Frequently Asked Questions
Why should I choose an "out-of-network" practice versus an "in-network" practice?
Burlington Physical Therapy is an "out-of-network" physical therapy practice. We do not directly bill your insurance provider. We operate this way to provide a treatment model that does not compromise the care that we deliver. You will receive your PT visit, pay at the end of your session. All PT visits are 60 minutes, one-on-one, with a Doctor of Physical Therapy. No doctor referrals, insurance pre-authorizations, PT visit count limitations, double bookings or working with an aide or technician.
An "in-network" or insurance-based physical therapy clinic bills your insurance company for reimbursement per insurance established reimbursement rates. Your cost for PT will depend on your insurance plan. If you have a co-pay, that will be due at the time of your visit. You will later be billed for any remaining outstanding balances; this will depend on your insurance deductible, co-pay, and/or co-insurance. Often insurance companies require pre-authorizations that delay PT care or require clinicians to treat two or three patients an hour to remain profitable. This may require the assistance of an aide to apply a modality, such as electrical stimulation or ultrasound, in order to juggle this patient demand.
We do not believe these modalities or shared treatment sessions are nearly as effective as manual therapies or individualized treatment sessions.
Fewer trips to the PT clinic, one-on-one care, a hands-on approach, and transparent pricing make out-of-network PT providers the preferred treatment choice.
Can I bill my insurance company for reimbursement of my out-of-pocket expenses?
Yes. Most patients receive reimbursement for their treatment, but it does depend on your insurance provider. We can provide you with a "superbill" (payment invoice) that you can submit to your insurance company for reimbursement. Reimbursement amounts will vary depending on your insurance company and specific policy. There is a link below for a worksheet to use when calling your insurance provider to help determine if your insurance company will reimburse you for receiving out-of-network services.
Use this guide when calling your insurance provider - Link: Insurance Information
Do I need a referral from my MD?
No, Vermont is a Direct Access state. This means, according to the American Physical Therapy Association (APTA), patients are able to initiate physical therapy without first visiting a doctor and receiving a written script for physical therapy.
How Much Physical Therapy Will I Need?
Frequency and number of visits vary based on a number of factors, such as severity and duration of symptoms, and your physical therapist will have more information after your initial evaluation. Our treatment session frequency is typically 1x/week for a total of 2-8 visits. In many cases, we see great results in just 2-4 visits.
Our PT visit frequencies do vary significantly from insurance-based physical therapy plans of care, which typically involve PT visits 2-3x/week for 4-6 weeks. Be advised you are responsible for out-of-pocket payment until your deductible is met, any co-payments or co-insurance costs (even after your deductible is met) in this scenario.
Because we are out-of-network, we can offer discounted, packaged PT visit rates after your initial evaluation. We currently have a 3, 5, and 7 visit packages. Your physical therapist can assist with making a recommendation on what is best for you in order to yield optimal results and remain cost effective.
How do I Pay?
We accept Credit/Debit Card, Cash or Check at the time of your visit; HSA and FSA's are accepted
Please make all checks/money orders payable to: Burlington PT
Do I have to be injured to receive physical therapy services?
NO! Although many clients often seek physical therapy services when they are in pain, we are big advocates for prevention. If you have movement restrictions or stability issues or just want some extra body TLC, we have plenty of clients seeking our services who aren't injured. Who doesn't love a massage once in awhile or want to improve their squat position or learn warm ups that prevent injuries for running? We don't only fix pain, we help develop good health practices for the human body.