Why Not Using Your Insurance Is Better for Your Physical Therapy Care: Prioritizing Quality and Personalized Treatment

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When it comes to healthcare, many people assume that using their insurance is always the best option. However, when it comes to physical therapy, paying out of pocket and not relying on insurance can actually offer significant benefits. Choosing to go out-of-network or pay directly for your physical therapy care can lead to more personalized, higher-quality treatment that focuses on your unique needs and long-term health goals. In this blog, we’ll explore why not using your insurance might be the better choice for your physical therapy care and how it can enhance your overall treatment experience.

Introduction

In a healthcare system often driven by insurance companies and cost-cutting measures, the quality of care can sometimes be compromised. Physical therapy is no exception, with insurance restrictions and limitations often dictating the type and amount of care you receive. While using insurance may seem like the most convenient and cost-effective option, it’s important to consider the potential trade-offs. Opting for self-pay or out-of-network physical therapy can provide you with a more individualized, flexible, and effective treatment plan that truly addresses your needs and helps you achieve the best possible outcomes.

More Personalized and Comprehensive Care

One of the biggest advantages of not using insurance for physical therapy is the ability to receive more personalized and comprehensive care. Insurance companies often impose restrictions on the number of sessions, types of treatments, and duration of care, which can limit the effectiveness of your therapy. When you pay out of pocket or choose an out-of-network provider, you and your physical therapist have the freedom to design a treatment plan that’s fully tailored to your specific needs, without being constrained by insurance guidelines.

This means that your physical therapist can spend more time with you during each session, focusing on the areas that need the most attention. They can also incorporate a wider range of treatment modalities, such as manual therapy, dry needling, or specialized exercises, that may not be covered by insurance but are crucial for your recovery. By choosing not to use insurance, you’re investing in a level of care that’s truly centered on you and your long-term health goals.

Flexible and Longer Sessions

Insurance companies often dictate the length of physical therapy sessions, which can result in rushed or incomplete treatment. When you’re not tied to insurance guidelines, your physical therapist can offer more flexible and longer sessions that allow for a thorough assessment and treatment. This extra time can make a significant difference in your recovery, as your therapist can address multiple issues in one session, provide detailed instructions on exercises, and ensure that you fully understand and can perform your home exercise program.

Longer sessions also allow for a more holistic approach to your care, where your physical therapist can focus not just on the immediate injury but also on underlying issues, movement patterns, and overall wellness. This comprehensive approach leads to better outcomes and a more sustainable recovery.

Freedom to Choose Your Therapist

When using insurance, you may be limited to a specific network of providers, which can restrict your ability to choose the physical therapist who is the best fit for you. By opting to pay out of pocket or use an out-of-network provider, you have the freedom to choose a therapist who specializes in your specific condition or injury and aligns with your treatment philosophy. This allows you to work with a therapist who understands your goals, listens to your concerns, and has the expertise needed to guide you through your recovery journey.

The ability to choose your therapist can greatly impact your overall experience and satisfaction with your care. A strong therapeutic relationship, built on trust and mutual understanding, is essential for achieving the best possible outcomes.

Focus on Prevention and Long-Term Health

Insurance-based physical therapy is often focused on addressing immediate symptoms and achieving short-term goals, such as pain reduction or functional restoration. However, once these goals are met, insurance coverage may end, even if you still have ongoing needs or concerns. When you’re not relying on insurance, your physical therapist can take a more proactive approach to your care, focusing not only on treating the current issue but also on preventing future injuries and promoting long-term health.

This could include ongoing maintenance sessions, education on injury prevention, and the development of a long-term exercise and wellness plan. By prioritizing prevention and long-term health, you’re more likely to stay injury-free and maintain optimal physical function for years to come.

Transparency and Control Over Your Care

Transparency and Control Over Your Care

When you choose not to use insurance for physical therapy, you gain greater transparency and control over your care. You’re not subject to the approval processes, copayments, deductibles, and billing practices of insurance companies, which can sometimes be confusing and unpredictable. Instead, you have a clear understanding of the costs involved and can make informed decisions about your treatment.

Paying directly for your physical therapy care also allows you to prioritize what’s most important to you. Whether it’s spending more time on manual therapy, focusing on a specific area of concern, or investing in advanced techniques, you have the freedom to tailor your care to your unique needs and preferences.

FAQ Section

Frequently Asked Questions:

Will my health savings account (HSA) or flexible spending account (FSA) cover out-of-pocket physical therapy costs?

A: Yes, in most cases, you can use your HSA or FSA to pay for out-of-pocket physical therapy expenses. These accounts allow you to set aside pre-tax dollars to cover qualified medical expenses, including physical therapy. Be sure to check with your HSA or FSA provider for specific details and guidelines.

How do I find an out-of-network or self-pay physical therapist?

A: You can find out-of-network or self-pay physical therapists by searching online, asking for recommendations from friends or healthcare providers, or contacting local clinics directly. Many physical therapists offer self-pay options and will be happy to discuss their services and pricing with you.

Is paying out of pocket for physical therapy worth the cost?

A: While paying out of pocket for physical therapy may require a financial investment, the benefits of receiving personalized, comprehensive, and high-quality care often outweigh the costs. By prioritizing your health and recovery, you’re more likely to achieve better outcomes and prevent future issues, which can save you time, money, and stress in the long run.

Conclusion and Call-To-Action

In conclusion, while using insurance for physical therapy may seem convenient, opting to pay out of pocket or choose an out-of-network provider can offer significant benefits that enhance your overall treatment experience. By freeing yourself from the limitations of insurance, you can receive more personalized, flexible, and comprehensive care that’s truly focused on your unique needs and long-term health goals. If you’re considering physical therapy and want to explore your options, reach out to a physical therapist who offers self-pay services or out-of-network care. Investing in your health today can lead to better outcomes and a healthier, more active future.

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Author

Dr. Cameron Moore

PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

Helping active people STAY active

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Dr. Kelsey Houston
PT, DPT, CERT. CN

Dr. Kelsey Houston is a dedicated and skilled physical therapist with a passion for promoting health and wellness. Originally from Damascus, OR, she pursued her graduate education in Arizona, earning a Doctor of Physical Therapy degree from Franklin Pierce University. Throughout her academic career, she honed a strong foundation in evidence-based clinical practice, patient-centered care, and rehabilitation techniques.

Dr. Houston also brings a background in athletics, particularly competitive soccer, which has fueled her dedication to sports rehabilitation and orthopedics. She earned a degree in Clinical Health Sciences from Portland State University, further deepening her knowledge of the human body and its movement mechanics. Her clinical experience spans a wide variety of settings, including outpatient clinics, hospitals, and rehabilitation centers, where she has worked with patients of all ages and backgrounds.

With a particular focus on orthopedics and sports rehabilitation, Dr. Houston is committed to helping patients recover from injuries, manage chronic conditions, and return to active lifestyles. She takes a patient-centered approach, using her expertise to help individuals improve their quality of life.

Outside of her professional work, Dr. Houston values maintaining an active lifestyle and enjoys hiking, running, and spending time with friends and family.

Dr. Kelseys Credentials 

  • Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Certified Dry Needling (Cert. DN)

Dr. Khristian McGinley, PT, DPT Cert. DN

therapy in pregnancy

Dr. Khristian McGinley, physical therapist, grew up here in Phoenix, as a competitive softball player with a longtime passion for health and wellness. After sustaining an elbow injury in high school and attending PT herself, she knew that she wanted to pursue a career helping people recover from injuries and getting back to doing what they love. She eventually received her B.S in Nutritional Sciences from the University of Arizona in 2013, then earned her Doctorate in Physical Therapy from Franklin Pierce University in 2017.

Dr. McGinley began her career with a passion in pediatrics and orthopedics, undergoing coursework to treat diagnoses such as torticollis, developmental delay, and toe walking. She also became certified in Dry Needling in 2017, and since then has been additionally trained in Dry Needling for Pelvic Rehabilitation. After the challenging birth of her first child, she developed a passion for treating the pregnant and postpartum population. She became specialty training in Pelvic Floor Rehabilitation in 2021 and since then has focused her practice on helping moms achieve pain free pregnancy, peaceful childbirth, and complete postpartum recovery. She specializes in diagnoses such as urinary incontinence, diastases recti, pelvic organ prolapse, and pelvic pain.

Outside of the clinic, Dr. McGinley enjoys hiking, running, camping, weight lifting, and playing slow pitch softball. She loves spending as much time as she can outside with her husband and two children.

Dr. Khristian McGinley’s Credentials:

  • ​Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Certified Dry Needling (Cert. DN)
  • Specialty-trained in Pelvic Floor Therapy

Renée Ruchala - CSCS

Renée Ruchala, Strength and Conditioning Specialist grew up in Chicago, IL. Growing up as a dancer, she developed a deep passion for fitness, sports, and health. After hitting a plateau in her ballet, she realized the benefits of strength training for dancers and all athletes. She knew she wanted to pursue a career in coaching athletes. 


She earned her Bachelor’s degree in Exercise Science from Grand Canyon University in 2023. Renée was a sports performance intern at the University of Utah, Arizona State University, and Grand Canyon University. She worked alongside collegiate strength and conditioning coaches with both men’s and women’s Olympic sports teams in the weight room. 


In addition to sports performance, Renée is also a professional dancer with the Arizona Rattlers Indoor Football Team and a Coach at F45 Training GSQ.


Renée’s Certifications:

  • Certified Strengthen and Condition Specialist (CSCS) 

Dr. Cameron Moore, PT, DPT, FAAOMPT, CSCS, Dip. Osteopractic

skilled thrapist

Dr. Cameron Moore, physical therapist and co-owner, has always been very active with sports and activities starting with competitive motocross racing up to a semi-professional level and being a scholarship athlete in track and field competing at the division 1 level in college at Eastern Washington University in the triple jump. Cameron became interested in the profession of physical therapy after having knee surgery in high school and seeing the inter-workings of the profession. He pursued his bachelors degree in Exercise Science before moving to Phoenix to earn his Doctor of Physical Therapy (DPT) from Franklin Pierce University.

He then began specialization courses for spinal manipulation (Spinal Manipulation Institute) and dry needling (Dry Needling Institute). This lead Cameron in to becoming a Fellow of the American Academy of Manual Physical Therapist (FAAOMPT) through the American Academy of Manipulative Therapy (AAMT) and earned a Diploma of Osteopractic®, a distinction and training that only a small percentage of physical therapist have completed.

Dr. Moore continues to be very involved with motocross riding, Crossfit®, Olympic weight lifting, running and an overall active lifestyle with his Wife (Michelle) and their Vizsla (Parker).

Dr. Cameron Moore’s Credentials

  • Doctor of Physical Therapy (DPT)
  • Certified in Dry Needling (Cert DN)
  • Certified in Spinal Manipulation (Cert SMT)
  • Certified Strength and Conditioning Specialist (CSCS)
  • Diploma in Osteopractic® (Dip Osteopractic)
  • Fellow Of The American Academy Of Manual Physical Therapist (FAAOMPT)
  • American Academy of Manipulative Therapy Fellow (AAMT)
  • Crossfit® Level 1 Certified (CF-L1)
  • Crossfit® Mobility Certified
  • USA Track and Field Level 1 Coach

Dr. Michelle Moore, PT, DPT FAAOMPT, Dip. Osteopractic

weightlifting in physical therapy

Dr. Michelle Moore, physical therapist and co-owner, grew up as a competitive gymnast and developed a passion for healthy living from a young age. Her collegiate studies in Health Education at the University of Wisconsin-La Crosse and athletic background influenced her to combine her passions and pursue a career in physical therapy. She earned a Doctorate in Physical Therapy from Franklin Pierce University in 2013.

Dr. Moore continued her educational pathway through the American Academy of Manipulative Therapy where she earned her Diploma Osteopractic® (Dip. Osteopractic) and became Certified in Dry Needling (Cert. DN), and Spinal Manipulative Therapy (Cert. SMT). From 2016-2017 Dr. Moore completed the rigorous coursework to become a Fellow of the American Academy of Orthopedic Manual Physical Therapy (FAAOMPT), a distinction held by only a fraction of the profession.

Dr. Moore’s special interests include treating active individuals and returning them to the activities that they love. In her spare time she enjoys Crossfit®, Olympic Weightlifting, mountain biking, hiking, and traveling with her husband, Cameron, and dog, Parker.

Dr. Michelle Moore’s Credentials:

  • ​Physical Therapist (PT)
  • Doctor of Physical Therapy (DPT)
  • Fellow of American Academy of Orthopedic Manual Physical Therapists (FAAOMPT)
  • Diploma in Osteopractic® (Dip. Osteopractic)
  • Certified Dry Needling (Cert. DN)
  • Certified Spinal Manipulative Therapy (Cert. SMT)
  • Crossfit® Mobility Certified