Starting from July 1, 2023, individuals in Virginia will no longer require a referral to access physical therapy services. Should you be seen prior to this date, you will have to obtain a referral within 60 days of being evaluated. It is also important to note that while a referral is not needed for direct access to PT, some insurance providers may still require a referral for out-of-network reimbursement purposes. It is recommended to check with your specific insurance carrier regarding their referral requirements to ensure you have the necessary information for potential reimbursement. For performance enhancement, wellness, or exercise programming services at Foundations Physical Therapy, a referral is not required. However, it is advisable to consult with your healthcare provider before embarking on any new fitness endeavor to ensure it aligns with your individual health needs and goals.

Foundations PT is a fee-for-service clinic, and does note participate with any insurance, and the cost of your visit is collected at the time that service is rendered. We have a simple and transparent payment process, allowing our dedicated Doctors of Physical Therapy to spend a full hour to each patient, ensuring comprehensive and focused care. All services and communication with your provider are covered under our flat rate, providing clarity and peace of mind by eliminating any surprise bills. If your insurance plan offers coverage for out-of-network services, you have the option to submit claims independently to your insurance carrier. After each visit, we provide you with a Superbill via email, which can be easily accessed and downloaded. Reimbursement rates vary depending on your plan but can range from 50-80% of the total visit cost. To determine if you have out-of-network benefits, we have prepared a helpful worksheet (linked below) that guides you in gathering the necessary information from your insurance carrier. This empowers you to explore potential reimbursement opportunities while ensuring you have all the details needed to make informed decisions about your healthcare.

We have intentionally chosen to operate as an out-of-network practice in order to prioritize your needs and goals by providing the highest quality of personalized care. By not directly accepting insurance, we can focus solely on your well-being without limitations imposed by insurance coverage. Our decision to put you, the patient, first means that we can tailor your treatment based on what is best for you, rather than being constrained by insurance guidelines and restrictions. Regrettably, insurance reimbursement for physical therapy is on a decline, leading in-network clinics to resort to scheduling multiple patients simultaneously, resulting in reduced one-on-one time with your physical therapist. Furthermore, insurance companies tend to reimburse specific treatments at higher rates, pressuring physical therapists to prioritize financially beneficial treatments rather than what would be most beneficial for your recovery. Additionally, insurance limitations may cut short the duration of your treatment, leaving you without fully achieving your goals and facing the choice of being discharged prematurely or paying out of pocket for continued care. In many cases, you may find it challenging to receive treatment for multiple issues from the same provider or during the same visit. This often necessitates scheduling additional appointments, incurring extra co-pays, and experiencing a disruption in the continuity of your care due to seeing multiple providers. At Foundations PT, we offer the advantage of being treated by the same provider for multiple injuries within a unified plan of care, ensuring a streamlined and comprehensive approach to your recovery journey.

Pelvic floor PT is a broad category of therapeutic services aimed towards improving reproductive, genitourinary, and sexual health. Some of the issues addressed by Pelvic floor PT include pelvic girdle pain (including the pubic symphysis, low back, SIJ, and adjacent areas), vaginal pain (whether at rest, with sex or gynecological examination), incontinence, prolapse, and diastasys. Pelvic floor PT can include internal (vaginal or rectal) examination and treatment, but is not limited to this kind of treatment. Foundations' therapists strive to treat your body as a whole. If you are uncomfortable with internal work, you and your therapist will work together to find another way to address your unique challenges.

During an internal exam, the therapist may insert one or two fingers into your vagina to determine factors such as pelvic floor muscle strength, endurance, as well as tender or painful spots present in the muscle belly to help guide your treatment. Your therapist may also assess for prolapse and teach you how to appropriately perform a pelvic floor contraction ("kegel"). The patient is always in control of the exam and has the right to conclude the exam at any time, as well as to choose not to incorporate internal work into their treatment.

Post-partum consultations are available as soon as you are ready for them. Foundations wants to be there right when you need us, and is dedicated to getting you started on the right foot. In home physical therapy services can commence 3 weeks after birth, with internal work safe to begin as early as 6 weeks after birth.

Pregnancies may be labeled as "high risk" for a number of reasons. Because of this, It's important to communicate with your Ob/Gyn regarding your specific risks to better understand the challenges of your pregnancy and to help Foundations better guide you to a happier, healthier pre-and post-partum experience. As stated above, if you are pregnant, Foundations requires you to be under the care of an obstetritian in order to take advantage of their counseling services. With your permission, In certain cases, it may be appropriate for Foundations may also reach out to your OB/GYN to coordinate for a better, more wholistic team-oriented approach to your care.

Foundations' first priority is the health and well-being of our clients and their families. Foundations takes several steps to ensure that your family stays well during and after your appointment. This includes: All consultants fully vaccinated against COVID-19 with Pfizer or Moderna vaccine All consultants wearing N-95 or KN-95 during all in-person appointments All consultants will wash their hands upon arrival at your home, with their own supply of hand sanitizer, and wipes for cleaning any supplies utilized during your session. If you have more specific questions regarding Foundations' COVID-19 protocol, do not hesitate to e-mail us at info@ptfoundations.com.