Frequently Asked Questions
Here are some questions that we are frequently asked. If you have a question that you do not see below, please do not hesitate to reach out to us.
Q: How long will each appointment last?
A: The initial visit usually lasts about 1 hour. Subsequent sessions usually last between 45 minutes to 1 hour. This of course can vary depending on your specific treatment needs.
Q: Do I need a prescription to get physical therapy care?
A: Generally speaking, no, you do not need a prescription to come to physical therapy. NJ state is a “Direct Access” state. This means that you can receive physical therapy care without seeing a medical doctor first. If you need care beyond 12 visits or 30 days (whichever comes first), you will then need a prescription from a medical doctor.
Exceptions: Unless your insurance provider requires a prescription in order for you to get reimbursed, you generally do not need a prescription.
Medicare patients — Unfortunately, Direct Access does not apply to your coverage. Unless you're paying out of pocket, you will need prescription from a medical doctor to receive care.
Q: Do you take health insurance?
A: Yes. We accept any major plan with out-of-network benefits. This does not mean that you will be on your own. We will assist you in acquiring the needed information from your insurance company.
Q: Do you accept medicare?
A: Yes, we are pleased to inform medicare recipients that we are a Medicare Part B participating provider.
Q: What does "out-of-network" mean?
A: Out-of-network means that you will need to cover the initial payment. We will then supply you with the documents needed to get reimbursement from you insurance carrier. We can also assist with this process if needed.
Q: Why are you out-of-network?
A: Simple - quality of care.
This comes down quality vs quantity. We chose this path because we believe that it is in the patients best interest. When a practice is "In-network", they get added to the insurance companies practice list, which allows them access to a large number of patients. As a trade off, they generally receive low compensation for each patient visit, so in order to make up the difference, they book as many patients per hour as possible. From the standpoint of the patient, they don't have to pay up front, but they receive lower quality of care. By staying out-of-network, we are able to bill back the insurance company a more appropriate amount per visit, and hence do not have to make up the difference through over booking patients.
Q: Isn't it cheaper for me to stay "in-network"?
A: We get this question a lot, and the answer is not necessarily. When you come to PT Services, you do need to pay the up-front costs, but these are going to be reimbursed by the insurance company. The main difference will be with the deductible, which will vary depending on your insurance coverage.
A: The short answer is, it depends on your insurance. If you're not sure what the details of your out-of-network benefits are, no worries, we can help you look into it. Prior to first visit, if you send us a copy of your insurance card and your date of birth, we can determine your co-pay payment to ensure that there are no surprises.
A: Don't worry if you don't have out of network benefits. Our goal is to get you better, so we'll work with you on coming up with a solution. We offer discounts for out of pocket patients.