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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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Anne W.
Dr. Spahr and his team at PRO Therapy work together closely to provide state-of-the-art healing therapies that help people return to doing the activities they love best. The entire team, including the front office staff, exemplifies a model of care and professionalism that really stands out to me. I highly recommend PRO Therapy.
Andrew M.
Had a great experience, they helped me recover from a calf injury I sustained during training for a half marathon. The stretching, exercises, and therapy they provided me helped me get back on track and I was able to run my race! Would recommend to any athlete!
Michelle P.
Exactly what I was looking for in a PT office. I really wanted one-on-one care that included massage/cupping and other therapies. Lily was amazing and my posture has literally never been better. Can’t recommend enough!
Stephanie D.
I'm so glad I went to PRO Therapy. They have great providers, great office staff. I've always felt like I was a person and they really cared.
John U.
Great work to fix my knee injury
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Eli P.
Brooke is incredibly knowledgeable and personable. She listens and works with you and uses your experience and knowledge of yourself and your body as a guide to get great results. This has been the most collaborative PT experience I’ve ever had, in the best way possible. I can’t recommend her and PRO therapy enough.
Cooper B.
PRO Therapy has been awesome! I began visiting for help with managing my rheumatoid arthritis. Dr. Kelvyn is attentive and professional. The treatment portion of my visits provides effective recovery and the exercises and homework have helped me to improve my strength, mobility, and quality of life. I highly recommend PRO Therapy!
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Highly recommend stemwave to help inflammation and faster recovery. I've been getting treatments for my rotator cuff!
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Chris
Working with Lily at the Northeast clinic was awesome! I worked with her for over a year rehabbing a knee issue. She was very patient with me and worked at my pace, but would push me when she knew I could handle it. She was professional, yet a joy to work with. I will be recommending Lily and the NE clinic to anyone I know! (Mark B)