For many private practices, the shift to an "out of network" model couldn’t come at a better time. Rising business costs and decreasing reimbursement rates have made it challenging for insurance-based practices to thrive. Healthcare providers are overwhelmed with paperwork, often seeing two to three times as many patients just to generate the same revenue as they did a decade ago. The traditional “in-network” practice model is proving to be less financially viable. The "out of network" or cash-based practice model allows providers to rely less on insurance payers and more on the cash value of their time and expertise.
Why Choose an "Out of Network" Provider?
You might wonder why you should visit an "out of network" or cash-based provider when you could see someone in-network. Here are some compelling reasons:
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Upfront Costs and Reimbursement: When you see a private insurance patient, we expect payment at the time of service. However, we provide you with a document that you can submit to your insurance company for any "out of network" benefits/reimbursement. You can call your insurance company before your visit to verify your benefits and know exactly what percentage they will reimburse you before stepping into our office.
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Comparable Costs: An "in network" clinic may still require a copayment of $30-$70 each visit, with a bill you receive from your insurance company weeks later for an amount you’re still responsible for. Since our practice is "out of network," we do not collect copayments. The difference between a patient's copayment and what we charge for services may be the same - or not much more.
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Quality of Care: Patients come to us for conditions that take longer to treat, knowing that their chances of having a good outcome are enhanced with the best possible therapist that their money can buy. Whether you’re in or out of network, you may still have to pay a deductible either way.
Enhanced Care Without Restrictions
Practitioners often find that the restrictions placed on their services by third-party payers interfere with their ability to help patients reach their goals. For example, if someone comes in with left knee pain caused by a mal-alignment in the pelvis, an in-network setting may deny reimbursement if the therapist works on the right hip, even though it's necessary for treating the knee pain.
By not having to abide by the restrictions imposed by third-party payers, we can apply a full-body approach with all of our patients, resulting in quicker and better outcomes. We spend more one-on-one time with every patient and provide clear information about costs upfront. This allows us to focus on what we were trained to do—help you achieve your health goals—without worrying about chasing down payments from insurance companies.
Experience the Difference
Embracing the "out of network" model allows us to offer superior healthcare. We are dedicated to providing personalized, expert care without the constraints of insurance restrictions. If you're looking for a provider who can offer comprehensive, tailored treatments with transparent costs, consider making the switch to an "out of network" practice. Your health and well-being are worth it.
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