You PT Initial evaluation: 60 mins $175 or $165 with a package
Follow up sessions: 60 mins $150 each or $140 with a package 45 mins $115 each with 4 pack or $105 each with an 8 pack
Discounts: Purchase discounted packages below OR in the office.
Colorado is a "Direct Access" state. This means you can see any PT in Colorado without seeing a doctor first for a prescription.
Physical Therapy consists of Evaluation and Diagnosis of the issue, a treatment plan tailored for you by your PT and meeting consistently, one or two times per week for several weeks to achieve your goals and the treatment goals. These sessions consist of manual hands-on therapeutic techniques such as muscle release techniques and joint/spinal mobilizations, stretches and strengthening, postural, positional & body mechanics education, work station ergonomic education and corrections. PT also consists of direct communication with your doctor and/or medical team. The evaluation and progress notes will be faxed over to your doctor after your 1st visit and your 6th visit to update them on your treatment plan and the progress you are making. You will be provided with itemized receipts upon request after each visit or after your package is up to send to your insurance for reimbursement.
INSURANCE & Insurance REIMBURSEMENT
Out of network insurances: We are out of network with Anthem/BCBS, Tricare, Cigna + others, and can provide you with itemized receipts you can then email to your insurance company and be reimbursed for your visits. You will be provided with an itemized bill that you can submit to your insurance company for reimbursement. We recommend you call your insurance + let them know you will be getting PT with a provider that is not in their network + find our where they want you to send your receipts and if it will be reimbursed*. Document the name of the person you spoke to and what they said. They may require you have a doctors prescription for PT to reimburse you. You are responsible for the cost of your sessions at the time of your session. If your insurance says they will reimburse you and then they do not, you are still responsible for the cost of the full sessions. It usually takes about a month to get the reimbursement from your insurance company. Itemized billing receipts are provided to all PT patients who request it + some insurances will reimburse you for visits (it is your responsibility to check with your insurance and see if this is the case for you).
Medicare: will NOT reimburse you for PT with me since I have opt'd-out of being a medicare provider. You can still come see me anyway, if you sign a form stating that you fully understand you will not be reimbursed by medicare, you know what my fees are (see above) and you agree to pay them at the time of your treatment. If you have a Rx from a doctor for PT, you will pay the PT rates listed above. I can give you a referral to a PT in town that does accept Medicare if you prefer that. If you are coming for massage or personal training this does not apply to you. Medicare does not reimburse for massage or personal training at all, it is considered wellness, and they are very clear that they do not reimburse for wellness.
What is the difference between physical therapy + massage? You will schedule a PT appointment vs. a massage if: 1. You have a prescription from a doctor for physical therapy. 2. You want your PT visits to be reimbursed by your insurance company. 3. You have an injury, pain or you have had recent surgery or a congenital condition and want a skilled evaluation, specific diagnosis and educated treatment plan for meeting your goals. 4. PT usually consists of all the following: manual therapy (including massage, trigger point release, joint mobilization), stretching, strengthening exercises, a home exercise program + in-depth education on your diagnosis + rehab. There will also be direct communication with your doctor and medical team, if their info is provided, after your first visit + after 4-6 weeks for follow up. 5. PT usually meets 1-2x/week consistently to work toward the goals in a span of 4-6 weeks before re-assessment and re-revaluation by your PT and your doctor.
What makes Boulder Higher Health different than a PT clinic that accepts my insurance? 1. You will have faster results, in less sessions. 2. You will be with your physical therapist, one-on-one, for the entire ONE hour session. There is no juggling patients at the same time or passing you off to another worker during our sessions together. 3. My focus is on aligning and balancing the body through joint, spinal or muscle tissue mobilization or manipulation and then strengthening your specific weaknesses and imbalances to restore your function, diminish and take away your pain and help you move on with your life happy! 4. No moment is wasted during our time together, we get to the point, which is helping you recover efficiently and quickly. 5. You have the option of continuing massage or personal training or coming back for tune-ups anytime with someone who knows you, your body and your history. 6. Our gym is second to none, we meet at Body Balance Gym, on East Walnut for strength progression.