Frequently Asked Questions

What can I expect at my therapy session?

 

From the first visit you will have one-one care with Dr. Lia Palomino the entire time. You can expect to spend about 75 minutes at your initial evaluation and about 60 minutes at your follow up visits. Each session may included continued assessment of your progress, manual therapy, movement education, therapeutic exercise, and be given a home exercise program to help you manage and improve your condition between sessions. 

 

 

 

Do you accept my insurance?

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I am a licensed physical therapist; however, I am NOT an in-network provider for a majority of insurance carriers. My services can be submitted, by you, to your insurance company for potential reimbursement as an out-of-network physical therapy provider. Payment is required at time of service and I can provide you with a superbill or invoice for the services in which you can submit to your insurance for reimbursement. The percentage of reimbursement will depend on your policy and I cannot guarantee reimbursement. You may also use your HSA/FSA for physical therapy services. 

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Why don’t you bill insurance?

 

I choose not to participate with insurances so that I am able to treat YOU the way you NEED- not how insurance companies dictate. The cost of your session covers more than just the visit. I will provide you with email communication, exercise programs, and self management tools. You will only work with me, one on one providing you individualized care. You will not see any assistants, technicians or be passed on to other therapists who don't know your case. 

 

Insurance companies are constantly decreasing reimbursement and require more of my time to justify coverage and track down payments. By not participating with these companies means I can spend more time with you. Many people also have high deductibles, confusing coverage plans, and unexpected denials for coverage which can mean surprise bills months later. In addition, co-pays for multiple sessions per week for mediocre treatment may end up costing you more time, energy, and money in the long run. In this set up I can be as transparent as possible. You will know what you're getting, and what the cost will be upfront. This will allow me to give all my attention to your care and allow you to reach your goals as fast as possible.

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Do I need a prescription for physical therapy?

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Michigan is a direct access state and does not require you to have a prescription from a referring physician. However, some insurance companies may require a prescription to reimburse if you want to submit for reimbursement. You will want to check with your policy what is required for reimbursement. And a reminder I do not directly bill insurances but can provide you with a superbill for you to submit to your insurance company for out-of-network services.

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What should I wear to my physical therapy sessions?

 

Please wear something comfortable and flexible. Clothing should not be restrictive and allow for easy movement. There may be some movement and exercising in your session so you will want to wear something that will be comfortable for you to move in.