Pelvic floor physical therapists may choose to operate on a cash-based or out-of-network basis for several reasons:

1. Specialized Expertise: Pelvic floor physical therapy is a highly specialized field that requires additional training and expertise beyond standard physical therapy. Therapists who specialize in this area may find that insurance reimbursement rates do not adequately compensate them for their specialized skills and the time required for thorough evaluations and treatments.

2. Availability: Your cash-based Pelvic Floor PT is more likely to have shorter wait times. A typical in network Pelvic Floor PT provider may be available to see patients within 6-8 months whereas your out of network provider is more likely to accommodate patients in as little as 2-4 weeks. This is particularly important to patients who are suffering with pain and need skilled care during the most important time frame. Early access to treatment not only improves patients’ quality of life but makes sure their health condition does not decline until they eventually see a Pelvic Floor PT.

3. Treatment Time: Pelvic floor therapy often involves longer treatment sessions and a more comprehensive approach to patient care. Insurance companies may limit the number of sessions or reimburse at lower rates, making it challenging for therapists to provide the level of care they believe is necessary and for patients to meet their goals.

4. Quality of Care: Cash-based practices may argue that they can provide a higher quality of care by spending more time with patients, offering a wider range of treatment options, and avoiding the restrictions imposed by insurance companies.

5. Control Over Treatment Plans: Cash-based therapists have greater control over treatment plans and can tailor their approach to each patient's needs without being constrained by insurance limitations or pre-authorization requirements.

6. Privacy and Confidentiality: Some patients prefer cash-based services because they value the privacy and confidentiality that can come with not involving insurance companies in their healthcare.

7. Administrative Burden: Dealing with insurance companies can be time-consuming and administratively burdensome for healthcare providers. Cash-based practices can streamline the billing and paperwork process, allowing therapists to focus more on patient care.