Insurance & Reimbursement

Pillar Core & Pelvic FloorPhysical Therapy, PLLC is a cash-pay practice, which allows me to give my undivided attention and full length sessions with one-on-one specialist care. While I do not bill insurance companies directly, my services are often eligible for out-of-network reimbursement.

How it works:

• Pay at the Time of Service: You pay the flat rate for your session on the day of your visit.

• Access Your Invoice: After your session, you will receive an itemized medical invoice via your patient portal. This invoice contains all the necessary clinical information (including NPI, Tax ID, and ICD-10/CPT codes) required by insurance companies.

• Submit Your Claim: You can upload this invoice to your insurance provider’s online portal or app to seek reimbursement.

How to check your coverage: Before your first visit, I recommend calling the member services number on the back of your insurance card and inquire:

• "Does my plan provide reimbursement for out-of-network Physical Therapy?"

• "Do I have an out-of-network deductible that must be met first?"

• "What is the reimbursement rate for outpatient physical therapy once the deductible is met?"

  Note on Medicare: In accordance with federal law, we cannot provide medical invoices for Medicare beneficiaries for covered physical therapy services. Wellness and prevention services for Medicare clients are available but are not eligible for insurance reimbursement.