New Patient Information

Thanks for your interest in the Pain Relief Center. If you are interested in becoming a patient, you may book a session using the “Book Now” button on the right-hand sidebar. You can also email (on right hand side bar) or call (585-244-6180). Once scheduled, you will receive an email containing New Patient History Forms via email.

Scheduling Appointments Online

At the Pain Relief Center, I use an online booking program to allow you to book and manage your appointments at your convenience. If you are using the online booking program to book appointments.

Payment and Insurance Guidelines

The Pain Relief Center accepts Aetna, Excellus Blue Cross Blue Shield, Independent Health, TriCare, Medicare, Preferred Care GOLD (Medicare), and No-Fault (Motor Vehicle). All insurance-based sessions typically run 25-minutes in length.

All other insurances (including Cigna, United Health Care and regular Preferred Care) would be considered Out-of-Network (OON). In-Network (IN) coverage allows you to pay a co-pay or co-insurance, after any appropriate deductible, and your insurer pays the rest directly to the provider (the Pain Relief Center). If we do not accept your insurance (Cigna, United Health, etc.), you may receive reimbursement for some of the session fees if your policy covers OON physical therapy. We do not accept Medicaid or Workman’s Compensation policies.

If I do not accept your insurance, why might you consider seeing a PT who does not accept my insurance?

While paying out-of-pocket may seem out of the question, you will find that sessions are affordable and often priced only slightly higher than what your copayment would cost as other PT clinics. Why pay out-of pocket when you can see an in-network PT at another clinic? Walt Fritz uses a unique method of manual therapy that often helps where traditional exercise-based PT did not. Plus, Walt works with you throughout the entire session, which is very unlike traditional PT.

How much time does/did your current/past PT spend with you during a session?

Unlike traditional physical therapy session, where the PT (or assistant) splits their time between you and other patients, Walt’s model of manual therapy guarantees that you will have his undivided attention during the entire session. While exercise-based models of PT can certainly be effective, many patients fall through the cracks in this sort of approach and may benefit more from a manual therapy style of intervention.

A few things to understand: there is often an OON deductible that must be met before you receive money back for your session fees. At times, this deductible is a separate one from your In-Network deductible. It is best to call your insurer directly to ask if this applies. OON physical therapy is charged at the private pay rate of $65/25 minute session or $130/50 minute session. Please understand that your insurer will reimburse you based on their maximum daily rate for physical therapy reimbursement. For some insurers, this is $65. So, if your OON coverage is 80%, you would be eligible for 80% of $65, even if you paid the 50-minute session rate. This reimbursement disparity is the primary reason why the Pain Relief Center does not accept all insurances as an In-Network Provider.

Out-of-Network Coverage for Physical Therapy: For patients whose health insurance we do not accept, if your health insurance allows you to submit bills to them for reimbursement or allow you to see an out of network physical therapist, you may receive reimbursement for our fees. We will provide you with the necessary documentation in the form of receipts and progress notes to assist you in receiving reimbursement from your health insurance company. You will be responsible for submitting all receipts to your insurer. Due to the complex nature of insurance claims and reimbursement, we make no promises as to whether you will receive reimbursement. We recommend that you call your health insurer and ask if you have coverage for “Out of Network Physical Therapy”. They should reply with either a “yes” or “no”. If yes, ask what the coverage entails. A typical response would be “You have a $250 deductible and then you are covered for 75% of expenses after the deductible is met”. If in doubt, please contact us for more questions regarding your specific insurance.

Payment for all treatment may be made by HSA cards, Flex-Spending cards, credit/debit cards, check, or cash.

Please email or call for further details.

Regards,

Walt Fritz, PT.