The Benefits of Choosing an Out-of-Network Physical Therapy Practice

Why Are You Out-of-Network With Most Insurances? 

We get asked this question all the time by patients, and we want to help you make a more informed decision about your care. By knowing the benefits of going out-of-network for your physical therapy and the limitations of traditional in-network-based clinics you will have a better understand on why we prefer an Out-of-Network treatment model.

What You Get At An In-Network Based Clinic

In many conventional PT clinics, the scene is all too familiar. Large rooms filled with rows of tables and numerous patients are a common sight. In these settings, it's not unusual for physical therapists to juggle multiple patients at a time due to high patient volumes and insurance reimbursement constraints. 

To manage their busy schedules, many clinics employ support staff who aren't skilled clinicians to assist with your physical therapy treatment. As a result, each patient often receives only a fraction of the physical therapist's attention during their appointment. This could affect the continuity and quality of care, as switching between multiple care providers during a session may not be the most beneficial approach for a patient's recovery process.

Insurance limitations also come into play. For instance, some insurance plans require referrals or authorizations before you can start your treatment. There may also be visit limits, and once you reach them, the insurance will not cover any more sessions, even if you haven't achieved your fitness goals. Additionally, you might have to meet a certain deductible amount before your insurance starts covering your PT sessions, meaning you're paying full price out of pocket until you reach that threshold.

Traditional PT clinics often recommend a frequency of 2-3 visits per week for several weeks to months, which can be time-consuming and interfere with your work schedule, family time, or other obligations. This structure and its limitations often lead to a less personalized, less effective form of care, which might not align with a patient's individual needs and goals.

Why You Should Consider Going Out-Of-Network For Your Physical Therapy Care

One-on-One Time

You are not just another appointment in your physical therapist's schedule. This approach facilitates undivided attention, meaningful communication, and a comprehensive understanding of your needs. With this focused attention, you are likely to require fewer visits, as each session is utilized to its maximum potential.

Direct Access to Skilled Clinicians

You will always work with a physical therapist, ensuring that a skilled clinician administers your treatment. By providing continuous, quality care, your therapist can make on-the-fly adjustments and ensure you gain the most value from your visits.

Independence from Insurance Limitations

Without the constraints of insurance companies, treatment decisions are made entirely based on your specific needs, not what an insurance policy dictates. This means no waiting for authorizations or referrals and no abrupt end to therapy due to visit limits.

Fewer, But More Productive Visits

Since you're receiving focused, one-on-one care, you often need fewer visits than at a traditional PT clinic. This translates into less time commuting to PT, a more efficient recovery process, and getting back to doing what you love faster.

Direct and Open Communication

You will have direct communication with your PT. You can ask questions or express concerns between visits, enhancing your understanding of your treatment and reinforcing your home exercise program.

Active, Targeted Treatment

Unlike traditional PT clinics, which often rely on passive treatments to pass time, you will receive a more active and targeted approach. These include exercises, manual therapy, and education that address the root cause of your problem.

Access to Preventative Care

Insurance companies do not typically cover wellness, maintenance, and injury prevention services. You will have access to preventative care, which can save you time and money in the long run by helping you stay active and healthy.

While insurance-based physical therapy clinics have their place, they often lack the personalized care and direct therapist-to-patient relationship important to a successful recovery journey.

At Resilience Physical Therapy, we value spending more quality time with each patient, providing personalized and effective treatment plans, fewer visits, and better outcomes. If you are looking for all that in a physical therapy clinic, we may be the right fit for you!