Visits and cost
How much does pelvic floor physical therapy cost?
With in-network insurance, a visit costs the plan's physical therapy copay or coinsurance, commonly $20 to $60 per visit after any deductible. Private-pay telehealth pelvic floor therapy typically runs $150 to $300 for an evaluation and $100 to $200 for follow-ups, and a superbill can be submitted for out-of-network reimbursement.
The details
What to know
Answered by the practice of Dr. Elana Shalem, DPT, pelvic floor and orthopedic physical therapist.
Insurance benefits for physical therapy vary by plan: some have a flat copay, some apply coinsurance after a deductible, and some cap the number of visits per year. A practice should verify benefits before the first visit and tell the patient what to expect.
Private pay is often simpler than it sounds. A superbill is an itemized receipt with the diagnosis and procedure codes; many PPO plans reimburse a portion of out-of-network care when it is submitted. HSA and FSA cards can be used for physical therapy.
EMS Therapy is in-network with several plans depending on the state and offers private pay everywhere, with superbills provided and HSA/FSA accepted. Private-pay rates are quoted on the free 15-minute discovery call so they can be compared with the patient's actual insurance benefit.
Where you live
Tell us where you are
Insurance, referral rules, and booking depend on where you live. Choose your area and we take you to the right page.
Not listed? Dr. Shalem can only treat patients located in a state where she holds a license. Send a message and we will tell you what is possible.
How it works
How a virtual visit works
Most of pelvic floor physical therapy is education, breathing and pressure management, movement retraining, and a home program. 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 with breath and movement. An internal examination is not possible by video; if a hands-on assessment would change the plan, she says so and helps the patient find local care.
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 the self-assessments she needs to build a plan.
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 follow-up questions
What do I pay with insurance?
Your plan's physical therapy copay or coinsurance after any deductible. EMS Therapy verifies the exact amount before the first visit. In-network plans: TRICARE, HMSA and HMSA QUEST in Hawaii; Medicare and Aetna in Florida; CareFirst, Medicare and Aetna in Maryland; Aetna in New York.
What does a private-pay visit cost?
Private-pay rates are quoted on the free 15-minute discovery call, so the quote matches the visit type and the plan of care. The evaluation is 60 minutes and follow-ups are 45, one-on-one with the therapist.
Can I get reimbursed if EMS Therapy is out of network for my plan?
Often, yes. Many PPO plans pay part of out-of-network physical therapy. EMS Therapy provides a superbill after every visit to submit to the plan; what comes back depends on the out-of-network deductible and coinsurance.
Can I use my HSA or FSA?
Yes. Physical therapy is a qualified medical expense, and HSA and FSA cards are accepted for private-pay visits and copays.
How many visits will I need?
Most pelvic floor plans of care run 6 to 12 visits over two to three months, every one to two weeks, with a short home program between visits. The evaluation sets the plan.
Your physical therapist
Dr. Elana Shalem, DPT
Doctor of Physical Therapy, University of St. Augustine for Health Sciences, Miami. Licensed physical therapist.
Dr. Shalem treats pelvic health for women and men, from pregnancy and postpartum recovery to bladder, bowel, and pelvic pain conditions and recovery after prostate or pelvic surgery, and general orthopedic conditions of the back, neck, hips, knees, shoulders, and feet. 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 physical therapy 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.