The questions we hear most

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General

How will I receive follow-up care from my PT?

As a follow-up to your last appointment, you will receive a personalized exercise program designed just for you, with hand-picked exercises tailored to reach your health goals, from your therapist.

What symptoms do your PTs treat?

Our expert physical therapists have experience in every PT condition, including:

- Accidents

- Arthritic conditions

- Wellness

- Strengthening

- Post-Op Recovery

- Pain Management

- Pelvic Floor

- Sports Injuries

- Surgery Prevention

- Headaches

- Balance andCoordination Problems

- Jaw Pain

Why choose PeteHealth versus a traditional, clinic provider?

Our expert physical therapists come to you, to make the process as convenient for you as possible, including avoiding the hassle of waiting rooms and finding parking. You'll also receive exclusive treatment with one therapist for the entire session and we’ll also provide you with a personalized plan on how to move around your home or office. Our PTs are also trained to sanitize before and after each treatment.

Which locations do PeteHealth therapists serve?

Currently, we’re available throughout California but you can always check availability here.

Appointments

How should I prepare for the session?

Preparing for your visit is simple: 1) Set aside two chairs for your session 2) Identify a space where your PT can set up a portable treatment table 3) Wear comfortable clothes and shoes for ease of movement and access to the injured area, if applicable.

How can you reschedule an appointment?

If you are rescheduling with more than 2 business days advance notice, we strongly encourage you to contact your therapist directly but if you can't get in touch with them, you can either call us at 888-859-0145 or email us at support@petehealth.com.

What is the cancellation policy?

There is no fee if you cancel or reschedule with more than 2 business days advance notice. If you cancel or reschedule with less than 2 business days notice, there is a $50 fee. Credit card information will be collected by the physical therapist at the time of your evaluation. You will be held responsible for the fee and your credit card will be charged.

Can I see the same physical therapist every visit?

Yes, typically you can have consistent care with the same physical therapist but in the rare case that schedules don't allow, we'll inform you ahead of time.

When and where can I have my appointment?

We'll make plans to come to your home, office, or wherever and whenever works best for you. Give us a call to work out all the details.

Is a referral or prescription necessary to schedule an appointment?

Most likely no. However, some insurance providers may require a physician referral, see below for more details. But no worries, we'll reach out to you if that's the case.

Commercial insurance (CA only): Direct Access rules do not require a prescription for physical therapy for up to 12 visits. After 12 visits or 45 days (whichever comes first), the PeteHealth team will help you obtain a prescription for more visits, when necessary.

Medicare rules: Medicare patients are required to have a signed plan of care for physical therapy. Your PeteHealth physical therapist will develop a plan of care during your first evaluation, and the PeteHealth team will work to obtain approval from a physician. A new plan of care will need to be submitted for approval every 90 days or 10 visits (whichever comes sooner), which the PeteHealth team will also help facilitate.

Cost & Insurance

How do I contact you with questions about my insurance and coverage?

We'd love to hear from you! You can either call us at 888-859-0145 or email us at patientbilling@petehealth.com.

How can I verify my own benefits?

Simply call the number on the back of your insurance card and your insurance provider should be able to answer all of your benefits questions. But we can also verify your benefits for you and it will only take a few minutes -- just get started here or call us at 888-859-0145.

What if my benefits have changed since you first verified my insurance?

Please call us at 888-859-0145 prior to your next visit so we can re-verify your benefits and provide an updated estimate of your new insurance plan coverage and/or patient responsibility.

I received an email detailing my benefits verification. Can you explain what it means?

Through the benefits verification process, you will receive an email with an estimate of insurance coverage and/or patient responsibility, again verified by the PeteHealth team. Your benefits verification email contains the following information (amounts are for example only):

Deductible: $500

Co-pay: $25 (payable at each visit)

Co-insurance: 0%

Total Treatment Days Allowed Per Calendar Year: 30

If you have not met your deductible, you will be responsible for the entire cost of the session, based on our pre-determined out-of-pocket pricing ($175 for first evaluation, $150 for follow-up care).

Once you have reached your deductible amount, the deductible has been met for the year. All future sessions will then be paid for by the insurance company and the patient pays either a co-pay for treatment (a fixed amount), co-insurance (a percentage of the cost of the care provided), or potentially nothing if you’ve met your maximum out-of-pocket amount.

What will you verify and what do the terms mean?

The below list includes some of the benefits we verify:

Deductible - The amount you pay for covered health care services before your insurance plan starts to pay and is typically reset annually. For example, with a $2,000 deductible, you pay the first $2,000 of covered services yourself.

Co-pay (or Copayment) - A fixed amount ($20, for example) you pay for a covered health care service after you've paid your deductible.

Co-insurance - Coinsurance is the amount you pay for covered health care after you meet your deductible. This amount is a percentage of the total cost of care—for example, 20%—and your medical plan covers the rest

Total treatment days allowed per calendar year - Select plans will designate a fixed number of physical therapy sessions that they will cover for a calendar year.

How does PeteHealth receive my benefits information?

Through our benefits verification process, we'll gather your insurance information and verify your benefits with your insurance provider. With access to insurance systems specifically designed for providers, our team will review your coverage and determine your eligibility for benefits. We'll then clearly explain your deductibles, co-pay/co-insurance, and other relevant coverage information back to you.

Why is my insurance considered Out-of-Network? I thought PeteHealth accepted most insurance plans.

When PeteHealth visits are considered out of network, that simply means we don't have a contract with that insurance plan however, we can still see you at the PeteHealth rate. Additionally, we will supply you with a super bill that you can take to your insurance. Learn more about how to use your super bill for insurance reimbursement here.

What if I need physical therapy due to an accident and/or qualify for worker's compensation?

We cover those cases 100% and at no cost to the patient.

How much will a physical therapy session cost?

We accept Medicare and are in network with most major PPO insurance plans. For most insurance plans, you will just pay the normal co-pay you would pay for a clinic appointment plus a marketplace fee*. For Medicare with secondary insurance, most visits will be at no cost. For self-pay, the out of pocket cost is $175 for the first evaluation and $150 for follow-up care. We can verify your benefits prior to your first appointment, get started here.

*The Marketplace Fee is a variable fee charged to patients. The Marketplace fee helps support safety compliance, healthcare technology, and sourcing of physical therapists.

Will my insurance cover PeteHealth?

We are covered by most commercial insurance providers. In most cases, we are also covered by Medicare. However, our benefits verification takes only a few minutes and will provide an estimate for your visit based on your insurance coverage -- you can get started here.

For Therapists

Should PTAs (physical therapy assistants) apply?

Yes, we are actively recruiting PTAs for PeteHealth. Apply here if you are interested in joining our team.

What Continuing Education (CEU) benefits does PeteHealth offer?

We give you access to online resources and training to make sure you're informed of all the latest through in-house events, seminars and workshops.

What benefits does PeteHealth offer?

Full time physical therapists (our full-time physical therapists see 28 patients per week, on average) are eligible for:

- Health insurance (We offer various PPO and HMO medical, dental and vision insurance)

- 401K retirement plan

- Employee Stock Option Program (ESOP)

- Vacation, sick time and holiday pay

- Weekly lunch reimbursement

- Durable Medical Equipment (DME) sales commissions through PeteDME, up to $15k in additional income annually

...and more!

Apply here if you are interested in joining our team.

What are the requirements for new hires?

Every PeteHealth physical therapist must be licensed in the state where you plan to practice and must have a valid driver’s license.

Should new or recent grads apply?

Yes, we are actively recruiting new and recent grads for PeteHealth. Apply here if you are interested in joining our team.

Do you have full time and part time positions available?

Yes, you can work as little or as much as you want with PeteHealth.

PeteDME: For Patients

How will I know which brace is best for my injury or needs?

One of our licensed physical therapists will come out to your home for a comprehensive evaluation to determine if you qualify for bracing and if so, what brace would be best suited for your needs.

How does PeteDME work?

PeteDME customizes bracing for your individual needs and is convenient for your schedule. Here's how easy it is:

1) One of our licensed PTs will screen you for a custom brace during a comprehensive initial evaluation

2) If you qualify, your PT will follow-up with a custom brace, fitting and personalized treatment plan

3) And in some cases, your custom brace and fitting will be covered by insurance and/or Medicare at no cost to you.

Plus, with PeteHealth, our PTs will come to you, it couldn't be easier!

Is PeteDME covered by insurance?

If you qualify, PeteDME is fully covered by Medicare. If you have health insurance, chances are you'll be covered as well. However, our team will verify your benefits and provide a benefits summary prior to your first evaluation. Get started here.

What are the benefits of bracing?

Bracing has many benefits including: recovery from an injury, post-surgical healing, stabilization, swelling reduction and improved quality of life. In addition, studies show bracing in combination with PT improves patient satisfaction and outcomes better than treatment alone.

I was fitted with a brace that was different in the photo. Why is that?

PeteDME offers the highest quality brace for each patient’s need so please note that brands and manufacturers may vary. You can always ask your PT for more information on the brace you are receiving.

PeteDME: For Therapists

Are there any out-of-pocket costs for my patient if they receive a custom brace?

Medicare + Secondary recipients may not have any out-of-pocket expenses but we have a simple, quick process to verify your patient's benefits before requesting a custom brace.

Are there any added visits with PeteDME?

Typically no, you can brace the same day you treat, in most cases, all while earning additional income.

How much can I earn with PeteDME?

Brace + Service = Earn $400: Once your patient is discharged from home health or outpatient PT, bring them onto the PeteHealth platform and earn $400 when you fit them with a custom fit brace. We make the process streamlined!

Brace Only = Earn $200: Not planning to treat your patients through PeteHealth Physical therapy? Earn $200 when you fit your patient into a custom fit brace. It's a simple process for your current patients, home health or outpatient.

How do my patients qualify for bracing?

Screen your patients for instability, weakness, and pain in their lumbar spine and knees. Your lumbar spine objective testing must reveal instability in order to qualify (for example, a positive instability catch sign). Objective testing of the knee must reveal laxity to qualify (for example, a positive varus/valgus stress test).

What types of braces are offered through PeteDME?

PeteDME provides a variety of custom fit braces, including lumbar braces and knee braces, to help patients better maintain the functional progress made from PT treatment and aid in rehabilitation.

How do my patients benefit from DME?

Studies show bracing in combination with PT improves patient satisfaction and outcomes better than treatment alone. Combining your treatment with PeteDME will allow your patients to safely achieve and maintain their functional goals.

What is PeteDME?

PeteHealth makes tailored care even easier for patients with PeteDME, which offers custom fit durable medical equipment (DME) by our team of PeteHealth physical therapists to address their patient’s unique needs. PeteDME makes it easy for all home health and outpatient therapists to provide their patients with custom fit durable medical equipment (DME). Finally, the all-in-one, professional, convenient approach to physical therapy that everyone deserves with PeteHealth and PeteDME.