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Fees and Policies

Service Fees

  • Initial visit (evaluation): $200

Includes 75 minutes in person, plus chart and history review prior

  • 60-Minute Follow-up visits: $150

  • 15-minute phone consult:  Free

Payment is due at the time of service. Cash, Venmo, checks, credit card payments and HSA cards are accepted.

Policies

Cancellation Policy

For a no-show or short notice cancellation (less than 24 hours) the patient will be responsible for 50% of the service charge.

Weather related issues, emergencies, and sickness do not apply if discussed. Please do not come if you are sick. 

COVID Policy

If you think you have come in contact with COVID or have a fever, please cancel your visit.

A Note on Insurance and Medicare

Miles Pelvic Therapy is an “out of network” provider. This means that we do not have a relationship with your insurance company or bill insurance. Most insurance carriers do offer “out of network” physical therapy coverage and often reimburse 50-80%. We encourage you to submit a superbill if you have benefits. We will provide superbills/receipts upon request.

Miles Pelvic Therapy is not a Medicare provider. Unfortunately, Medicare has rules that limit us from seeing you for services that are covered by an in-network Medicare provider. If you are a Medicare beneficiary and would still like to request treatment, please call our clinic phone number and we can discuss further.

Suggested Steps to Bill Your Insurance

  1. Verify your benefits with a call to your insurance provider  (Please use “benefit checklist worksheet” as a guide.)

  2. Complete therapy and pay for your session.

  3. Receive a superbill / receipt from Miles Pelvic Therapy.

  4. Submit for reimbursement on your insurance web portal, or you can call your insurance and request a “Member Claim Form” and mail or fax it in. You can submit one claim at a time or several at a time. 

  5. Get paid:  Your insurance company will mail you directly and reimburse for the covered amount.  

If you have questions or need guidance with this, please don't hesitate to give us a call.

Do I Need a Script or Referral from my Doctor?

Oregon is a direct access state for physical therapy which means that you are allowed to seek treatment from a licensed PT without a referral.  

 

However:

 

At Miles Pelvic Therapy we want to be one part of your care team. Your physical therapist is not able to detect issues such as cancer, tumors, cysts, endometriosis, hormonal imbalance, cardiac disease, or bony pathology from physical therapy evaluation. This will fall under the realm of your primary care physician. We want your physician care team to be aware of the reasons you are seeking physical therapy.  

If you are going to submit a superbill to your insurance carrier to cover out of network benefits, sometimes they require a prescription. You should call and ask prior to your first visit. Please see “out of network benefit worksheet” for help.

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