Pelvic physical therapy is a specialized form of physical therapy that focuses on the muscles, ligaments, and connective tissues of the pelvic region. These muscles support the bladder, uterus, and rectum, and play a key role in bowel and bladder control, sexual function, and core stability. Pelvic physical therapy involves exercises, manual therapy, biofeedback, and education to address dysfunction in these areas.

Your first visit will include an in-depth evaluation of your medical history, symptoms, and lifestyle. We may discuss your bladder, bowel, and sexual function, as well as any pain or discomfort you’re experiencing. Depending on your comfort level, the evaluation may also involve a physical exam of the pelvic floor muscles to assess strength, flexibility, and coordination. This is done in a private, respectful manner and only with your consent.

I will then create a personalized treatment plan based on your specific needs and goals.

Pelvic floor exercises (like Kegels, but with proper instruction to ensure you're doing them correctly)

• Manual therapy to release tension in the pelvic muscles or improve mobility

• Biofeedback to help you understand how your muscles are functioning and how to engage them properly

• Postural training to improve alignment and reduce pressure on the pelvic floor

• Breathing exercises to help manage intra-abdominal pressure and promote relaxation

• Behavioral strategies for bladder or bowel retraining

• Education about lifestyle modifications, such as diet changes or modifications to physical activity

Being "out-of-network" means that I do not have a direct contract with your insurance provider to offer our services. However, many insurance plans offer some level of reimbursement for out-of-network providers. You pay me directly for your sessions, and I provide you with the necessary documentation to submit to your insurance company for possible reimbursement.

By staying out-of-network, I can provide high-quality, individualized care without being limited by insurance restrictions. Insurance companies often dictate the type, length, and number of treatments you can receive, which may not align with what’s best for your specific pelvic health needs. By working outside the system, I can ensure that each session is focused on your goals, without rushing or cutting corners.

Here’s a general guide for submitting claims for out-of-network services:

1. After each session, I will provide you with a superbill that includes all the information your insurance company needs (like diagnosis codes and procedure codes).

2. Submit the superbill to your insurance provider. Some companies allow you to do this online through their member portal, while others may require you to mail in a form.

3. Wait for your insurance company to process the claim. They will reimburse you directly if your plan covers out-of-network services.

It’s a good idea to call your insurance company and ask for their specific instructions on submitting claims for out-of-network providers.

Reimbursement rates vary depending on your specific plan and its out-of-network coverage. Some plans may cover a percentage of the cost after you meet your out-of-network deductible. I recommend contacting your insurance company to ask about your out-of-network physical therapy benefits, including any deductible you must meet and the percentage they cover.

To better understand your benefits, ask your insurance provider the following questions:

• Do I have out-of-network benefits for physical therapy?

• What is my out-of-network deductible, and how much of it has been met this year?

• What percentage of the service cost will you reimburse for out-of-network care?

• What documentation do I need to submit for reimbursement?

• Is there a limit on the number of sessions you will reimburse for?

I believe in transparent pricing, each visit is $175. While you will be paying out-of-pocket, many patients find that my focused, one-on-one care provides more value than shorter, insurance-restricted sessions, and may even require fewer visits overall.

Yes! You can use HSA or FSA funds to pay for pelvic physical therapy, as it is considered a qualified medical expense. This can be a great way to cover your treatment costs using pre-tax dollars.

Choosing an out-of-network provider allows you to receive more personalized, one-on-one care, without the limitations set by insurance companies. Sessions are typically longer, allowing us to address the full spectrum of your pelvic health concerns. You’ll also have a more customized treatment plan designed specifically for your needs, with no insurance-imposed restrictions on the number of visits.

The number of sessions varies depending on your specific condition, goals, and how your body responds to treatment. While every client is different, many people start to notice improvements after just a few sessions. Because I offer focused, longer appointments, many clients find they need fewer visits overall compared to traditional, insurance-driven physical therapy.