Health insurance companies increasingly dictate or influence the quality of treatment that patients receive at “in-network” PT clinics. Reimbursement rates are shrinking in relation to the cost of running a practice, and “in-network” clinics are forced to operate under a business model based on patient volume (ie. getting a certain number of patients through the door). This means “in-network” PTs are juggling multiple patients at once, have limited time to spend with each patient, and much of the exercise-based care is provided by unlicensed aides with limited training and education. This business model rarely allows for the high-level of care that I want to provide. My business model is focused solely on quality of care, not patient volume. I provide hour long, one-on-one sessions with no patients overlapping and no use of aides for patient care. I can only provide this level of care as an “out of network” practice. My patients also do not have to deal with other insurance requirements such as obtaining referrals, authorizations or physician prescriptions.
Most people carry high deductible health care plans. Until that deductible is paid down, you will be paying out of pocket for your PT. Why pay out of pocket for PT that is practicing under the insurance-based model described above. At HPT you will get the care you deserve.
While I do not process insurance at HPT, I do provide a detailed receipt that can be submitted to your insurance company as an “out of network” service. Depending on your individual plan, you may receive reimbursement for a portion of the charges.