FIT Physio operates as an out-of-network provider to prioritize the quality of care and individualized attention that our patients deserve. This approach allows us to tailor treatments without the constraints often imposed by insurance companies, such as limited session durations or restricted treatment options. By focusing on what’s best for each patient, rather than what’s dictated by insurance policies, we can provide a more comprehensive and effective care experience, ultimately leading to better outcomes and patient satisfaction
WHY IS FIT PHYSIO AN OUT OF NETWORK PROVIDER?
Physical therapists are autonomous practitioners, but insurance companies heavily influence what treatments they can provide. Insurance only reimburses for the specific body part listed on the doctor’s prescription, even though research and over 20 years of clinical experience have taught me that a holistic, full-body approach yields the best rehabilitation results..
“In-network” providers accept lower reimbursement rates for access to more patients. To offset this, traditional clinics often see 2 to 4 patients per hour, giving only 15 to 25 minutes of direct time with the therapist. Patients are then handed off to an “aide” or “tech” but are billed as if the therapist was present the entire session. Sound familiar?
WHY SHOULD I GO TO FIT PHYSIO WHEN I CAN GO TO AN IN-NETWORK PROVIDER AND PAY LESS OUT OF POCKET?
The FIT Physio approach offers superior results in less time compared to typical physical therapy, and it may not cost much more out of pocket. Each session provides direct, one-on-one care with your therapist for a full hour. Compare that to your last PT clinic, where you paid a high copay for just 15 minutes with an average therapist before being handed off to an aide. If you value your time and money, there’s really no comparison.
As a Certified Functional Manual Therapist, Eddie has the advanced diagnostic training and clinical expertise to identify the root cause of your dysfunction, ensuring your treatment is targeted and effective, not just based on trial and error or dictated by insurance company limitations.
At FIT Physio, we combine hands-on Functional Manual Therapy® with a personalized one-on-one exercise program to help you recover faster. We also incorporate cutting-edge, evidence-based modalities to accelerate healing, at no extra cost, if they are deemed beneficial to your recovery. Click here for more information on Class IV lasers and PEMF.
MIGHT MY INSURANCE COVER ANY OF THE EXPENSE OUT OF NETWORK?
If you have a PPO, the answer is often yes, though it depends on your specific insurance plan. Upon request, we can provide you with a superbill, which you can submit to your insurance provider for an out-of-network claim to seek partial reimbursement, if approved.
DO YOU ACCEPT MEDICARE OR MEDICARE SUPPLEMENTAL INSURANCES? HOW ABOUT MEDI-CAL?
Yes, we accept Medicare if it is your primary insurance. As a complimentary service, we will contact Medicare to verify your eligibility and coverage.
If you have a Medicare supplemental insurance plan, we are often “grandfathered in,” allowing us to bill both Medicare and your supplemental insurance. Please inform us before your first treatment so we can assess your benefits.
We may also be able to accept your insurance if you have a Medicare Advantage or Medicare Replacement Plan. Let us know if you have one of these plans, and we will gladly check your benefits.
Please note that we do not accept Medi-Cal
