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The Evans Physical Therapy & Sport Performance Difference
If you’re reading this, you’re interested in working with us, but not quite sure about us being “out-of-network” or “direct-pay”.
Let Me Explain Just A Few Things To Help You Make A Confident Decision:
You may have said or thought these types of things:
- “I would prefer to use my insurance benefits for PT.”
- “That seems like a lot of money.”
It’s totally normal for you to feel this way. The current healthcare landscape for active-adults and athletes is changing drastically. As insurance companies continue to reduce payment to PTs the quality of care that patients are receiving is being reduced. Co-pays are also at all-time highs and continue to increase.
The Evans Physical Therapy & Sport Performance Difference
1-On-1 Care
When being treated simultaneously along with 2-3 patients has become the norm for the majority of other clinics, we have refused to conform to this new norm. You will have 100% undivided attention of your physical therapist for your entire, 1 hour long appointment.
Time Spent With A Physical Therapist Per Session
Due to the trend of insurance companies decreasing the amount they reimburse for physical therapy services, physical therapy clinics that do accept insurance have to see a high volume of patients to make ends meet. This leads to your physical therapist only being able to spend 15-20 minutes with each patient since they are required to see 2-3 sometimes even 4 patients in an hour. With Evans Physical Therapy, your entire hour long session will be spent with your physical therapist.
Number of Times Patients Have to Come Into the Clinic Per Week
Our goal for all of our patient is independence. Because you’re with a Doctor of Physical Therapy the entire session we’re able to provide you with all the education and exercises you need to take control of your progress and your recovery without needing to be reliant on us, another physcial therapist, chiropractor, etc…!
100% of Your Care Carried Out By Doctors of Physical Therapy
Our team consists of ONLY Doctors of Physical Therapy. We do not use aides or assistants.
Full Access to Your PT with Same Day Response
Have questions or updates between visits and want to run something by your physical therapist? No problem! You enjoy full access to your PT team with email, messaging, phone calls, and next or same day appointments. We will always return your call that day or next day. ALWAYS!
Care Carried Out By Energetic, Passionate Physical Therapists
What is not commonly known, is that the physical therapy profession has a high burnout rate. Why? It’s not uncommon for a physical therapist to see between 14-20 patients a day in a traditional physical therapy clinic. This equates to almost 100 patients a week! At Evans Physical Therapy, our physical therapists are able to arrive and leave work energetic and passionate due to only seeing 7-8 patients per day i.e., almost 65 patients LESS per week comparatively. This means more attention to detail and ultimately improved outcomes for you!
Cost Efficiency
Many patients are hesitant to go out of-network because they perceive that to be a more expensive route. However, in many cases, it may actually be the more cost effective route depending on your insurance plan. Why? Because many people have high deductibles and end up paying out of pocket no matter whether they go to a clinic that accepts their insurance or not. As you can imagine, it doesn’t take long to hit your deductible with in-network clinics who require 2-3 sessions per week. Our goal, because you only need to come in 1x per week for a total of 6-10 sessions, is that you never hit your deductible! If you have met your deductible, you will still have a copay with clinics that to take your insurance. The national copay is ~$50. If you are having to go in to the clinic 3x a week that ads up to $150 anyways!
Lastly, just because we’re out-of-network, does not mean you will not receive coverage from your insurance. In fact, most of our patients receive 50-80% coverage. How? We provide you with the documentation that you need as well as an app (Reimbursify) that will take care of receiving that reimbursement from your insurance company for you so you don’t have to!
Cost Transparency
You will never get a bill for us months later. Unfortunately, it’s not uncommon for patients to get hit with a large bill months later by clinics that do accept insurance. Why is this? Because insurance is so complicated, it’s nearly impossible for in-network physical therapy practices to accurately predict the amount of what will be covered until they submit the bill to insurance. If insurance does not reimburse them full the full amount, you the patient, are responsible for the remaining balance.
Full Access to a Strength & Conditioning Gym (i.e. Barbells, Dumbbells, Kettlebells, etc...)
Evans Physical Therapy & Sport Performance introduces cutting edge rehab techniques. Hope you’re ready to move because your PT has access to a full strength & conditioning gym and plans to use it! On the other hand, there’s traditionall PT which focuses on passive modalities (ice, heat, ultrasound, TENS), and weak exercise progression (therabands, bike, no gym equipment). Hoping for innovation? Nope. Because insurance companies do not reimburse for many therapy techniques and it takes 10+ years for a new medical procedure to be reimbursable by insurance, your PT’s hands are tied. Essentially, your care is decided by the insurance company – not your physical therapist.
Full Body Approach
Insurance companies restrict the physical therapist from treating any body part not listed on the referral from the physician. This leads to cookie cutter approaches and severely limits the PT’s capabilities of taking a full body approach, providing total body care, and truly getting to the root cause of your injury.
I Want to Call My Insurance to See if I Have Any Out-Of-Network Benefits
When people hear that we’re “out-of-network” they usually want to call their insurance to see what benefits they have… as they should! But we have some advice for you if you’re thinking this.
If you’re going to do some investigation regarding your PT benefits, you might as well get the FULL PICTURE.
People usually just ask… “Do I have any out-of-network benefits?” And if the answer is “no”, or “only after $X,XXX deductible is met”, they then immediately think, “well I guess I’ll stay in-network”… but this person still has no clue how much the “in-network route” will cost them, or what the value comparison is.
So, please take advantage of the two checklists below to make sure you have all of the information you need to make the best decision for yourself. Knowledge is power, right?
WHAT TO ASK YOUR INSURANCE AGENT:
- Do I have an in-network physical therapy deductible? If so, how much will I have to pay out-of-pocket before you will help cover my in-network PT costs?
- What is my in-network co-pay?
- Do I have an out-of-network deductible? If so, how much is it?
- What is the easiest way to submit a self-claim?
I Still Want to Call Around to Find a Place That Takes My Insurance
This can be a totally sensible thing to think about and want to do. We just want to make sure that you fully understand the difference in cost and quality care that you’ll be receiving. Sometimes going in-network is just as expensive or more, and for a lesser experience and results.
So we highly encourage you to use the checklist below when calling around to get the facts straight about your PT options!
WHAT TO ASK A PHYSICAL THERAPY CLINIC:
- How much 1-on-1 time will I get with the doctor of physical therapy each visit?
Here sessions average 50-60 minutes of 1:1 time with your doctor of PT. - Will I have the same PT every session?
Here you will always have the same PT! - How many visits per week are typically prescribed?
Here it’s never more than once per week, and sometimes we are even able to spread sessions out over longer periods of time. - How long is the average plan of care?
Here it averages 6-10 weeks but varies greatly depending on the specific case. - Do your PTs specialize in the services I need?
Here we specialize in athletes and active adults. - Can you guarantee that I will never get a surprise bill?
Here we always guarantee that you will always know exactly what you are paying for and will never be surprised with a bill.
Why Private-Pay? Benefits By The Numbers



