For your convenience, the most common client questions are answered here.
If you don’t find what you’re looking for, please Contact Heather directly.
Q: Do you accept my insurance?
A: I am an out of network provider with all insurance companies with the exception of Medicare ( see below about medicare). Please see below why it might make sense to go out of network.
Q: What are your rates?
A: Because I work out of network with insurance companies and my overhead is low, many patients find my rates comparable with their copay or deductible.
Initial Evaluation : $100
1/2 hour follow up appointment : $50
45 minute follow up appointment : $75
Many insurance plans will reimburse you for physical therapy services. For tips on reimbursement from your insurance, please review my patient forms.
Q: Why should I pay more out of pocket when my insurance covers physical therapy?
A: Being out of the insurance model allows the amount of time set aside for follow up appointments to be tailored to each individual patient’s needs and goals. Most physical therapy practices that work in-network schedule between 3- 5 patients per hour and utilize assistants or aides to carry out treatments. My sessions are always one on one, with me, a doctor of physical therapy, so your time spent with me is focused on you.
At a typical PT practice, patients are scheduled 2-3x/week but may only see a physical therapist for 15 minutes each visit before they are cycled through exercises and machines with an assistant . Patients can spend anywhere from $60- $150 in copays or deductibles and spend hours going to and from appointments only to get 1/2 hour of quality care. In an out of network model , my busy patients can choose to schedule one 45 minute session a week and get better quicker .
Q: Do I need a prescription from my physician for physical therapy?
A: In New York State, physical therapists can treat someone for 30 days or 10 visits without a physician referral. After that, a prescription from your M.D. is required. Some insurance companies may require a physician referral for reimbursement. It is the responsibility of each patient to determine the coverage and reimbursement practices of their insurance.
Q: How do I schedule an appointment ?
Medicare recipients : I am now able to work with Medicare. If you would like to bill Medicare, you will need a doctor’s prescription and I will need to make a copy of your Medicare card on your first visit. If you have had outpatient physical therapy during this calendar year , I will need to know the number of visits you have had previously . Please note , I am not an in network provider with Medicare advantage plans. Please contact me if you have any questions.