INSURANCE & PAYMENT: LESS HASSLE, MORE HEALING
We handle the paperwork and explain your options, so you can focus on your health-not your insurance.
QUICK REFERENCE: WHAT WE ACCEPT
- Medicare: Accepted, in-network.
- All Other Insurance: Accepted as out-of-network. Cigna is the only exception and is not accepted.
- Medicaid: Not accepted.
WHY OUT-OF-NETWORK? EXCEPTIONAL CARE, FEWER HASSLES, REAL RESULTS
Experience advanced pelvic health care, without compromise.
- Longer, personalized sessions: Every visit is 45–60 minutes, one-on-one with your dedicated therapist-no bouncing between patients, rushed appointments, insurance delays, or generic treatment protocols.
- No insurance-driven limits: Your care plan is designed for your goals, not dictated by insurance quotas or arbitrary visit caps
- Direct doctorate-level expertise: You’ll always work with a doctorate-trained pelvic health specialist-never a tech, aide, or student.
- Faster Progress, Fewer Visits: Our focused individualized approach, married with deep expertise, often means you get better in fewer sessions-saving you time and money.
- Simplified Billing & Insurance Guidance: We handle all paperwork, help verify your benefits, and submit claims-so you can easily access out-of-network reimbursement and make informed care decisions.
Experience the difference-schedule your first session today.
WHY CHOOSE CASH PAY?
Simple. Transparent. Affordable.
- No surprise bills: Pay at the time of service-know exactly what you owe.
- No insurance hassles: Skip delays, authorizations, and paperwork.
- Flexible, longer sessions: Get the time you need, every visit.
Prefer to keep things simple? Try our reduced cash pay rates-affordable, straightforward, and often less than the cost of a massage or a fancy haircut.
effective July 15th, 2024.
- 45-minute treatment session $135
- 60-minute treatment session $160
- 60-minute evaluation $165
Our patients often tell us we should charge more, but we’re committed to keeping expert pelvic health care accessible.
Start Your Healing Journey-Book a Private Consultation With a Pelvic Health Expert Today
Take control of your quality of life. Our doctorate-level specialists are ready to listen, support, and guide you toward lasting relief.
DO I NEED A REFERRAL TO START PELVIC PHYSICAL THERAPY?
Colorado is a “Direct Access” state, which means you can see a physical therapist directly-without a physician’s referral or prescription-for most insurance plans. This allows you to start your care quickly and conveniently.
Exception: If you have an HMO plan, you will need a prescription from your physician for coverage.
Not sure what your plan requires? We’re happy to help you check your benefits and guide you through the process.
UNDERSTANDING HEALTHCARE COVERAGE
What will this cost with Out-Of-Network benefits?
Illustrative Estimate
Regular 45 Min Follow-up Session
$165 – $170
Cost is primarily determined by the length of the session.
Your share of the cost is determined by your insurance plan.
Your explanation of benefits (EOB) may show charges that are higher than the estimated treatment cost noted above. Medical charges stated on the EOB are different than what is allowed by insurance companies.
OUR COMMITMENT TO COST TRANSPARENCY
We believe you deserve to know what your care will cost before you begin treatment. That’s why we provide clear, upfront estimates for your total treatment costs.
As an outpatient clinic, we’re able to keep your costs lower than hospital-affiliated clinics, where care is often billed as “inpatient” and can be two to three times more expensive for the same services.
If you have questions about your estimate or want to compare costs, our team is here to help you make informed decisions about your care.
How you and your insurer share costs
Sally’s Insurance Plan Example
Patient Profile
Sally Smith
Coverage Period
Jan 1st – Dec 31st
Deductable
$1,500
Co-Insurance
20%
Out-of-Pocket Limit
$5,000
Before Sally reaches her deductible
Sally is typically in good health.
Her plan doesn’t have a co-pay for physical therapy and she pays any costs until she reaches her deductible
After Sally reaches her deductible
Sally has seen various healthcare professionals and her total costs have exceeded $1,500.
Her plan pays a % of the covered healthcare services until her out-of-pocket-limit. The % split is known as the co-pay.
After Sally reaches her out-of-pocket limit
Sally has seen healthcare professionals often and her total costs have exceeded $5,000.
Her plan pays full cost of covered health care services for the rest of the year.
Treatment Cost = $165
Sally Pays = $165
Plan Pays = $0
Treatment Cost= $165
Sally Co-Pay 20% = $33
Plan Pays 80% = $132
Treatment Cost = $165
Sally Pays 0% = $0
Plan Pays = $165
OUR INSURANCE BILLING PROCESS
COMMON HEALTH INSURANCE TERMS
In-Network Providers
An in-network provider is a healthcare professional or facility that has a contract with an insurance company to provide treatment at set negotiated rates. We may be an in-network provider with your insurance company (see partners above).
Cash Based Provider
Collect the entire payment from the patient and provide superbill for the patient to submit in order to receive reimbursement. The terms “cash-based provider” and “out-of-network provider” are often used interchangeably. However, out-of-network providers are always credentialed—and therefore recognized by the insurance company.
Prior Authorization or Pre-Certification
Pre-certification is the process of obtaining eligibility, certification and/or authorization from your health insurance plan prior to admission and receiving treatment. Failure to obtain pre-certification from certain providers can result in additional costs to the patient.
Deductible
The amount you owe for covered services, per policy period, before your health plan begins to pay.
Savings Account
We accept health savings account (HSA) or flexible spending account (FSA) cards as a form of payment, and we are also proud Medicare and Tricare providers.
Out-of-Network Providers
An out-of-network provider is a healthcare professional or facility that is credentialed with but has no contractual agreement to charge a specific rate with an insurance company. The insurance company recognizes the provider as being a legitimate medical professional—it knows things like the provider’s name, national provider identification (NPI) number, professional license number.
Uninsured
If you have no health insurance plan.
Co-Payment or “Co-Pay”
A fixed amount you pay for a covered health care service, usually when you receive the service. Your co-payment is counted towards the total cost of care.
Out-of-Pocket Limit
The most amount of money you will pay during a policy period before your health plan begins to pay 100% of the allowed amount.
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Our clinic serves all of the Denver metro area, including: Boulder, Louisville, Superior, Lafayette, Longmont, Arvada, Westminster, Thornton, Brighton, Erie, Frederick, Firestone, North Denver, Northglenn, Broomfield, Golden, Wheat Ridge, Lyons, Lakewood, Dacono, and Commerce City