Frequently Asked Questions

As a private pay clinic, PelvicSmart is out of network with all insurances. However, the therapy we provide at PelvicSmart may be reimbursable through your out of network benefits, if you have commercial insurance. Every insurance is different, so we recommend that you contact your insurance for more information to see how your out of network benefits work. Since we are out of network with insurances, we do not have any direct contact with your insurance before, during or after your care.

Our patients pay at the time of each session and are provided with a superbill (a detailed receipt) which they can submit to their insurance for possible reimbursement.

See our blog for more discussions about how out of network therapy can actually benefit many patients.

The initial evaluation session is $190 and each follow-up session is $150.

We accept cash, check, and credit cards.

Many of our patients also pay with FSA and HSA accounts.

Each person with a pelvic condition is different so the only way to estimate how much therapy you will need is by completing an evaluation. However, due to our focus on patient education and interactive home programs through our PelvicSmart Patient Portal, we can often see our patients less frequently than they might expect. The most common treatment frequency is every 1-2 weeks, but we have patients who are able to transition to less frequent sessions, as long as they have made good progress and are diligent with their program.

We often joke with our adult female patients that we need to examine “from the bra line to the panty line,” meaning that many of our patients benefit from a thorough examination of the ribs, abdomen, spine, hips, buttock, pelvic girdle and all of the muscles, nerves and related tissues within those areas. For adult female patients with pelvic floor symptoms, this often includes an internal pelvic floor examination as well. Internal examinations are not completed for pediatric patients.

However, please do not let the idea of an internal examination scare you. First, these are not required. If you do not want to proceed with an internal examination on the first day (or any day thereafter) it is perfectly fine. You are in charge of every evaluation and treatment procedure that occurs at PelvicSmart.

In addition to physical exam procedures, we also complete comprehensive histories of bladder, bowel and reproductive system symptoms and overall function.

It depends! Kentucky is a direct access state, which means that a doctor’s order is not legally required for physical therapy. However, since we value the critical role that your other medical providers play in terms of medical screening and your overall health, we require an order for certain diagnoses, including pelvic pain and all pediatric pelvic health conditions. We will discuss with you at the time of scheduling whether an order or further medical consult is required, based on your specific situation and condition.

If you do not have health insurance or plan to self-pay for our services, we will provide you with a “Good Faith Estimate” of our costs when you schedule at least 3 days in advance. If you would like to request a Good Faith Estimate before scheduling, please call our office at 859-324-6380. However, our session rates are displayed on our website, so patients and prospective patients have a clear understanding of their potential costs at our clinic.

PelvicSmart is NOT in network with Medicare and Medicaid, therefore we are unable to work with patients with these insurances. (Unfortunately, current state and federal regulations prevent individuals with these government insurances from seeking care from an out of network provider, even if they want to pay out of pocket). We are as frustrated by this as our potential patients likely are, but we are bound to follow the rules.