Insurance & Frequently Asked Questions
We want you to feel informed and comfortable before beginning pelvic floor physical therapy. Below, you’ll find information about payment, out-of-network insurance benefits, Reimbursify, and what to expect from your care at Pelvic Shanti.
Using your out-of-network benefits
Pelvic Shanti is an out-of-network practice. We provide the documentation and tools that can make seeking reimbursement easier.
1. Receive personalized care
Payment is due at the time of service.
2. Receive your superbill
Pelvic Shanti provides the information needed for your insurance claim.
3. Submit your claim
Use Reimbursify to submit your out-of-network claim electronically.
Insurance FAQs
Do you accept insurance?
Pelvic Shanti is an out-of-network physical therapy practice. We do not bill insurance companies directly, allowing us to provide private, one-on-one care based on your individual needs rather than insurance limitations.
Payment is due at the time of service. Depending on your insurance plan, you may be eligible for partial reimbursement through your out-of-network benefits.
What is a superbill?
A superbill is a detailed receipt that includes information about your visit, such as the services provided, diagnostic and treatment codes, fees, and provider information.
It is not a bill requesting additional payment.
You can submit the superbill to your insurance company as part of an out-of-network claim.
Reimbursify helps make that submission process easier.
How much will my insurance reimburse?
Reimbursement varies by insurance plan and depends on your out-of-network benefits, deductible, reimbursement rate, referral requirements, and your plan’s allowed amount for the service.
We recommend checking your benefits before your first appointment.
Pelvic Shanti and Reimbursify can help simplify the process, but reimbursement cannot be guaranteed.
Do you accept Medicare?
Pelvic Shanti is not a participating Medicare provider and cannot provide Medicare-covered skilled physical therapy services on a private-pay basis.
If you have Medicare, please contact us before scheduling so we can determine whether the service you are seeking can be provided by our practice or help direct you to an appropriate provider.
How can I use my out-of-network benefits?
After each visit, Pelvic Shanti provides a detailed superbill with the information needed to file an out-of-network insurance claim. We also provide complimentary access to Reimbursify, a secure platform that makes submitting your claim easier.
Insurance benefits vary by plan, and verification does not guarantee reimbursement. We recommend confirming your deductible, reimbursement, and referral requirements with your insurance company.
How does Reimbursify work?
Reimbursify makes submitting out-of-network insurance claims easier by allowing you to submit your superbill electronically. Pelvic Shanti provides complimentary access to Reimbursify for claims related to your visits with us.
Your insurance company will process the claim and, if eligible, send reimbursement directly to you.
Reimbursement depends on your individual plan, deductible, and out-of-network benefits.
What forms of payment do you accept?
We accept credit cards, HSA/FSA cards, personal checks, and cash.
Payment is due at the time of service.
Do I need a doctor’s referral?
Most patients in Pennsylvania can begin physical therapy without a doctor’s referral. However, some insurance plans require a referral or prescription before they will reimburse out-of-network physical therapy claims.
We recommend confirming your plan’s requirements if you intend to seek reimbursement.
Pelvic Floor PT FAQs
What is pelvic floor physical therapy?
Pelvic floor physical therapy is specialized physical therapy for concerns involving the pelvic floor, bladder, bowel, sexual function, pelvic pain, pregnancy and postpartum recovery, and menopause.
Because the pelvic floor works together with the hips, spine, abdomen, breathing system, and nervous system, treatment may also address posture, movement, strength, mobility, coordination, and other contributing factors.
Pelvic Shanti provides inclusive pelvic health care for people of all genders and throughout every stage of life.
Is an internal pelvic floor examination required?
No. An internal examination can provide valuable information in some situations, but it is never required.
We will explain why an examination may be helpful, answer your questions, and ask for your consent before proceeding. You remain in control throughout your visit and can change your mind at any time.
Do you provide care for all genders?
Yes. Pelvic Shanti provides respectful, inclusive pelvic floor physical therapy for people of all genders.
What can I expect at my first appointment?
Your initial evaluation is a private, one-on-one, 90-minute appointment. We’ll begin by discussing your history, symptoms, concerns, and goals.
Your physical assessment may include observation of posture and movement along with an evaluation of strength, mobility, coordination, breathing, and other factors related to your symptoms.
A pelvic floor examination may be recommended when clinically appropriate, but it will only be performed with your informed consent and when you feel comfortable. You may decline or postpone any part of the examination.
Please wear comfortable clothing and complete your intake forms before your appointment.
You are also welcome to bring a friend, partner, or support person.
Do you treat areas beyond the pelvic floor?
Yes. The pelvic floor does not function in isolation. Symptoms may be influenced by the hips, back, pelvis, abdomen, breathing mechanics, movement patterns, or nervous system.
With more than 20 years of physical therapy experience, Mieke can evaluate and address these related areas as part of your individualized treatment plan.
Do you offer telehealth appointments?
Yes. Telehealth may be appropriate for education, symptom-management strategies, movement assessment, exercise progression, and other aspects of pelvic health care.
Contact us if you are unsure whether an in-person or telehealth visit would be best for your needs.
What is your cancellation policy?
Appointments canceled within 24 hours of the scheduled appointment time, as well as missed appointments, are charged the full appointment fee.
If you need to change or cancel an appointment, please contact us directly by phone or email so we receive your message promptly.