We can talk about your options.  If you need to or choose to use insurance, I can direct you to providers that I know in the area that accept insurance.  

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