Referrals and Billing Information Made Simple
At BODY WORX Physical Therapy, we want getting the care you need to be simple and straightforward. Below you’ll find information about referrals, billing, insurance reimbursement, and how our cash-based model works.
Do I Need a Referral for Physical Therapy?
Texas is currently a limited direct-access state for physical therapy. This means you can begin physical therapy without a referral from another healthcare provider.
After your initial physical therapy evaluation, if continued care is needed, you will need to obtain a referral within the required timeframe.
A referral can come from one of the following providers:
Physician
Physician Assistant (PA)
Nurse Practitioner (NP)
Chiropractor
Podiatrist (for foot and ankle conditions)
Dentist (for oral or TMJ-related conditions)
If you have questions about obtaining a referral, our team is happy to help guide you through the process and answer any questions.
Billing Information
BODY WORX Physical Therapy is an out-of-network, cash-based physical therapy clinic.
This model allows your treatment plan to be based on your specific goals, needs, and progress—not insurance limitations.
Because we are out-of-network, we do not bill insurance directly. However, we can provide the necessary documentation, called a superbill, that allows you to submit your visit to your insurance company for potential out-of-network reimbursement.
Reimbursement depends on your individual insurance plan and out-of-network physical therapy benefits.
Payment for services is due at the time of your appointment.
If you have questions about pricing, billing, or insurance reimbursement, please contact our office manager at 325-261-0043.
Why Choose a Direct-Pay Physical Therapy Clinic?
We understand that paying upfront for physical therapy may feel different from the traditional healthcare model.
Many people initially wonder:
“Why would I pay out of pocket if I have insurance?”
The answer comes down to the type of care you receive.
At BODY WORX, we created our cash-based model to provide more personalized, effective, and patient-focused physical therapy.
Direct Pay Physical Therapy vs. Traditional Insurance-Based PT
One-on-One Care
BODY WORX:
60-minute one-on-one sessions with a Doctor of Physical Therapy
Traditional insurance-based PT:
Shorter sessions with limited one-on-one time
Often shared attention between multiple patients and providers
Treating the Root Cause
BODY WORX:
Looks at your entire movement system to identify the cause of your problem
Creates a plan based on your goals and lifestyle
Traditional insurance-based PT:
Often focuses primarily on the painful area or insurance-approved treatments
Personalized Treatment Plans
BODY WORX:
Your treatment is based on your body, goals, and progress
Traditional insurance-based PT:
Treatment may be limited by insurance guidelines and approved services
Advanced Treatment Options
BODY WORX:
Progressive exercise programs
Strength training
Movement-based rehabilitation
Dry needling when appropriate
Traditional insurance-based PT:
Treatment options may be limited depending on insurance coverage
Consistent Care
BODY WORX:
Work with the same Doctor of Physical Therapy throughout your care
Traditional insurance-based PT:
May involve multiple providers throughout your treatment
More Efficient Scheduling
BODY WORX:
Many patients are able to make progress with fewer, longer appointments
Traditional insurance-based PT:
Often requires multiple shorter visits each week
Transparent Costs
BODY WORX:
Know your costs upfront
No surprise bills months later
Traditional insurance-based PT:
Costs can vary based on deductibles, copays, coinsurance, and insurance processing
Is Cash-Based Physical Therapy More Expensive?
The biggest concern many patients have about cash-based physical therapy is cost.
While our model requires payment upfront, many patients find that the overall investment can be comparable—or even less—than traditional insurance-based care when considering:
Number of visits needed
Time spent in therapy
Quality of care received
Long-term results
Many insurance plans require patients to meet a deductible before coverage begins. For example, if your deductible is $2,000, you may be responsible for paying the full allowed cost of therapy until that deductible is met.
After reaching your deductible, you may still have coinsurance or additional out-of-pocket costs.
With traditional insurance-based physical therapy, patients may also experience:
Unexpected bills after treatment
Limited visits
Delayed care approvals
Longer recovery timelines
At BODY WORX, you know what your care costs upfront.
The Value of Investing in Your Recovery
Our goal is not just to help you feel better temporarily. We want to help you understand your body, build strength, prevent future injuries, and stay active long term.
With our cash-based model, you receive:
Direct access to your Doctor of Physical Therapy
Personalized care
Education and tools you can use beyond therapy
A treatment plan focused on lasting results
Additionally, many patients have out-of-network benefits that may allow them to receive reimbursement from their insurance provider. We can provide a superbill to help with the submission process.
Some BODY WORX patients have received significant reimbursement depending on their individual insurance plans.
Ready to Learn More?
Choosing physical therapy is an investment in your health, movement, and quality of life.
If you have questions about referrals, billing, pricing, or how our cash-based model works, our team is happy to help.
Call BODY WORX Physical Therapy at 325-261-0043 to learn more or schedule your evaluation.
