Frequently Asked Questions
Q: Are your physical therapy services covered under my health insurance plan?
A: HealthFit Physical Therapy services are private-pay and we are considered an “out of network” provider for PPO insurance providers. Payment is due at the time of service. We accept cash, checks, credit cards, debit cards, flexible spending accounts, and health savings accounts.
Q: Will my health insurance provider reimburse me for my expenses?
A: Depending on your insurance, you may be able to receive some level of reimbursement or have the cost of treatment applied to your deductible. Upon request, we will gladly provide appropriate documentation so you can submit a claim to your insurance provider. We do not have the ability to provide billing documentation for Medicare clients. HealthFit cannot guarantee that you will receive reimbursement.
Q: If I can use my insurance at another clinic, why would I pay for services out of pocket?
A: Our approach to your health and well-being is vastly different from most traditional clinics. Unlike physical therapy clinics that may be contracted with health insurance providers, we ensure that each patient receives one-on-one attention with a skilled clinician who can deliver optimal results.
We pride ourselves on providing excellent one-on-one care and concentrate solely on your health and recovery process. With the steady decline in insurance reimbursement, many physical therapy clinics are forced to treat multiple patients within a truncated period of time in order to generate any income. Quality of care is often compromised and to keep up with the high volume of patients, assistants and aides may be used during your treatments.
We have learned that a cash-based service is the only way we can effectively and efficiently deliver the quality of care you deserve and at the same time, remain profitable. Unfortunately, contracting with insurance companies would force us to abandon our philosophy as well as our commitment to your health and well-being.
We value quality over quantity. At HealthFit, we are confident we can address your individual situation and support your wellness in less than half of the visits you would need at an insurance-based clinic. With the convenience of fewer visits and the value of feeling better faster, many feel the out-of-pocket expense is more than worth it.
Q: Do I need a referral for Physical Therapy for you to treat my orthopedic problem?
A: You do not need a referral. New California legislation (AB 100) now allows physical therapists to evaluate/treat for up to 45 days or 12 visits, whichever comes first. As a result, we're able to work with you directly.
To receive further physical therapy treatment after 45 days or 12 visits, you will need a written prescription from your physician, physician’s assistant, podiatrist, dentist or chiropractor. We can facilitate the process of your obtaining one.
Q: Do I need to be an athlete in order to receive treatment?
A: Absolutely not. Our physical therapists have extensive training and success with a variety of orthopedic problems ranging from rehabilitation after surgery to chronic problems affecting patients for years. They have experience working in acute care, neurological rehab, outpatient orthopedics, and elite sports medicine facilities. Whether you just sprained your ankle stepping off a curb or have nagging shoulder pain that limits your ability to put on a shirt in the morning, we can work with you towards a full recovery.
Q: The personal trainer at my local gym has given me some advice on what to do for some of my aches and pains. What’s the difference between a personal trainer and a physical therapist?
A: All of our physical therapists have fulfilled a graduate university curriculum in how to rehabilitate a variety of medical diagnoses. Some have also completed a post graduate program obtaining a Board Certification in Sports Physical Therapy. In general, personal trainers receive training and certification on how to assist the “well” public in meeting their exercise goals. The main difference is that physical therapists hold a degree and are required to pass a state licensing exam on how to assist patients with pain, weakness and dysfunction. Many patients who successfully complete their physical therapy programs become excellent personal trainer candidates.