• March 28, 2024

is pelvic physical therapy covered by insurance

pelvic physical therapy covered by insurance

When pelvic muscles are weak, painful or dysfunctional, it can impact the functioning of other important organs like the bladder, bowel and uterus. Pelvic floor physical therapy is a specialized type of physical rehabilitation that can help patients with bladder, bowel and uterus problems live pain-free and manage their symptoms. Fortunately, many health insurance providers recognize the value of this rehabilitation and provide coverage for pelvic floor PT sessions. However, the specific terms and conditions of each policy can vary. This makes it especially important to seek professional guidance when navigating the intricacies of individual policies.

Generally speaking, pelvic floor physical therapy is covered by Blue Cross Blue Shield (BCBS) insurance plans as long as it is prescribed by a licensed healthcare provider and deemed medically necessary by your doctor. Additionally, BCBS typically covers pelvic floor physiotherapy sessions that are deemed “emergent” or “acute”. However, each insurance plan is unique and may have different coverage parameters. For example, some policies require preauthorization for pelvic floor physiotherapy, while others impose coverage limitations on the number of pelvic floor PT sessions that can be provided within a certain time frame.

To begin Pelvic Health Physiotherapy East Sheen, you’ll meet with a physical therapist that has advanced training and education in the evaluation and treatment of pelvic muscle dysfunction. During the evaluation, your therapist will review your health history and ask questions about your urinary or bowel habits. This can include how often you urinate, whether you experience urine leaks and if you have pain or difficulties with urinating or defecating.

is pelvic physical therapy covered by insurance

Additionally, your therapist will perform an external exam of the pelvis and its surrounding structures. This can involve assessing your lumbar spine, sacroiliac joints, hips and the muscles that attach or surround the pelvis such as the rectus abdominis and iliopsoas. Your therapist will also assess your posture and how you walk or sit to evaluate any potential muscle or joint issues that could contribute to your symptoms.

The evaluation is followed by a series of therapy sessions that focus on strengthening and stabilizing your pelvic muscles. These sessions are performed in a comfortable private treatment room. Your therapist will provide hands-on treatment and educate you on your condition and how to manage your symptoms between sessions. You’ll likely be asked to participate in exercises at home between appointments to reinforce your skills and to speed up the healing process.

During each session, your therapist will document your progress and provide feedback to your doctor. This information will be used to determine if additional sessions are needed or to recommend any changes in your treatment plan. It is important to keep track of your appointments, as this will assist you in submitting claims to your insurer. Keeping a record of your sessions can also allow you to accurately calculate any out-of-pocket expenses that might be incurred. It is a good idea to discuss these expenses with your therapist during your initial appointment and to establish open communication channels that enable you to easily address any insurance-related questions or concerns.

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