Physical therapy (physiotherapy) is a health care profession, specialized in assessing and treating movement dysfunction. A physical therapist can help you when you have following condition(s);
- You are in pain,
- You need a post surgical rehabilitation,
- You are suffering after a injury,
- You are suffering from repetitive injuries,
- You suffering from neurologic impairment such as after stroke, brain injuries, and nerve damage,
- You have postural impairment/ergonomic issues,
- You are in chronic pain,
- You have pelvic floor issues
- You feel tightness,
- You feel not coordinated,
- You look for functional improvement,
- You look for performance enhancement and injury prevention.
NY State has direct access. You can come to FuncPhysio without a prescription from your doctor. If you need care beyond 10 visits (or 30 days, whichever comes first), then you will need a prescription. We will let you know if it is the case.
*Some of insurance plan requires a prescription from your doctor in order to receive reimbursement. We will guide you if it is the case.
Yes/No. FuncPhysio accepts an insurance with out-of-network benefits such as PPO plan. BCBS, Aetna, Oxford, Unitedhealcare, and Cigna often have a PPO plan. We also accept travel insurance plans. We are happy to help you figure out if your insurance plan has out-of-network benefit and to assist you in submitting your claims.
Unfortunately, we do not accept Medicare/Medicaid, no-fault, workers comp, or cases in litigation.
We would like to provide highest quality of care to each client/patient. To achieve this goal, we believe there are two important components: quality of the therapists and time.
Quality of therapist:
This is a key for your outcome. Physical therapy schools, including those that provide doctoral degrees, only teach the basic science of physical therapy. This means just graduating from physical therapy school is not enough to become a highly trained physical therapist. Post-professional education, such as residency/fellowship programs, certification process for manual therapists, and/or other specializations is needed to obtain further education. Unfortunately not every physical therapist is willing to invest their time and resources for this education. Therefore, there is a wide range of skill levels in physical therapists. You can easily imagine this situation by an analogy to the medical doctor industry. Medical doctors have to go through mandatory training (residency/fellowship) after medical school to be a specialized, highly trained medical doctors. Physical therapists should be the same, but we are not required to go through trainings after the school and some do not have good skills. That’s why it is important to see a highly trained therapist.
Our therapists are extensively trained in manual and orthopedic field. Please see bio of our staff.
This is the other key to provide quality of care. Even if you see the best therapist in the world, but if he/she only spends <10min with you, you are not getting desired result. That is simple.
Unfortunately because of regulations by insurance companies, a clinic with in-network provider has to see multiple patients per hour in order to make a profit. If you have been in an in-network clinic, you notice you are treated an open spaced with a therapist who see multiple patients at the same time. Ultrasound/E-stim/heat may be used as substitution for direct care from the therapist in order to fill out your appointment time. Your therapist may be not skilled. For example, you may be seen by a newly grad therapist, a therapist who does not have enough educational background, and/or a therapist who does not have specialized knowledge/skill in your case. Also, most likely you can be passed to another unlicensed ancillary support staffs (often called aid, technician, trainer) to do exercises. We do not believe this would allow maximum achievement of your body function.
These are the reasons why we are not an in-network provider.
- HMO vs PPO
- With HMO (Health Maintenance Organization) plan, you should pick one primary care physician (PCP). Your PCP will refer you to any specialists if you need. HMO allows you to see doctors/therapists only within the HMO’s network. Unfortunately FuncPhysio is not a HMO network provider.
- With PPO (Preferred Provider Organization) plan, you can see any doctors/therapists you choose. You can see doctors/therapist who contract with PPO network with discounted rate. PPO plan also provide coverage for services by out-of-network provider. If you have PPO plan, you can claim the service received at FuncPhysio to your insurance and get reimbursement.
- The deductible is the amount of expenses that must be paid out of pocket before an insurer will pay any expenses. The amount is depending on your insurance policy. We can help to figure out how much your deductible is.
- Copay is a fixed amount you pay for a health care service, usually when you receive the service. You typically find copay amount on your insurance card.