testimonials

rates and insurance

Medicare Part B

participating provider

I am a participating provider with Medicare Part B.

Private Insurance

Out of network provider

I am an out-of-network provider with many private insurance carriers.

Why?  

 

Because I would not be able to provide the level of care and individualized treatment required for rapid patient recovery at the rates insurance companies pay for physical therapy treatment.

 

During each insurance visit, the time you spend with a therapist is typically 15 minutes or less, due to the need for the therapist to see 4 patients per hour.  Companies need their therapists to do this because insurance reimbursements are getting less and less so the therapist is made to see more patients to make up for the smaller reimbursements.  After 15 minutes, the patient is turned over to an aide to complete the exercises, stretches, and passive treatments.

 

I believe 15 minutes is not enough time to re-evaluate the patient from the previous visit, see if the home exercise program is appropriate, make changes, and perform the current treatment.  The end result is the patient may have to be seen more times and therapy takes longer to complete.  

 

My goal is to get the best possible outcome for my patient in fewer visits.  To accomplish this, I spend the entire hour with you, using techniques and methods appropriate for your needs.  Because the treatment is focused entirely on you, the result of each visit helps you heal faster.

 

This could actually result in the same or less out of pocket spend for the patient with a much higher quality of care because each session provides more benefit to you and healing can be faster.

 

 

Rates

 

The rate for treatment is $125 per 60 minute session.  Because the sessions are concentrated on only you, each session is similar to a week of treatment (4 15-minute sessions).  This makes it so that in many cases, only 1-2 visits per week is required.  With this, you also get access to me via phone and email to answer any of your questions, and my guarantee to respond to you in a timely manner.

 

 

The Math

 

I said above that it could actually cost the same or less out of pocket.  Here is how:

 

Under insurance-based physical therapy, lets say you have a copay of $30 per visit.  Your  treatment plan calls for 3 visits per week (45 minutes of treatment) for 8 weeks = $30 * 3 * 8 = $720 out of pocket.  

 

The total treatment time with the therapist is 360 minutes over 8 weeks.

 

Under cash-pay physical therapy, there is no copay, just the cost per visit.  The same treatment plan calls for 1 visit per week (60 minutes of treatment) for 4 weeks = $125 * 4 = $500 out of pocket.  

 

The total treatment time with the therapist is 240 minutes over 4 weeks.  

 

The key is the personal attention that you get and hands-on time with the therapist.  

 

 

Side by side comparison:

 

Insurance-Based:    

18-24 visits at $30/visit = $540-$720 over 6-8 weeks

Cash-Pay:                 

3-4 visits at $125/visit = $375-$500  over 3-4 weeks

 

 

Insurance Reimbursement

 

If you have insurance, I will provide everything necessary for you to place an "Out-Of-Network" claim to your insurance company. This includes receipts for payment and treatment codes.  Most insurance coverage has provisions for Out-Of-Network benefits.

 

For most insurance companies, you can find a claim form on their website. Simply print it out and submit it along with your receipts and treatment codes that I provide for you. The amount you are reimbursed is dependent on your “Out-Of-Network Physical Therapy” expense benefits.

Deborah Cohen PT MSPT

One on one physical therapy treatment in my office or in your home focused exclusively on you and your Physical Therapy needs.   Helping you avoid surgery, relieve pain, and regain mobility. If you cannot avoid surgery, I can help you prepare for surgery and rehabilitate after surgery. 

clinic hours

Mon:  7:30 AM - 3:30 PM

Tues:  12:00 PM - 7:00 PM

Wed:  12:00 PM - 7:00 PM

Thurs: 7:30 AM - 3:30 PM

Fri:      7:30 AM - 3:30 PM

Sat:     8:00 AM - 12:00 PM

Sun:    CLOSED

Same day appointments available.

Contact me

Phone:  

Fax:      

914 - 500 - 5239

914 - 229 - 9060

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Email:    

find me

26 South Greeley Ave

Chappaqua NY, 10514

2nd Floor

Elevator building

Free parking

Wheelchair accessible

Conveniently located adjacent to the Chappaqua Metro North Train Station

© 2019 by Deborah Cohen Physical Therapy