Many people wonder if their insurance is accepted at Hudsonville Physical Therapy. Here is a list of insurances we accept and are in-network with:
If you do not see your insurance on this list, give us a call to check with us at 616-662-0990. We accept and are in-network with almost all insurances, and we are happy to verify your physical therapy benefits to provide a cost-estimate before your visit.
By: Sherri Prins
It is the time of the year where deductibles have been met or insurances are renewing, and you may not have the time to get into your primary care doctor.
Did you know that you can come to Hudsonville Physical Therapy without a referral/prescription from your doctor?
With many insurances you can do what is called “Direct Access”- in Michigan, that means you can come in for up to 10 visits within 21 days without a doctor’s referral. After the 21 days are up, you will need a referral from your doctor and then you may continue coming to physical therapy.
Reasons to do Direct Access:
• If you can’t get into your doctor right away
• A “quick fix”
• Will save you time and money to come directly to PT and skip a doctor appointment
If you are unsure if your specific insurance requires a referral please call us at 616-662-0990 and we can check on that for you!
Myth #1: I need to be injured to see a physical therapist
Physical therapists do treat post-injury and post-surgery, but that’s only part of what they do!
PTs will often treat conditions like vertigo, and preventatively treat conditions like balance issues, chronic pain, joint pain, headaches. There is good evidence for strength “booster sessions” for conditions like osteoarthritis.
Myth #2: I need a referral to get physical therapy
70% of people think a referral or prescription is required to be evaluated by a physical therapist, however, referrals are no longer legally required to receive PT!
Some insurances still require a referral for them to cover PT, while others do not. Call our office to see if your insurance requires a referral, or to ask about our self-pay rate (no referral required).
Myth #3: Surgery and/or medication are better options
Surgery and medication have their place in medicine, but studies show physical therapy is as or more effective than prescription painkillers and common surgeries like lumbar spinal stenosis, degenerative disk disease, meniscectomy, arthroscopic shoulder surgery, low back fusion and many more.
Physical therapy is often a route to pain relief without some of the downsides that prescription painkillers can have, such as uncomfortable and dangerous side effects, and addiction.
Our philosophy is to start with the safest, least intrusive method of care, and then triage from there as needed.
Mike van Der Laan, PT, DPT
High deductible insurance plan?
We’ve got you covered!
Hudsonville PT is one of the most affordable PT options in West Michigan.
At other places, you might pay $100 - $150 per session. At HPT, the average visit is between $75 and $87. If you’re still paying toward your deductible, this can make a big difference!
In addition, Blue Cross rates us in their top tier of physical therapy clinics, for effectively treating our patients in less visits than other clinics (over 2 visits less than average PT clinics!), and Priority Health recognizes us for being in the top tier of patients’ goals being met and effectively using less visits.
Make sure your money is going toward top-notch treatment that leads to independence! You will see only licensed physical therapists for your treatments here. We specialize in orthopedic care!
At HPT, we want to not only provide effective hands-on treatment, but also educate and equip you to restore and maintain your health.
Physical therapy can be expensive, and we’re working our hardest to deliver top-quality treatment that will bring you to independence!
If you have any questions about what your insurance covers, call Lisa at Hudsonville PT! 616-662-0990. We’d be happy to help answer insurance questions and look at your individual plan.
Evicore Healthcare Physical Therapy Performance Summary, August 2017
Priority Health WebPT Outcomes Data, May 2017
By: Lisa Bartz
One little known fact in the healthcare industry is you have a choice of where you go for services!
For example, if you go to your primary Doctor and he prescribes a medication, you have a choice of which pharmacy to use even if he recommends that you use a certain one. You will probably choose the pharmacy that is close, that you have used before, and the one with which you have had good experiences.
If your doctor recommends physical therapy for your injury and insists you have to go to a particular clinic (usually affiliated with his/her employer hospital system), know that you are not obligated to and can choose whichever clinic you want.
This choice should be what's best for you considering all the factors: knowledge and faith in the physical therapy provider, proximity, and expertise level.
We want you to know that the choice is yours, not your doctor’s.
Our hope is that we are the practitioners you choose!
Bottom Line: Always ask you doctor WHY he or she is referring you to a certain practitioner and always ask for alternatives as well if it is too far away, too expensive, or you already have a specialist in that field.
By: Mike van Der Laan, PT, DPT
As of 2015, Michigan consumers have DIRECT ACCESS to physical therapy. This means that you are not required to have a physician’s referral in order to come to PT! You can come right in and ask for an evaluation for your injury or condition, and we can get you scheduled without a doctor’s visit or a prescription for therapy.
This can get tricky with insurances, however. In Michigan, Priority Health, United Healthcare, Aetna, and some Cofinity insurances will process claims without a doctor’s referral (prescription for therapy). Other insurances, like Blue Cross Blue Shield, Blue Care Network, Medicare, Priority Health-Medicare, and Medicaid, all require a prescription from your doctor.
So if you have Blue Cross Blue Shield and want to come straight to physical therapy, where does that leave you?
Often, if your doctor knows about your condition, you can call his or her office and request a prescription for PT to be faxed to our office without having to go in for a doctor’s visit.
If your doctor is unaware of your condition, he or she will likely want to see you before coming to therapy.
At this point you are welcome to either (1) start treatment at our self-pay rate, or (2) if you’d like it billed through insurance, you can come in for a free 15 minute consultation before you see your doctor. If you do this you can have a therapist evaluate your injury or condition and recommend if therapy would be a good option for you. If they believe we can help you here at Hudsonville PT, then you could go visit your doctor and get a prescription, after which we would officially start treatment.
The purpose of direct access is to alleviate cost by allowing quicker access to conservative care. Michigan was one of the last states to pass this law, and other states have shown that this model reduces the average cost of treatment and lends to improved outcomes.
Direct access is not as easy as it sounds because of the insurance rules surrounding it, but we work hard here to make physical therapy accessible to everyone.
Remember you can always stop in to set up a free, no-strings-attached consultation, and we are available to help answer your insurance questions the best we can!
Call us at 616-662-0990 if you have questions about your insurance plan or would like to set up therapy!
Author: Lisa Bartz
Steve Bartz, PT