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How to Maximize Health Insurance Benefits Before End of Year

by | Sep 20, 2022 | News

How to Maximize Health Insurance Benefits Before End of Year

Believe it or not, 2023 is right around the corner! There is no better time than now to take advantage of any unused insurance benefits.

It is to your financial benefit to use any available benefits yet this year to complete any outstanding treatment, preventive or maintenance physical therapy sessions for you and your family. Don’t give up extra benefits just because you are busy or have forgotten about these perks.

Now is exactly the time to review what you are still entitled to.

What to Know About End of the Year Insurance Benefits

Almost all insurance plans reset on a calendar year. Any applied deductible amounts, out of pocket max, or visit allowances and even unused FSA plans dollar amounts do not rollover to the next benefit year. What does this mean? If you don’t use it, you lose it!

Before the year is up, ask yourself these questions:

  • Have you reviewed your insurance plan and coverage lately?
  • Did you already spend most or all this year’s deductible?
  • Are you in pain? Can physical therapy help?
  • Do you want to save money on your physical therapy costs and out-of-pocket expenses?
  • Want to start the new year pain-free and have insurance cover all or most of your costs?

If you have a family plan, had any major surgeries, or have any chronic conditions, you are especially likely to have a $0 balance remaining on your out-of-pocket expense from this year. This means that starting in the fall, the cost of physical therapy could be minimal or completely covered by insurance!

If you have a family plan, had any major surgeries, or have any chronic conditions, you are especially likely to have a $0 balance remaining on your out-of-pocket expense from this year. This means that starting in the fall, the cost of physical therapy could be minimal or completely covered by insurance!

Here’s a quick snapshot of what to watch for:

Insurance Deductible – The required amount of money paid for health services before your medical insurance starts contributing full or partial amounts for your health services. If you already paid your deductible, it’s a great time to get your visits scheduled before your deductible restarts again next year.

Co-Pay – The amount of money your insurance company requires you to pay per visit, this is a fixed rate. At the end of the year, your co-pay rate may increase. You should plan to be seen before the end of the year to prevent added costs due to any potential increased rates.

Co-Insurance – A percentage of the amount of money the health insurance company will contribute toward your physical therapy sessions. For example, if your insurance plan has a coinsurance of 80%/20%, meaning they will cover 80% of your cost for therapy leaving you with a 20% financial responsibility.

Flexible Spending Account (FSA) Contributions – Did you know you can use your FSA dollars for physical therapy appointments? If you don’t use all your FSA by the end of the year, you’ll lose the dollars. If you have a Health Spending Account (HSA), now is the time to schedule treatment so your co-payment amounts can be applied to this year’s deductions.

Any Changes in Coverage / Establishing a New Plan – If you’re planning on having any changes to your insurance plan heading into the new year, there could be coverage changes, fee increases or reduction in services.

That makes now the perfect time to invest in your health with a visit to PRO Therapy. If you are struggling with pain, lack of mobility, or are nursing an injury that just will not heal, we want to help get to the root of the problem and get you on the road to recovery.

➡ Inquire About Cost and Availability

Why You Should Start Physical Therapy in the Fall

It is important to look at this information now because it is very rare that physical therapy is a “one and done” session. If you’ve been having months, or even years of pain, a full plan of care (or multiple visits) may be necessary to ensure improvements are solidified. This plan of care may last up to two to three months, meaning if you are attempting to maximize your utilization of insurance benefits, there’s no better time to start than now.

Sometimes, people wait for major injuries or surgeries to start physical therapy. But physical therapy can be most helpful if you have problems with pain, stiffness, motor skills, coordination, balance, or strength. In most cases, these are problems we tend to put off managing, because we might not see them as severe enough.

Unfortunately, they can lead to longer, more complicated issues in the future.

If you’ve been in pain or recently experienced an injury, don’t delay any longer – you can use your insurance benefits to maximum benefit.

➡ Read Now: Why Physical Therapy Is Your Ticket To A Pain-Free Life

Physical Therapy With PRO Therapy

At PRO Therapy you will always experience precise, caring, and one on one care from a Licensed Doctor of Physical Therapy – no tech aides, no rehab assistants, no personal trainers – to help you decrease pain by the time you walk out the door of your first session and create a plan to adhere to going forward.

If you want to make physical therapy a success, partnering with one of our Doctors of Physical Therapy is going to help you avoid future pain and resolve current pain.

We Love to Help People:

  • Keep Active – So you can run after your kids all day, take your grandchildren to the park with ease, enjoy a nice round of golf, run or walk anytime that suits you.
  • Stay Free From Painkillers – So you’re not always reaching in the cupboard for pills to ease the pain whenever it strikes, getting only a “quick fix” when you need a “permanent fix” – PLUS they’re no good for your long-term health, “mask” the pain and certainly don’t actually do anything to fix the problem.
  • Avoid Dangerous Injections/Surgery – We’ll help you get to the root cause of what’s going on – so you don’t have to get to the point of having to face injections or surgery.
  • Found Out What’s Wrong – We’ll help give you peace of mind and ensure that your problem is “corrected” and “healed” properly – also give you a set of exercises perfectly catered to you to help speed up recovery.
  • Get More Enjoyment Out Of Life – So you can enjoy quality time with family and friends that your daily aches and pains steal from you – also finally get a good night of sleep without constantly tossing and turning.

➡ Read Now: Why Our Physical Therapy Team Are Amazing (And What They Have Taught Me)

Are you ready to make physical therapy work for you? Give us a call! We offer complimentary phone and in-person consultations. We aim to meet our patients wherever they are in their journey and answer all questions we can to ensure a smooth experience at PRO Therapy. We want to help you make the best decision for you!

Dr. Kevin Spahr

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Jacob H.
I worked with Dr Kelvyn on my ankle and he was excellent. Very attentive and good at changing/adding exercises as needed. He went above and beyond by adjusting my exercises to my desired activities. Extremely positive experience overall.
Alessia C.
I worked with Dr. Lily from January to July following a bad car accident and I can't recommend her enough!! From day one, she was incredibly friendly, supportive, and truly listened to what I was going through. She customized a workout and recovery plan that evolved with me every step of the way, making sure it suited my needs and progress.

She also introduced me to cupping and dry needling, both of which were completely new to me, and was extremely patient and reassuring, especially knowing I was nervous about needles. Thanks to her care and dedication, I’ve seen some improvement in my back, neck, and legs.

If you’re looking for someone who’s highly skilled, compassionate, and genuinely committed to helping you heal, Dr. Lily is the one to see! 🙂 Thank you!!
MaryAnn S
I have been a client of PRO Therapy since 2019 and each time I have received the best of care from the doctors I have seen. Every team member here cares about the individual and the best approach to healing. I try to deal with my pain issues with out drugs as much as possible and the care I receive from the therapists at PRO Therapy is the best. I highly recommend their services. Most recently I injured my right shoulder and arm from pulling weeds and waited too long to address the pain and limitations I was experiencing. The Stemwave non-invasive medical treatment that I have received in the past 3 weeks along with PT from one of the doctors has brought tremendous relief and is allowing me to get back to normal day to day activities. If you are looking for a clinic that treats you with respect and care as well as addressing your pain issues, don’t go any where else, PRO Therapy is your place!
Lindsay G.
My experience with Pro Therapy, and Dr. Lily Anderson was awesome. I had let my injury get to the point where it was disruptive not only to my training but daily life. Dr. Lily helped me set goals for each week, and I started to see improvement weekly! Now I have the tools and knowledge to maintain my recovery. So grateful for Dr. Lily and Pro Therapy.
Makenna S.
Dr. Lily was incredibly helpful in diagnosing and treating my knee pain! She was always so receptive to my feedback and incredibly accommodating to wherever I was at in my rehab journey. Her exercises and guidance have me pain-free after just a couple months, cannot recommend highly enough!
Sam H.
Lovely PTs! Easy to talk to professionals who know what they are doing and how to best help you. Scheduling appointments are very simple and they always send a reminder text the day before your appointment. Highly recommend!
N
Outstanding experience working with Dr Salfer and the Pro Therapy team. Helped me overcome a longstanding injury that blocked me from running. Am back to regular 5Ks for the first time in almost a decade and feel fantastic! Dr Salfer is great at what she does and is super patient to answer questions and provide instructions on how to do exercises. Front desk team also couldn’t be nicer. Thank you!
Arman M.
Great place to go for quality care. Kelvyn is an excellent PT and had an answer to all my questions.
Johnnell L.
I love this place let’s start off with there communication the best when it comes to that and I feel comfortable with the environment I’m around. I feel like there getting the job done
Andrew K.