Frequently Asked Questions
Do I need a doctor’s prescription/referral to come to physical therapy?
In MI, you can receive physical therapy treatment for 10 visits or 21 days, whichever occurs first without a physician referral. The treatment rendered can be by a PT or a PTA as long as the PT has evaluated the patient and provides the usual required supervision. PT’s and PTA’s in Michigan are also allowed to provide exercise, modailities, and hands on care under the scope of physical therapy indefinitely without a prescription for the purposes of fitness or prevention. Please note: Most insurances in Michigan do not yet pay for direct access care, so this type of treatment would be self pay.
What do I wear to therapy?
Comfortable clothing is usually your best bet. Your therapist may ask you to appropriately expose the body part for which you are seeking treatment. We can provide you with a treatment gown, t-shirt, or shorts if you forget. For our women’s health patients, our front office will provide you with further information when your initial evaluation is scheduled.
Once I finish therapy, what other services do you provide?
This depends on your personal goals, which can be discussed with your therapist. We have a maintenance program that we offer to allow past patients to use our gym area for a monthly fee. We also can help with transitioning exercise to your home or gym. Finally, we offer a TRX ex class 2 weeknights and 2 lunch times a week.
What insurances do you accept?
We accept most insurance and are in network with most major insurance carriers. This includes all Medicare plans, Worker Compensation, and Motor Vehicle Accident insurances, as well as health insurances. We also accept Tricare, and Bronson insurance (although at out of network rates for Bronson). We accept some Medicaid plans (please call us to verify coverage for their specific plan.) If your coverage is exhausted during or prior to therapy or your insurance does not have physical therapy benefits, your therapist will discuss payment options with you.
What are some common insurance terms I should be aware of?
As healthcare providers, we feel it is our obligation to help patients become informed consumers.
- Copayment – A copayment is a specific, fixed dollar amount the member is obligated to pay and the provider is obligated to collect at the time the service is rendered.
- Coinsurance – Coinsurance is a percentage of the insurance payment for which the member is responsible. Some plans may have a copay AND a coinsurance amount.
- Deductible – A deductible is a specific, fixed dollar amount of charges for which the member is responsible. The deductible amount must be met before health insurance benefits can be paid.
- Visit Limit – the number of physical therapy visits allowed by the insurance company during a set time period, usually calendar year or contract year.
- Medicare Cap – $1,980 is the amount that Medicare allows before requiring additional documentation indicating why the patient requires continued and/or additional PT.
- Coordination of Benefits/COB – Insurance companies frequently send questionnaires asking members if another insurance is involved (if your condition is the result of an auto accident, etc.). It is important to complete these forms in a timely fashion in order for your insurance to pay.
How do I schedule an appointment?
Simply call (269) 685-9640.