Why go out-of-network for Physical Therapy
Operating LivingWell, a Physical Therapy clinic in Whitefish Bay, Wisconsin as a cash-based clinic, we are able to treat you using all aspects of our medical degree without being limited by insurance. The vast majority of insurance companies utilize a third-party reviewer system which decides how many PT visits a patient may receive. The number of visits is often based on a basic diagnosis code and not on the patient's ultimate goals.
As a cash-based practice, we are able to keep our pricing low, treat each patient as their need requires, and you can still SUBMIT your paid claim to your insurance. Insurance companies can directly reimburse YOU. Patients at Living Well can also use their HSA, FSA, credit card or cash to pay for services.
Most often, the fee for services received at Living Well is much less than what a patient would pay for the same services at a clinic that is in their insurance network. Insurance deductibles and copays continue to increase yearly and many insurance plans do not cover PT until the patient's deductible is fully met. It is not uncommon for an in-network insurance company to charge $250 or more per visit and ALL of this expense is the responsibility of the patient until the deductible is met.
And even once the deductible is met, insurance companies only cover a portion of the bill for PT services you received.
Before you decide to get physical therapy based on which clinic is in-network with your insurance, make sure you research how much you will be paying vs. going to an out-of-network, cash-based clinic like Livingwell.
Here is an example:
"In network" insurance coverage
You have a $2000 deductible
$150/visit × 5 session=$1250 out of pocket expense to the patient
LivingWell cash based coverage "out of network"
You have a $2000 deductible
$100/visit × 5 sessions=$500 out of pocket expense to the patient
Living Well can provide paid claim which you can submit to insurance
Patients can pay for services with the HSA/FSA money their current insurance plan provides.
As you start to look more closely at your options, you may be surprised to see that by selecting a cash-based provider like LivingWell Physical Therapy, not only will you be receiving exceptional treatment and care but you will be saving money as well!
