Frequently asked questions

Question 1

Do I need a referral?

Accepted Answer

No! Colorado is a Direct Access state, meaning the removal of the physician referral has been mandated by state law to access physical therapist services for evaluation and treatment. You can go see a physical therapist directly!
Patients also don’t need to have an “injury” diagnosis to come see us. In fact, a lot of our clients come see us for routine maintenance and prehab. It is much less expensive to prevent injuries than to treat them once they’ve occurred.

Question 2

Will Insurance Cover My Visit?

Accepted Answer

We are an out-of-network provider. Most insurance companies work with out-of-network providers and will provide reimbursement for services rendered "out of network" if you have out-of-network benefits. BUILD can provide you with a Superbill that you can submit to your insurance company for reimbursement. There is no guarantee, however, that your insurance company will reimburse you for the services. It is the patient's responsibility to inquire about their benefits with their insurance company and to provide payment in full, up front, at the time services are rendered.

Question 3

Will it be more expensive for me?

Accepted Answer

In a majority of cases, out of pocket costs for physical therapy at BUILD end up being LESS than what you would pay at a traditional insurance-based clinic because it takes fewer visits for a patient to improve (our average course of care is about 3-5 visits). Take a look at the math:  Insurance-Based Clinic:1 evaluation (45-60 minutes) + 3 physical therapy visits (30-45 minutes) = 135-195 minutes.1 evaluation ($275-$300) + 3 physical therapy visits ($175-$225) = $800-$975 billed to insurance.If your insurance plan has a deductible over $1,000, which means you will be fronting this bill until you've met your deductible. If this clinic uses techs or aides, then only a fraction of that money is going towards your time with your physical therapist. Most insurance-based clinics also require more follow-up visits for patients to progress towards their goals.

Question 4

What does an out-of-network clinic look like?

Accepted Answer

In this model, we are able to spend 1:1 quality time with our patients (no aides or techs) for the full duration of the appointment and have full autonomy over the care that we deem is the best to help them reach their treatment goals most effectively.   We can use any treatment modality or intervention we feel is indicated with our patients and it is all included in the cost of the visit (there are no extra hidden fees or a la cart charges).

Your Questions, Answered

Frequently asked questions

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