Fee schedule and insurance 

INSURANCE

 

I am an out-of-network provider which benefits my patients: MY ENTIRE FEE FOR MOST TREATMENTS IS THE SAME AS (or less than) MOST CO-PAYS!  AND.... I will share an app with you to file for out-of-network reimbursement to claim back that money that only takes about a minute tops! 

 

Why am I not a participating provider? The answer is simple—many clinics that accept insurance have their therapists see two, three, sometimes as many as four patients per hour and usually spend an average of 15-30 minutes of one-on-one time with each patient while aides and technicians instruct patients in exercises. 

 

The philosophy of Hands-On Wellness Occupational Therapy is that you heal faster when you spend the entire session with an upper extremity expert. This approach allows me to provide the type and quality of care and individualized treatment that you deserve. In addition, our healthcare system does not reward wellness- and preventative care - a big part of what I offer my clients. 

   

 

FEE SCHEDULE

 

The full rate for all in-person treatments is often the price of your "normal" copay!

 

         $30 for a half-hour session     and

    $60 for an hour-long session

 

with the exception of the initial consultation/evaluation and orthotic (splint) fabrication - both of these are $90 (in order to offset the material costs). Some telehealth/online consultations are priced differently, please click here for pricing. 

 

 

THE MATH IS IN YOUR FAVOR

 

I believe there is a better way to deliver the best possible care, as it will save you both time and money:

 

The typical patient at Hands-On Wellness OT will only require one to two appointments per week. My rate is $1 per minute (which equals your average co-pay!) but you spend the full session time (30 or 60 minutes) with me. Because of the dedicated time spent in one-on-one care with a licensed hand therapy specialist, you will only require, on average, 4-6 weeks of therapy.

How can I do this? Because I have minimal overhead, don't have any other staff members to pay, and don't outsource any of my billing or other services - I am a one-woman-operation!

 

And... CAN I GET REIMBURSED FROM MY INSURANCE COMPANY?

 

In most cases, the answer to this is YES! Most private health insurance plans provide some level of out-of-network reimbursement. Medicare patients are required to sign a form to opt out of having Medicare pay for your therapy (I can give you a form to sign to opt-out of Medicare coverage). Private insurance patients: call your provider to find out if pre-authorization is required before starting treatment to make sure you're covered from your very first visit. 

 

Hands-On Wellness OT participates in Reimbursify - a free app which handles the administrative hassle of filing claims so you can have the confidence that you will get the correct reimbursements for your office visits. The app is free to download and for new users, the first claim you file with Reimbursify is always free. After that, the cost to file a single claim (one visit with a provider) is $1.99. You can also pre-purchase a “10-pack” for $14.99 which is good for a year. If you pick up a card in the clinic I will give you a “file your first 5 visits free” code. 

 

But you can also file your own claim by filling out the claim forms on your insurance company’s website and submit it along with your paid invoice and treatment codes that I provide for you. The amount you are reimbursed is dependent on your “Out-Of-Network Occupational Therapy” benefits. To help you determine your occupational therapy benefits, here is a tip sheet you can print out: 

Contact Me

Clinic location:

 

17 Mountainview Drive

Campbell Hall, NY 10916

Mailing address:

PO Box 421

Harriman, NY 10926

Email: michelle@handsonwellnessot.com

Tel: 845-915-0115

Fax: 845-782-7358

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