PelviCare and Insurance

At PelviCare we have chosen to operate as an out-of-network provider to ensure your care is not limited by the time constraints and quality restrictions often imposed by insurance companies. This model allows us to tailor each session to your specific needs and symptoms, offering care that aligns with your body’s unique presentation rather than standardized insurance protocols.

At PelviCare, are committed to transparent pricing, so you will always know the cost of your care upfront, with no hidden fees or unexpected charges. If you have any questions about our rates or payment options, we are happy to walk you through them.

All documentation, including evaluations, treatment notes, and progress reports is completed in accordance with legal and professional standards, just as in any traditional physical therapy setting.

We accept credit/debit cards as well as HSA and FSA cards.

Please note that at this time we do not work with Medicare or Medicaid recipients.

Following your initial evaluation, we will collaborate with you to develop a personalized treatment plan aimed at restoring your function and well-being as quickly and safely as possible.

How to Submit Your Physical Therapy Bill for Insurance Reimbursement:

At PelviCare Physical Therapy, our services are often eligible for reimbursement under your out-of-network insurance benefits. If needed, we are happy to provide you with a detailed superbill (invoice) that you can submit directly to your insurance provider following your sessions. For those with high-deductible plans, out-of-network care can sometimes be a more cost-effective option than staying in-network.

  1. We provide you with a detailed Superbill of your sessions

  2. You submit it to your insurance for possible reimbursement

The superbill includes:

  • Business Name & Address, Tax ID, National Provider Identifier (NPI) & license numbers

  • Appropriate ICD-10 and CPT codes relevant to your care

  • All required details for insurance submission

Important: Reimbursement is based on your specific plan’s out-of-network benefits.

Our Rates:

  • Initial PT evaluation, 60 min - $175/hour

  • Follow-up PT treatment, 60 min - $160/hour

  • Birth-Wellness Package: $450/3 sessions ($10 off a regular PT session and $25 off the initial evaluation)

  • Dry needling: 30 min $82.50

We understand that financial circumstances can vary, and we are committed to making care accessible. For patients experiencing financial difficulty, we offer a sliding scale fee structure. Please do not hesitate to reach out. We will find a solution that works for you.