You Deserve Better Than What Your Insurance Allows!

We have been transitioning to a different physical therapy model over the last year. It’s called the “patient care comes first model”. Now some would call this a cash-based physical therapy model, but we will dive into that later. Over the last decade of practicing in an insurance-based physical therapy model, we have seen a lot of changes and witnessed many disservices that insurance can offer in patient care.

 

To begin, your insurance has too much control over patient care. This means your insurance will dictate what types of service you receive, how long this service may be, as well as the amount of these services you will be “approved” for. For example, we recently had a patient schedule with us because she had to wait and be rescheduled three times over the course of a month at her previous physical therapy facility waiting on “authorization” from her primary care physician to submit to insurance in order to start physical therapy. What is wrong with this picture?? That’s a month of time wasted that she cannot get back preventing her from getting help she needed to ultimately get her back to doing the activity she loves.

 

So you can see our frustration with insurance and how they are not “patient-first”. This is why we have transitioned to this new model as the traditional model just does not line up with our core values here at Athlete Restoration Company.

 

SO HOW IS OUR MODEL DIFFERENT FROM THE TRADITIONAL PHYSICAL THERAPY MODEL?

If you have ever been to a physical therapy clinic that follows the traditional model for physical therapy, you will not only receive less time, but you may also be sharing your time with other patients. And if you are lucky you may get some time with a physical therapist. Here is what the traditional model for physical therapy does not tell you. They do not tell you that you are sharing time with someone else, because the reimbursement is so bad. If you were one of these patients that got mixed up in the traditional model and performing exercises by yourself in the corner for 30 minutes…thats because insurance reimburses the most for exercise. WOW! It’s all about the numbers. The traditional physical therapy model sacrifices patient quality for patient volume.

 

SO WHAT’S THE BENEFIT FOR YOU IF INSURANCE IS NOT PART OF THE EQUATION?

  1. You actually get to see your physical therapist. CRAZY! (lol). This sounds like common sense, but this is not what will happen everywhere. Traditional model physical therapy clinics will often utilize students or assistants to fill the service in order to get more patients in the door. Here at Athlete Restoration Company. it’s 100% one-on-one time with your post-professionally trained Doctor of Physical Therapy

  2. Contrary to popular belief, you might actually save money even if you are not able to utilize your insurance. As we are able to see patients for a whole 60 minutes during a treatment session, we do not have to see them as frequently. This will play a huge role for those patients that have a high co-pay or deductible.

  3. Get better faster! Our expectation is for our patients to get better faster with our model. We are very serious about quality over quantity of care. Not only will you save money, but you will get back to the things you love to do sooner. Don’t believe me? Just check out our reviews on Google.

  4. We can treat whatever we want whenever we want. In the traditional model you will be limited to treatment of a single body part for whatever has been “authorized”. And if we need to treat another body part as part of your insurance then it will need to be a separate evaluation and may need separate “approval”. Here at Athlete Restoration Company we can treat whatever issues you may be having that specific week, and insurance is not here to tell us what we can and can’t do!

  5. Just because we may not be in-network with your insurance, does not mean that you may not have out-of-network benefits that could get you reimbursed. We can provide you with a “superbill” at your request so that you can submit and get reimbursed by your insurance company

Here at Athlete Restoration Company you hear everyone say “they are not your average physical therapy clinic.” The above example is just another reason why. The traditional healthcare model that is dictated by insurance has shown that they do not have the best interest of the patient at heart.

But WE DO.

Insurance-based care is not the only route, and surely is not the most quality. With our approach and model, not only will you save overall expense to solve your problem, but you will save more time getting better and get back to doing the activities you love faster.

Just remember, you deserve better than what your insurance dictates!

 

This article is not intended to diagnose or treat specific medical issues, just informative purposes only. If you are still battling lingering pain give us a shout and we can figure where you are having specific issues and target them more directly!

P.S. follow us on Instagram [athlete_restoration_co] to see cool tips and exercises almost daily.

Have other questions or need assistance with a current injury? Reach out to us and learn how we may be able to help!