We are a direct pay therapy practice and are considered out of network for most providers. The best part about this is that the care for your child is not dictated by insurance companies' limitations.
All services provided by Unconstipated Kids are paid directly by the client. After services are rendered, a superbill is provided, which includes all of the exact physical therapy codes provided in that session. That superbill (essentially an elevated invoice) can then be submitted by the client to their insurance company for reimbursement. You can call your insurance company prior to services to find out details regarding your reimbursement rate uniquely related to you and your deductible and out-of-pocket payments for the year.
Unconstipated Kids' providers have advanced training in pediatric pelvic health services. We offer multiple types of services, including one-on-one therapy, as well as virtual consultation services. Each initial therapy evaluation is 2 hours, and each treatment duration is typically 45 minutes, though exceptions to treatment times may be made on a case-by-case basis.
All services are provided at our therapy office unless otherwise discussed. All of our visits are flexible and scheduled for your availability. If you don't see an available time slot for the service you are in need of, please contact us and we can work with you!
Insurance and Rate FAQ's
Why is Unconstipated Kids LLC not enrolled with any insurance?
Can I bill my insurance for reimbursement of my out-of-pocket expenses?
It depends on your insurance. For most NON-MEDICARE clients, yes. You can send “self-claims” to your insurance company for skilled therapy treatments. However, wellness and fitness visits are never covered by insurance companies. The amount of reimbursement or application towards your deductible is dependent on your insurance plan. You can print a self-claims form from your insurance company’s website. We can provide you a receipt and treatment codes upon request for most non-medicare skilled PT visits. Call your insurance company and ask what you can expect to receive for reimbursement for “out-of-network physical therapy”. Then decide if you want to send a self-claim to your insurance company.
For MEDICARE beneficiaries, the US government has laws that control where you can spend their healthcare dollars. Because we do NOT participate with Medicare, we can only accept Medicare patients who need skilled PT services when the patient does NOT want Medicare billed for any skilled PT services. Remember, wellness and fitness visits are never covered under insurance. This request to not involve Medicare must be made up front by the patient/healthcare power of attorney and be of the client’s own free will. If you do not want Medicare involved and you ask up front that Medicare not be billed for your care, WE CAN PROVIDE YOUR THERAPY. However, if you want to use your Medicare benefits for your skilled PT visits, we can not perform your treatments. We will happily provide you with Medicare providers in your area.
Do you accept Medicaid?
Medicare/Medicaid prohibits non-Medicare/Medicaid providers from accepting cash for clients that are covered under Medicare/Medicaid. Physical therapists treating for Unconstipated Kids do not participate in Medicare/Medicaid, and therefore can only see clients on Medicare/Medicaid for coaching (wellness) services only. Coaching (wellness) physical therapy is not reimbursable by Medicare/Medicaid and services would be paid for directly by the client.
I don’t live in Texas. Can you still help me?
Unconstipated Kids currently offers a few options for out-of-state clients.
- Week-long intensities can be completed, in which the family will stay in near-by lodging (arranged and purchased by the family), and therapy services are provided daily for a week to help a child move through an intense period of intervention, to be followed up with virtual services as appropriate.
- Virtual coaching services can also be provided, in which the parent/guardian will participate in virtual sessions to discuss current difficulties, and Unconstipated Kids will then gather appropriate resources included courses, exercises, and local providers who may be able to help, and guide the family without individual assessment of the child.
- The "PT Compact" allows therapists to treat clients in other states belonging to this "PT Compact."
Each of these options will be more appropriate for different clients. Please book a free 30 minute consultation to discuss options with a provider with Unconstipated Kids.
Do I need a doctor's order?
Texas is a direct access state, which means you do not need a physician’s referral to be evaluated and treated by a physical therapist for the first consecutive 10 business days. If your treatments are exclusively coaching in nature (wellness based), you do not need a physician referral.