At KinetaCare Physiotherapy, we believe that when it comes to your health, decisions should rest between you and your doctor, without interference from insurance companies. However, we understand that financial barriers can often stand in the way of receiving the care you truly need. These are valid concerns, and we’re here to address them and show you that utlizing your insurance benefits may not actually save you the most time or money.
Understanding the Basics
Before we delve into the benefits of cash-pay versus insurance-based physiotherapy, let’s clarify some fundamental concepts:
- Physiotherapy: Also known as physical therapy, this method focuses on improving movement, reducing pain, and enhancing physical well-being.
- Payment Options: There are two primary payment methods:
- Insurance-Based Physical Therapy: Utilization of your health insurance.
- Cash-Pay Physiotherapy: You pay out of pocket and may seek reimbursement from your insurance.
The Numbers
(sources: 1, 2, 3, 4, 5, 6) |
KinetaCare Physiotherapy(These are our actual numbers) |
Insurance-Based PT (Michigan) |
|---|---|---|
Average Cost per Session |
$150 |
$109.20 |
Average Number of Visits per Injury |
4 |
10-12 |
Average Total Cost (per injury) |
$600 |
$1092 – $1310.40 |
Total Time in the Clinic |
180 minutes |
450-540 minutes |
Time with Your Doctor |
180 minutes (100% of the time with your doctor, every time) |
150-200 minutes (average of 30-50% of your session one-on-one with your doctor) |
Cost per Minute with Doctor |
$3.33/minute |
$6.55-$7.28/minute |
KinetaCare Physiotherapy may cost a bit more for a session but requires fewer sessions, resulting in a lower total cost. You’ll spend less time in the clinic, have more one-on-one time with your doctor, and the cost per minute for personalized care is much lower. These numbers indicate that KinetaCare can be a more efficient and cost-effective choice for your physiotherapy needs compared to insurance-based PT in Michigan.
KinetaCare’s Accountability: Your Success, Our Mission
We are a private cash-pay physiotherapy practice, and our accountability is to you, our client. We understand the investment you make in your health, and we are committed to delivering exceptional results. Your success is our mission, and we don’t take that responsibility lightly.
Insurance-Based Physical Therapy Accountability: A Different Focus
In insurance-based clinics, accountability may also lie with third-party payers, the insurance companies. These clinics often adhere to specific guidelines and standards set by insurance providers, which can influence treatment decisions and the number of allowed visits, sometimes shifting accountability away from the patient-provider relationship.
Your KinetaCare Experience
Here’s what you can expect from us:
Swift Accessibility
- We aim to evaluate you within a week of your call, putting your health as a top priority.
Personalized One-on-One Sessions
- You’ll experience 45-60 minute one-on-one sessions with the same doctor who conducted your initial evaluation, ensuring personalized care and continuity throughout your treatment.
Ongoing Progress Assessment
- We continuously evaluate your progress during each session and make adjustments collaboratively with you, ensuring your care is consistently optimized.
Precision in Exercise
- We guide you to perform exercises correctly, maximizing their effectiveness and your recovery.
Expert Educators
- Our clinicians are not just experts; they’re educators in the field of physiotherapy, ensuring you understand your treatment every step of the way.
Direct Communication
- You’ll have your doctor’s direct email address for prompt communication, with a commitment to a 24-hour response time.
Insurance-Based Physical Therapy: Hurdles to Overcome
In contrast, insurance-based clinics present their own set of challenges:
- Variable Accessibility: Evaluations may be scheduled 1-4 weeks out due to high patient volume.
- One-on-Two (or more) per Session: You might work with multiple clinicians or technicians, often sharing session time.
- Periodic Progress Assessments: Clinicians must complete a 4-6 week “Progress Note” to assess your progress and justify further insurance-approved visits.
- Superficial Focus: If the session mainly targets the area that hurts, rather than addressing why it hurts, it can leave patients dissatisfied, as it doesn’t address the root cause of the issue.
- Limited Direct Access: Getting in touch with your doctor can be challenging, potentially slowing down the decision-making process.
How We Help You Get Reimbursement: Making It Easy
We support our clients in seeking reimbursement through detailed superbills for each physiotherapy treatment session. These invoices provide a clear breakdown of the healthcare services received, including diagnosis and procedure codes, which are crucial for insurance reimbursement and tax purposes. Additionally, we recommend using Reimbursify, a user-friendly mobile app designed to simplify the medical insurance reimbursement process, ensuring you receive the maximum reimbursement from your insurance provider.
Our Free 15-Minute Pain Evaluation
Choosing KinetaCare Physiotherapy empowers you to make informed decisions about your health while saving you both time and money. Our commitment to your well-being is unwavering, and our accountability is directed toward achieving outstanding results. It’s time to prioritize your health and experience the benefits of personalized physiotherapy care.
