No More Out-of-Pocket Hassles: How TheraMotive Simplifies Reimbursement

Making Healthcare Simple and Affordable

"This sounds great, but how does the payment actually work? Who pays for what?"

Let's face it, healthcare can be confusing, especially when it comes to figuring out who pays for what. And honestly? For many organizations that want to bring care to their communities, cost becomes the major roadblock. Here's what we hear constantly: "We'd love to offer PT, but we don't have the budget." "Medical billing is too complicated for our staff." "We can't afford to hire clinical professionals." "Our residents need PT but we can't pay for it." Sound familiar? At TheraMotive, we've created a system that removes those barriers entirely. Let's walk through exactly how our reimbursement process works and why it benefits everyone involved.

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Reimbursement Made Simple

One of the most common questions we get is, "How is this paid for?" The answer is refreshingly simple.

TheraMotive is reimbursed directly by the patient's health insurance provider. That means you, whether you're a facility manager, program coordinator, community leader, or family member, don't have to worry about writing checks, setting aside funds, or applying for grants just to access our care. Here's how it works: Patient has insurance like Medicare, Medicaid, or a commercial plan. We verify coverage before services begin. Patient receives PT in our mobile clinic. We bill patient's insurance directly after each session. Insurance pays us, just like any PT clinic. That's it. No complexity. No middleman. No organization writing checks.

Once a visit is completed, we handle all insurance claims behind the scenes. This direct-to-insurer approach keeps the process streamlined and efficient. What we manage completely: insurance verification and eligibility checks, prior authorization when required, claims submission after every session, follow-up on pending claims, appeals if claims are denied, and all documentation and compliance. Your involvement? Zero. We handle it all. Why this matters: Care doesn't get delayed due to funding concerns, which is crucial in communities where access to timely treatment can make all the difference.

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No Cost to Your Organization

Here's where it gets even better: there's absolutely no out-of-pocket cost for your organization.

You won't be billed for our clinical services, our therapists' time, our mobile clinic visits, our equipment or supplies, our transportation to your location, or our insurance billing services. Our mobile clinics arrive fully equipped and ready to deliver high-quality care, and it's all covered by patients' insurance.

This approach is transformative for organizations operating on limited resources. It allows you to expand the services you offer without expanding your expenses. What this means practically: Senior facilities can offer PT without hiring staff. Nonprofits can serve members without grant funding. Community centers can expand programming at zero cost. Healthcare systems can improve discharge outcomes without new contracts. Plus, you won't have to manage complex financial logistics or serve as the middleman between your community and a provider. We take care of it all so you can focus on the people you serve.

Real example: A Brooklyn nonprofit serving 500+ low-income seniors wanted to offer PT but had zero clinical budget. With TheraMotive handling all insurance billing, 32 members now receive professional PT at absolutely no cost to the organization.

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What About Patient Costs and Community Impact

Let's address what patients actually pay, because this matters too.

What patients pay depends entirely on their insurance plan. Medicare typically requires a 20% copay after the deductible is met. Medicaid usually has a $0 copay and is fully covered in most states. Commercial insurance varies by plan with copays typically $20-50 per visit. Medicare Advantage varies by plan but is often lower than traditional Medicare. The key point: Patients pay the same amount they'd pay at any PT clinic, with no additional costs for mobile delivery.

Before beginning treatment, we verify each patient's insurance coverage and let them know exactly what their responsibility will be. No surprises, no hidden fees. If a patient can't afford their copay, we work with them to find financial assistance programs, adjust treatment frequency if needed, or connect with resources that may help. Our goal is access to care. We work to remove barriers, not create them.

Too often, great programs don't move forward simply because of budget limitations or billing complexity. That's where TheraMotive comes in. By removing the financial burden from organizations, we make it easier to prioritize wellness in your community. Our model helps ensure that no one has to choose between quality care and financial strain. This isn't just a billing method, it's a commitment to health equity and community empowerment.

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Breaking Down Barriers to Access

When organizations can offer PT at no cost to their budget, more communities get served, more patients complete programs, health outcomes improve measurably, healthcare disparities begin to narrow, and organizations can focus resources on their core mission.

One billing model change creates systemic access improvement. We believe that healthcare should be accessible, affordable, and stress-free, especially for underserved populations. That's why we've built a reimbursement system that removes financial barriers for both organizations and patients, making quality physical therapy available to everyone who needs it.

Let’s make something amazing happen together. Contact us to see how we can collaborate.

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