Hawaii
Pelvic floor physical therapy for military families on Oahu.
TRICARE Select members need no referral. In-network with TRICARE, HMSA, and QUEST. Video visits from home, anywhere in Hawaii.
- TRICARE Select: no referral
- HMSA and QUEST accepted
- Video visits, anywhere in Hawaii
Coverage
Insurance we accept
Bring your plan name to the discovery call and we confirm your pelvic floor PT benefits before the first visit.
TRICARE
In-network. TRICARE Select members can book directly with no referral. TRICARE Prime members need a referral from their primary care manager, and we will tell you exactly what to ask for.
HMSA
In-network. Some HMSA plans require a referral from your primary care provider; we check yours before the first visit.
QUEST
In-network with QUEST (Hawaii Medicaid). We confirm coverage before your first visit.
On a different plan? Private-pay visits are available. Ask on the discovery call.
Military families
Built around military life.
No drive across the island
Visits happen from home at JBPHH, Schofield, MCBH, Ewa Beach, or anywhere in Hawaii. No H‑1 traffic, no parking, no waiting room.
Fits around duty days and nap time
Evaluations and follow-ups are one-on-one and scheduled around your household, not a clinic's front desk.
No referral for TRICARE Select
Book directly. On Prime? We walk you through requesting the referral from your PCM.
Care that moves with you
Dr. Shalem is licensed in seven states. If orders take you to Florida, California, New York, Maryland, Oregon, or Montana, visits continue by video.
What we treat
Common at every stage. Treatable at every stage.
Pelvic floor problems are common at every stage of a woman's life, and most respond well to physical therapy.
Pregnancy and after birth
- Pregnancy
- Postpartum recovery
- Diastasis recti
Bladder and bowel
- Urinary incontinence
- Pelvic organ prolapse
- Urgency and frequency
Pain and recovery
- Pelvic pain
- Painful intimacy
- Post-surgical recovery
How it works
How a virtual visit works
Most of pelvic floor physical therapy is education, breathing and pressure management, and guided movement. That is why it translates so well to video.
Discovery call
15 minutes, free, by phoneA short call to hear what is going on, explain how visits work, and check insurance or pricing. No pressure to book.
Evaluation
60 minutes, by videoDr. Shalem takes a full history, watches how you move and breathe, and guides a self-assessment so she can see how the pelvic floor is working.
Your plan
Same visitYou leave the evaluation with a plain-language explanation and a short home program, usually a few minutes a day.
Follow-ups
45 minutes, every 1 to 2 weeksProgress checks, program updates, and techniques you can do yourself, for as long as they are useful.
For a video visit you will need
- A phone, tablet, or laptop with a camera
- A private room
- A mat or towel
- About an hour
Questions
Common questions in Hawaii
I'm on TRICARE Select. What do I need to book?
Nothing beyond your TRICARE information. Select members can see a network provider without a referral. Book the discovery call, and we will verify eligibility before your evaluation.
I'm on TRICARE Prime. Can I still see you?
Yes, with a referral from your primary care manager. Ask your PCM for a pelvic floor physical therapy referral, or book a discovery call and we will walk you through the exact steps.
Do I have to be on Oahu?
No. Video visits are available anywhere in Hawaii, including the neighbor islands.
What if we PCS before I'm finished?
Care can continue by video in any of the seven states where Dr. Shalem is licensed: Florida, Hawaii, Maryland, New York, California, Oregon, and Montana. Coverage may change with the move, and we will help you sort it out.
What does a visit cost with insurance?
That depends on your plan's copay or cost share for physical therapy. We check your benefits before the first visit so there are no surprises.
Does pelvic floor physical therapy work over video?
Much of pelvic floor PT is education, breathing and pressure management, movement retraining, and a home program, and all of it works on camera. During the evaluation Dr. Shalem guides a self-assessment so she can see how the pelvic floor is coordinating.
An internal examination is not possible by video. If a hands-on assessment would change the plan, she will say so and help you find local care.
Your physical therapist
Dr. Elana Shalem, DPT
Doctor of Physical Therapy, University of St. Augustine for Health Sciences, Miami
Dr. Shalem focuses on women's pelvic health: pregnancy and postpartum recovery, bladder and bowel symptoms, pelvic pain, and recovery after surgery. Visits are one-on-one and unhurried, and she explains what she is seeing in plain language.
More about Dr. ShalemPrefer to write? Send a message.
Questions about insurance, pricing, or whether pelvic floor PT is the right next step? We reply within one business day.
Start with a free 15-minute call.
Tell us what is going on, hear how Dr. Shalem would approach it, and decide from there.