EVOLVE Physical Therapy

Restore.  Thrive.  EVOLVE.

Frequently Asked Questions

Why should I choose EVOLVE Physical Therapy?

EVOLVE is physical therapy made simple.  EVOLVE is an innovative option in a currently fluctuating health care realm.  EVOLVE is direct pricing. Direct access to care. Direct recovery.

Do I need a prescription or referral from my doctor?

Generally, no.  Wisconsin is a Direct Access state for physical therapy, which means patients are allowed to seek evaluation and treatment from a licensed physical therapy without a referral from a physician.  However, if you plan to utilize your insurance,  a physician’s prescription may be required. 

Will my PT communicate with my doctor?

Yes.  EVOLVE will communicate with any of your medical providers to provide the best patient care possible.

How long are appointments?

The initial PT evaluation appointment is 60 minutes.  Follow-up treatment sessions may range from 45-60 minutes depending on the recommended treatment plan set at your first visit.  

What will my first visit be like?

The first and most important step will be to listen to what brings you here.  Then a comprehensive evaluation of your medical history, posture, mechanics, and movement will be conducted.  A discussion about your goals and lifestyle will then drive your individual treatment plan.  A collaborative approach of education and answering questions regarding your care is of the utmost importance in empowering you towards your recovery.  You will be in a private treatment space to ensure your comfort.  The initial appointment is 60 minutes.

 

What should I bring to physical therapy?

For your first visit, please bring any relevant medical documents (MRI or X-ray results, medical records, etc.), a prescription (if you have one), and the completed required intake forms on our website. 

 

How do I schedule an appointment?

Please use our online booking system or call 920.421.4600.  Please leave a voicemail and calls will be returned promptly. 

 

What is cash-based physical therapy?

It’s so simple!  No surprise costs!

In a cash-based treatment model, the physical therapist provides services on a flat-fee basis.  Payment is at time of service.  Patients then receive the following benefits:

  • A stress-free cost for PT empowering focus on recovery

  • Reduced prices as administrative costs are kept low

  • Transparent pricing which ensures knowing cost in advance

  • Ability to make informed decisions regarding the cost of health care

  • Decreased confusion with insurance and medical bills 

 

Services may be paid for using cash, check, credit or debit card.  Documentation for evaluations, treatment visits, and progress notes are performed to industry standard practice and comply with all legal requirements.

 

How much does this cost?

Click here for full pricing and package information.

INSURANCE QUESTIONS

 

Do you take insurance?

 Currently EVOLVE is in network for the following insurance:

Otherwise, EVOLVE is mainly a cash-based physical therapy practice.  You may definitely self-submit claims to your insurance provider for reimbursement. Payment is collected at the time of service.  Funds from a Health Savings Account (HSA)/Flexible Spending Account can often be used to pay for treatment.  

Can I still bill my insurance?

Absolutely!  You may choose to self-submit claims to your insurance company to get reimbursed for physical therapy services.    Many patients choose this option in order to see the physical therapist of their choice. Most insurance companies will provide payment for eligible services received "out of network".   The amount reimbursed will be dependent on your particular plan and policies of your insurance company.  (*Please click here for detailed information regarding Medicare.)

 

How do I get reimbursed by my insurance company?

Follow these simple steps to get directly reimbursed:

  • Contact insurance company for claim forms and requirements

  • Submit completed forms along with receipts

  • Insurance company sends a check for predetermined reimbursement amount

  • If additional guidance is desired, use the Insurance Benefits Worksheet (under Forms) to help navigate your insurance company benefits.

 

EVOLVE will happily help you facilitate this process by providing any necessary documentation.

 

What if my insurance company requires a physician’s prescription to submit claims for reimbursement?

No problem!  There two simple options to obtain a physician prescription.

  • Attend your initial consultation session.  After the initial evaluation is completed, EVOLVE will send the recommended treatment plan to your physician requesting a signature.  Once signed, this acts as a prescription for physical therapy.

  • You may call or visit your physician to request a prescription.   

What about Medicare?

Please click here for detailed information regarding Medicare

 

​© 2017 Evolve Physical Therapy

Door County, WI