“Exercise is the key to long-term management of most medical conditions, ” Dr. Michael Jones, founder of the Medical Exercise Training Institute.
What Qualifies for Using Health Insurance?
We specialize in working with a variety of medical conditions, and there are times that insurance companies will cover our services. In order for health insurance companies to cover your sessions, exercise must be medically necessary for your condition. Health insurance companies pay billions of dollars every year for treatment of diseases and injuries that are preventable with diet and exercise. When we work with an individuals health insurance, it is to improve the health of the individual, that will transfer into saving your insurance company money in the long-term. The services we provide are very specific to your particular medical condition(s) and will produce a predictable, positive outcome. The most common conditions we work with that are covered by medical insurance are: Diabetes, high blood pressure, joint replacements, and back pain.
Our Process for Insurance Reimbursement
If you are considering using your health insurance for our services, first, come in to meet with us to discuss your situation. We will perform an assessment in order to determine the types of services that will be appropriate for you. We will contact your physician(s) for approval of the program. We will also contact your insurance company before your program begins for pre-authorization and determine the type of coverage you have for our services. Each month we will submit your visits to your insurance company for you. You will be responsible for your co-pay and any amount not covered by your insurance company. We have been working with clients with medical insurance coverage since 2009, and have had wonderful success for those that are qualified.
What types of Health Insurance Do We Accept?
We work with United, Cigna, and Aetna on a regular basis. We are labeled as out of network for them, but have had a relationship with them for several years.
At this time we do not work with Blue Cross/Blue Shield or Medicare.
Your Flexible Spending Account (FSA) or Health Savings Account (HSA) can be used for our services as well. You will be responsible for covering the cost with your FSA or HSA account before your session begins. We will still obtain a prescription from your physician before we begin to work with you, and will continue to communicate with your physician on a monthly basis.
Why do Health Insurance Companies Cover Your Services but not Other Personal Training Facilities?
We are not your average personal training facility. When we work with clients with a particular medical condition, we have a protocol-based approach, with safety guidelines in place, to ensure a particular outcome. Because we produce consistent outcomes, specific to improving your medical condition(s), health insurance companies are willing to pay for our services.
Is this Physical Therapy?
The services we provide are not physical therapy, however many of our clients work with us because their physical therapy sessions come to an end before they have had a chance to make a full recovery. We offer a post-rehab program to help you transition from physical therapy into a normal gym setting.
How do I Get Started?
If you have questions or are interested in finding out if your insurance will cover your program, give us a call at 281-500-6055.