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Why I am an Out-Of-Network Physical Therapy Provider

Writer: Sarah BarbosaSarah Barbosa

Updated: Oct 21, 2024

One of the most common questions I get from prospective patients is "Do you take insurance?"


People often assume they need to use their insurance for physical therapy. And when they encounter a physical therapist who doesn't accept their insurance, their instinct is likely to look for someone who does. But before you do, it's important to understand some of the common differences between an in-network physical therapist and one who is out-of-network.


Let me share why I've chosen to be out-of-network and not accept most insurance plans.


My goal is to provide a personalized and focused experience for patients, particularly those who lift weights. If you choose to work with me, you'll receive one-on-one, uninterrupted sessions tailored specifically to your needs and goals. This means you'll have my full attention for the entire session, ensuring you learn and understand every little detail about your condition, exercises and treatments.


In traditional physical therapy clinics that accept insurance, you might encounter much shorter one-on-one time with your therapist as the majority of your session is shared with other patients in the room and you're left guided by unlicensed aides or students. Because of insurance reimbursement limitations, treatment restrictions, and productivity standards by higher up, patient quantity is often prioritized by quality. This usually leads to generalized exercises that may not fully address your specific needs or performance goals.


I created my business with one purpose in mind: provide quality of care to a specific niche (lifters and gymnasts). I've learned from personal experience and hearing so many of patient's experiences that traditional physical therapy doesn't always get the job done right.


For my lifters, I've seen time and time again, that if I don't fix technique flaws actually watching them lift, I can do all the manual therapy I want but their pain is going to come back. Call me a bad business woman, but I want you healed as quickly as possible and to never have to treat you again! Lifters need a gym environment so I can assess form and tweak it right then and there and see what effect it has on your symptoms and alignment. They need real weights and exercises that challenge them. They need a lifter who understands the demands on the sport.


My gymnasts also need someone who understands their sport and how to not only heal from an injury, but ensure everything is optimized to prevent future injuries and adequately strengthen them back to gymnast level (which is beyond a normal human and something therabands only will not achieve).

I also believe that you should have access to your physical therapist in between sessions should you have any questions, concerns, or simply want to share you had an awesome workout with no pain! That's why I'm available by phone or email even if you don't have an appointment scheduled. Because that's what I believe quality care is.


This approach not only maximizes the effectiveness of each session, but also reduces the overall number of visits needed, helping you achieve faster results. While it may require an investment upfront, it ultimately saves you time and money and ensures you receive the highest level of care tailored specifically to you as an athlete. Plus, I accept HSA/FSA cards, and provide you with a receipt you can submit to your insurance for out-of-network benefits and possible reimbursement (a lot of my patients get reimbursement checks mailed to them).


I promise you'll see the difference in care. Give it a shot. Reach out to me and schedule an evaluation today!


 
 
 

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CONTACT ME:

Call/Text: 732-256-8931

HOURS:

Tuesday          2:30pm-8:00pm
Wednesday   9:00am-5:00pm
Thursday        2:30pm-8:00pm
Friday               1:30pm-8:00pm

LOCATION:

Next Fit Clubs
129 Stryker Lane
Hillsborough, NJ 08844

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