Find answers to common questions and helpful information to make your visit as smooth and comfortable as possible.
Evaluation and treatment will be performed interchangeably during your first session, so you get results on Day 1. Each following visit will also be intertwined with reassessment and hands-on treatment to help your body move normally without pain. You should feel results each session. After your evaluation and first day’s treatment, your therapy frequency and duration of care will be determined. Due to our approach and intensive focus on the patient, it is hard to determine how long each patient needs to address their specific concerns. We want to focus on the underlying problems and not just put a band-aide on the symptoms.
Please wear loose-fitting clothing or athletic clothing so that your targeted area can be assessed. Also, please do not wear copious amounts of lotion. These area will have to be cleaned with alcohol for manual therapy or dry needling.
Please have filled out or bring in you new patient paperwork.
Dry needling can help relleve muscle tightness, reduce pain, and improve movement by targeting trigger points (tight knots in the muscle). It can be especially effective for conditions such as neck pain, back pain, headaches, and sports injuries. Many patients experience decreased pain, improved function, and faster recovery when dry needling is combined with other physical therapy treatments.
In Alabama, you do not have to have a physician referral to have physical therapy unless you just had surgery. However, some insurances still require you to have a referral for services to be covered. Please call if you are interested in coming without a physician referral and using your insurance.
If you would like to pay cash for services, please contact us to schedule your 1st visit!
If obtaining a PT Referral is proving difficult, please let us know as soon as possible and we can suggest a variety of options for getting one quickly and easily.
We are contracted with TriCare but not In-Network due to TriCare not opening their network to PTs in many years. TriCare will still contribute to your care at ProFormance under Point of Service (POS). Please call so we can tell you your individual benefits. Sometimes it is cheaper to be seen POS.
If you would still prefer to be seen as an in-network Tri-Care patient, we can request a referral to get it billed as in-network.
Insurance companies strongly influence the treatment a patient receives at an in-network clinic, which can result in patients not being able to receive beneficial services. We refuse to allow that to be what dictates how you are treated at ProFormance Therapy and Wellness.
For some insurance plans. we choose not to bill insurance directly, so we can provide more flexible, personalized care and avoid insurance limitations. This can help reduce out-of-pocket costs and give you access to more comprehensive treatment options. We can provide a detailed receipt (superbill) for you to submit to your insurance for reimbursement.
This depends on the insurance you have, but YES, most NON-Medicare and NON-Tricare patients can send “self-claims” to their insurance company for their treatments at our clinic. You should be able to print claim forms off your insurance company’s website, and send it in with the needed receipts and treatment codes that will be provided upon request at our clinic.
The amount of reimbursement or application towards your deductible is completely dependent on your insurance plan. If you call your insurance company to inquire about what you can expect to receive, you should ask about reimbursement for “out-of-network Physical Therapy” expenses sent in via self-claims. Please download the provided “Insurance Benefits Worksheet” to better understand your financial responsibility.
Some other insurers have made it more difficult for us to provide the care we insist on providing when using insurance. We are in network with Medicare, BCBS, and several Workman’s Compensation companies. ProFormance accepts TriCare and acts as a Non-Network provider. For all other companies you can pay for services rendered and we can submit non-network claims for you or you can submit them yourself with a Super Bill. Please call and discuss any questions if this pertains to your insurance.
Medicare Beneficiaries: The US government has some interesting laws that control where Medicare beneficiaries can spend their healthcare dollar and persuade healthcare providers to enroll in their system. You CAN see a medical provider and request to not have the services billed through Medicare. Medicare beneficiaries have the right to enforce their privacy and request that Medicare NOT be billed for any PT services.
*This request to not involve Medicare in payment must be made up front by the patient and be made of the patient’s own free will.
We’re here to help! Contact our team for any additional questions about your visit, insurance, or treatment options.
