Cash-based as opposed to insurance-based, means that Firm Foundation PT will only accept direct payment from the patient for services provided. Traditionally, PT clinics have been insurance-based to allow you to use your insurance benefits. However, this model gives your insurance company a lot of influence over the care you are able to receive. By choosing a cash-based model, there is much more flexibility available in your treatment session. We are able to utilize it for what you and I believe will be most beneficial to you.

Short answer: Maybe. You can contact your insurance provider and ask if there is any coverage for “out-of-network” providers. You will have to submit your superbills (a special type of invoice) to your insurance company for reimbursement.

Yes! You will be provided with a superbill after each session. Additionally, if you need any other information or documents in order to submit them to insurance, I am happy to provide those as well.

Orthopedic physical therapy provides care for musculoskeletal (bones and muscle) injuries or pain. This includes shoulder pain, rotator cuff tears/impingement, hip pain, low back pain, SI joint pain, hip bursitis, knee pain, foot and ankle injuries, and everything in between. Orthopedic physical therapy covers a wide variety of common injuries, but does not include neurological conditions.

Women’s health PT offers care for pelvic floor dysfunction as well as many conditions that can arise during the prenatal and postpartum times. Pelvic floor dysfunction includes urinary or fecal incontinence, pain with intercourse, constipation, pelvic pain, or tailbone pain.

As the pelvic floor is such a sensitive, yet importance area, I have always approached it with intentional caution. My training and ability to treat male pelvic floor dysfunction is extremely limited, and not something I am comfortable doing at this time. However, I would be happy to refer you to someone who would be wonderful at treating you, so please contact me if you would like more information.

*However if you are a man looking for orthopedic physical therapy, I am happy to help you!

Yes and no. Straight forward, I know. Michigan legislature allows a patient to be seen by a PT, for PT visits, for 10 visits or 21 days (whichever comes first) without a prescription. After that, a prescription is required. This process is called Direct access. Direct access is really beneficial if you want to get in to see a PT soon after an injury or before you are able to get an appointment with your provider. I am happy to provide you with copies of notes for you to take when you see your provider so your healthcare team can be on the same page.

*Remember, this applies only if you are coming for a PT visit. Wellness visits do not require a prescription.

Yes! While physical therapy visits require a prescription from your provider, wellness visits do not require a prescription. I would love to meet with you for an apportunity to ask questions, or share preventative measures you can take regarding your concerns.

Wellness visits can be particularly beneficial for prenatal and postpartum patients who just want additional information or education on the changes their body has undergone.

Unfortunately Medicare does not allow it’s beneficiaries to pay cash for services that are covered under their medicare plan. Physical therapy visits for patients with Medicare are illegal for Firm Foundation PT to provide. However, if you are looking for wellness visits-those targeted at achieving optimal health, not treating pain, I would be happy to work with you. Not sure if you are looking for PT or wellness? Feel free to contact me and we can talk it through.

Yes! Medicare Advantage plans are considered a “commercial payor” which means they function just like any other inurance plan (aside from Medicare). You may want to call and clarify if you have “Out of Nework” coverage to determine If they wil reimburse for treatment, but that is no different than other insurances.

90 minute sessions are great for those who feel they need, or simply want additional time with me. Patients who typically choose these sessions are those who are coming from farther away and maybe aren’t coming as often, or those who are receiving PT for multiple body parts. For example: Pelvic floor and foot pain, or hip and shoulder pain.

The 90 minute evaluation is also beneficial for pelvic health patients because there are often multiple body parts involved. The pelvic floor doesn’t function independently from the hips and low back so those areas often need evaluated as well. Evaluation of the hips/low back can be done at any time, but treatment gets going more efficiently if we have time to evaluate it all on the first day.