Do you take insurance?

You should be at the front of your care. I believe in being direct, honest, and transparent. As an “𝙤𝙪𝙩 𝙤𝙛 𝙣𝙚𝙩𝙬𝙤𝙧𝙠” provider, I do not seek reimbursement from your insurance provider for my services. Payment is due at the time of service.

It is the goal of 𝙕𝙝𝙪 𝙋𝙝𝙮𝙨𝙞𝙤 𝙎𝙤𝙡𝙪𝙩𝙞𝙤𝙣𝙨 𝙇𝙇𝘾 to provide elite level care which is highly personalized and well communicated. I am here to listen to you and help guide you to the best of your ability without taking you out of your activities. This model bypasses unnecessary medical appointments and accelerates your return to sport, pain free activity, and improved function. Our main focus becomes your health and goals, not insurance paperwork. If we are not the right PT for you, we will use our network to get you in front of the 𝙧𝙞𝙜𝙝𝙩 person, and not just the next one.

The current system of insurance creates barriers to care including high patient volume, decreased overall physical therapy experience, increased appointments within the medical system, decreased ability for 1 on 1 care, inability to treat multiple body regions at one time, and low reimbursement to the provider. These pressures on providers may result in double booking appointments, decreased time for communication with other practitioners in your care team, and the administration of non-skilled treatment when it is not necessary just for the sake of profit. Our promise to you is that every session you have with us will be productive and you will leave feeling accomplished. We are not your standard PT clinic that watches you do the same exercises over and over again.

When requested, we will provide a “𝙨𝙪𝙥𝙚𝙧𝙗𝙞𝙡𝙡” for you to submit to your insurance agency for potential “𝙤𝙪𝙩 𝙤𝙛 𝙣𝙚𝙩𝙬𝙤𝙧𝙠 𝙧𝙚𝙞𝙢𝙗𝙪𝙧𝙨𝙚𝙢𝙚𝙣𝙩”. It is recommended you call your insurance agency to ask about out of network benefits. Please check the next FAQ for detailed instructions on what to ask the customer service representative when you call.

Is it possible to get my insurance to pay for my visits?

𝙔𝙚𝙨. 𝙄𝙩 𝙞𝙨 𝙥𝙤𝙨𝙨𝙞𝙗𝙡𝙚 𝙩𝙤 𝙜𝙚𝙩 𝙥𝙖𝙧𝙩𝙞𝙖𝙡𝙡𝙮 𝙧𝙚𝙞𝙢𝙗𝙪𝙧𝙨𝙚𝙙 𝙛𝙤𝙧 𝙩𝙝𝙤𝙨𝙚 𝙬𝙞𝙩𝙝 “𝙋𝙋𝙊” 𝙞𝙣𝙨𝙪𝙧𝙖𝙣𝙘𝙚 𝙥𝙡𝙖𝙣𝙨 𝙩𝙝𝙖𝙩 𝙞𝙣𝙘𝙡𝙪𝙙𝙚 “𝙤𝙪𝙩 𝙤𝙛 𝙣𝙚𝙩𝙬𝙤𝙧𝙠 𝙗𝙚𝙣𝙚𝙛𝙞𝙩𝙨”.

Your insurance card will have a member line phone number printed on it, you will need that alongside your ID number.  Ask to speak to a customer service member and be sure to go over all the following:

• Do I receive Out of Network benefits for Physical Therapy?

  • If yes, what is my percentage of coverage? (Most PPO insurances will reimburse up to 70% of the “eligible cost”). You can ask specifically “If my PT charges $150/hr, how much can I expect to be reimbursed?”

• Do I have a deductible?

  • If so, how much is it?

  • Have I reached my deductible?

• Is there an annual dollar amount limit for coverage? Some insurances will only pay up to a certain amount per calendar year for PT services. Be sure to what that dollar amount is.

• Do I need a referral from a doctor to be reimbursed?

  • If yes, does that doctor need to be my primary physician?

• Do I need prior authorization (or pre-authorization) filed before starting Physical Therapy?

  • If yes, how can I get this?

• Is there a specialized form that needs to be completed for reimbursement or can I simply submit the “superbill” provided by my PT?

  • If special form is needed, where is that form located?

  • What is the mailing address where the form needs to be sent?

  • Am I able to file online?
    

Do I need a physicians referral to see you?

Hawaii is one of 20 states that allow patients total, unrestricted access to a physical therapist. No type of physician referral is required for a physical therapist to treat a patient whether it is for an injury or just for preventative/recovery work.

While direct access to a physical therapist is not restricted in Hawaii, sometimes a physician’s referral is needed in order to get reimbursed for our services. Please see the above FAQ regarding insurance reimbursement if you have a “PPO” plan with “out of network” benefits.

How do I get started?

Please contact me to inquire about availability. I can be reached via call/text at 𝟒𝟏𝟓-𝟐𝟏𝟓-𝟑𝟐𝟒𝟑, via email at 𝙕𝙝𝙪𝙋𝙝𝙮𝙨𝙞𝙤@𝙜𝙢𝙖𝙞𝙡.𝙘𝙤𝙢 or by Instagram DM @𝘿𝙧𝙕𝙝𝙪𝙋𝙝𝙮𝙨𝙞𝙤.