Frequently Asked Questions
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Your bits are in good hands.
It is our mission to make all new patients feel welcome, safe, and heard. During your first visit, we will review your medical history, your current issue and all the surrounding symptoms. We will then explain the examination process in full detail using models and pictures. Based on your specific level of comfort, we can complete the full exam or any part that you feel comfortable with.
Feel free to bring your baby, husband, family member or friend for a chaperone. Please arrive with comfortable clothes, yoga or thin/flexible pants are very helpful.
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Lady Bits does NOT take Insurance.
Lady Bits Physical Therapy is a fee for service provider. We are not contracted with any insurance company (Lady Bits does not accept any form of insurance) so that your service is not affected by time or quality restrictions, allowing each treatment to have dedicated time and individualized care for your specific needs during each session. We will provide a superbill of charges for you to submit to your insurance company for reimbursement rates specific to your individual coverage. Treatment fee is due at time of service; cash, checks, HSA or credit is accepted. .
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Unfortunately, Lady Bits cannot serve those who receive Medicare.
We do not have the capacity to file claims with Medicare. It is illegal to accept a cash payment from a Medicare recipient unless we are providing “wellness” services. Wellness services do not treat a specific injury, pain, or dysfunction. Wellness services are defined as maintaining a level of fitness/strength and/or we are preventing falls or decline of health. If you are a Medicare recipient and would like to come to Lady Bits for “wellness” we are happy to help you in those goals.
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Lady Bits fees are $225/hour. We do offer a 10% discount to those paying with cash.
Depending on you service that breaks down to:
Initial Evaluation/Consultation (2 hours) : $450
Initial visits include the evaluation, treatment and patient Education. Many of those first sessions also include specific exercise training as well depending on the reason for your visit.
Follow Up Visit (90 minutes): $337.50
Follow Up Visit (60 minutes): $225
Follow Up Visit (45 minutes): $152.75
Short visit (30 minutes): $112.50
If we use less time than booked, or 15 ($56.25) minutes extra, we will adjust the cost of the appointment to the time used.
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At least three sessions are recommended, see details below.
It’s best to rest at home for the first few weeks after birth and allow your womb to heal. If you are eager to get started ASAP, plan ahead of time and try to book your first eval around the time when bleeding stops, usually around 40 days pp, however that is different for each woman.
That first 2 hour visit we will chat about your birth, and what types of concerns/pains/and other issues you have. The rest of that time will be dedicated to very important bodywork your body needs to recover from both pregnancy and birth. This will cover everything from aligning your pelvic bones, closing the flared ribs all the way up back, visceral mobilization of your organs (gentle work over your belly) and all the muscles and fascia of your abdominal and trunk region. This body work is important for your healing and to prepare you for appropriate exercise. If there is scar tissue from a C-section or a perineal tear we will address whichever is most bothersome to you at the time.
The next visit, typically a 90 minute session, will include all the exercise training you will need to recover your core strength, pelvic and low back stability. There is also some time for additional body work if needed. Most women like having those 2 visits close together (next day or within a week). After that you can go home and practice what you learned for 4-6 weeks.
Coming back to have your exercises adjusted in another visit or 2 is very helpful for total body strengthening. If there is pain due to perineal tears, some ladies need an extra visit or 2 (typically 60-90 minutes) depending on the severity/extent of the tears in order to heal fully. It is never too late to heal from birth, and this outline of the plan works well for women even years after birth. Healing from birth includes healing or preventing a prolapse, as they are very common after birth. This plan is inclusive of prolapse care.
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That depends.
Most patients with “basic” prolapse/bladder leaking/weak core are doing really well after 2-3 visits. After your initial consultation, you and your therapist will come up with a specific plan of care for your condition.
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No.
Currently the state law permits you to start physical therapy for 45 days or 10 visits, whichever comes first. If your condition has not resolved in that time period or you continue to require ongoing skilled therapy, then you will need a referral from your MD. This is primarily meant to protect you, the patient, in case your symptoms are not improving; it is important to get your MD involved if further testing/imaging or other diagnosis is required. Your insurance provider may require a physician referral before the initial physical therapy consultation for service fees to be covered if you plan to submit a superbill for “out of network” PPO reimbursement. It's good to check with your insurance provider regarding coverage of services.