We understand that navigating insurance can be one of the most complex parts of starting your recovery journey. To make our specialized care as accessible as possible, we offer flexible filing options for our patients. Our clinic is fully equipped to provide and file for the following outpatient services.
Physical Therapy: Focused on restoring movement, improving strength, and managing pain through evidence-based clinical techniques.
Occupational Therapy: Dedicated to helping you regain independence in daily activities and specialized functional recovery.
To make your first visit as seamless as possible, we can verify your insurance coverage for you.
Confirming Benefits: We can help identify your specific outpatient rehab benefits before your initial evaluation.
Estimating Costs: We aim to provide clarity on any potential copay's or deductibles associated with your plan.
While our clinic does not file insurance claims for Durable Medical Equipment (such as compression garments, or post mastectomy apparel), we ensure you have the expert support needed to obtain the right tools.
How we support your equipment needs:
Professional Recommendations: Our clinicians provide expert guidance on the specific brands and models that best suit your clinical needs.
Expert Fitting: We offer professional fitting services to ensure your equipment is safe, comfortable, and effective.
Direct Purchase: For your convenience, DME can be purchased out-of-pocket directly through our office or recommended vendors. This often allows for faster access to the specific equipment your therapist recommends without waiting for insurance authorization.
We utilize advanced clinical tools to address root-cause recovery. While we file insurance for your skilled Physical and Occupational Therapy sessions, certain advanced modalities like LymphaTouch and Dolphin Neurostim are considered 'elective enhancements' and are not covered by most insurance plans. These are available as optional 'add-on's' to your treatment for a flat per-session fee. Our team will provide a transparent cost estimate before these services are rendered.
Choosing our self-pay option allows for a "no-limits" approach to your recovery. We are not restricted by insurance company caps on the number of visits or the specific body parts treated. This allows us to focus entirely on your root-cause healing and long-term results. This plan also allows for direct access. No need for physician referrals or insurance pre-authorizations to start your recovery.
HSA/FSA Eligible: Most health savings accounts and flexible spending accounts cover these specialized medical therapy services.
Tier 1: Focused Recovery
Examples: Cesarean Scar, Post Orthopedic (Hip/ Knee/ Ankle)
Duration: 30 Minutes
LymphaTouch/ Dolphin Neurostim: Add-On to PT/OT session (OOP): $35.00
LymphaTouch/ Dolphin Neurostim: Self Pay Per-Session Rate: $55.00
Tier 2: Advanced Clinical
Examples: Head & Neck, Multiple Joints / Severe Adhesion Orthopedic
Duration: 45 Minutes
LymphaTouch/ Dolphin Neurostim: Add-On to PT/OT session (OOP): $50
LymphaTouch/ Dolphin Neurostim: Self Pay Per-Session Rate: $100.00
Tier 3: Premium
Examples: Post-Mommy Makeover (Abdomen, Breasts, Flanks), Oncology Medical Conditions (Mastectomy, Lumpectomy, Radiation Fibrosis, Axillary Web Syndrome)
Duration: 60 Minutes
LymphaTouch/ Dolphin Neurostim: Add-on to PT/OT session (OOP): $75
LymphaTouch/ Dolphin Neurostim: Self Pay Per-Session Rate: $125.00
Tier 4: Extended Care
Examples: Full Body, Lipedema/Lymphedema Clearing
Duration: 75 Minutes
LymphaTouch/ Dolphin Neurostim: Add-on to PT/OT session (OOP): $100
LymphaTouch/ Dolphin Neurostim: Self Pay Per-Session Rate: $150.00
If you are seeking therapy services following a surgical procedure. While Foundation Health provides skilled clinical care, health insurance providers in the State of Alabama typically exclude coverage for services related to elective cosmetic surgery.
Insurance Determination
Under Alabama Law (Code of Ala. §16-25A-6), insurance plans generally do not cover "cosmetic surgery or treatment" unless it is required to correct damage from an accident or a covered disease.
If your surgery was elective: Your insurance provider will likely deem these therapy sessions as "not medically necessary," regardless of whether a physician referred you.
If complications arise: If you develop a medical complication (such as a seroma, infection, or severe fibrosis) that requires skilled intervention to restore function, we will attempt to bill insurance; however, coverage is not guaranteed.
Estimated Cost of Services
Because your insurance may not pay for these services, you will be responsible for payment at the time of service.
Initial ONE HOUR Consult & Treatment: $100
While we have a standard fee schedule, your specific follow-up rate is determined by two factors: clinical recommendation for the complexity of your condition and your personal treatment desires regarding session length and the inclusion of advanced modalities like the LymphaTouch or the Dolphin Neurostim.
If you have any questions or would like to schedule a consultation or have a question, please contact us.
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