ProBalance PT:  Frequently Asked Questions 

What’s your treatment approach and how is ProBalance different?
We treat the whole body, not just isolated parts. Our experienced licensed therapists work one-on-one and focus on long-term results, not quick fixes. While hands-on techniques such as joint mobilization, targeted soft tissue massage, or myofascial decompression (aka cupping) are sometimes used, we emphasize correcting faulty movement patterns using Pilates-based exercises. This helps prevent recurring issues and speeds up healing.

Do you take insurance? How much does it cost?
We’re a cash-based clinic and not in-network with any insurance plans. You pay at the time of service. If you have a PPO, we can give you a “superbill” with the codes needed for possible reimbursement. We do not accept HMO plans or submit insurance claims on your behalf.

Do you accept Medicare?
We are not Medicare providers and cannot bill Medicare for PT. If you have Medicare benefits, we’ll refer you to a clinic that can accept them. We can see Medicare clients for non-covered Wellness PT/Pilates services, either during or after formal care elsewhere.

Can I use my HSA or FSA?
Yes, HSA/FSA plans usually cover rehab-focused PT and Wellness/Fitness Pilates sessions, when prescribed by MD, DC, or when accompanied by a letter of medical necessity by an approved licensed health care practitioner.

Do you accept liens or bill third-party payors (e.g., after car accidents)?
No. We’re not set up to handle liens or bill auto med-pay. However, you can pay upfront and submit your superbill to your insurer.

Can I use a PT referral written for another clinic?
Yes. As long as it says “physical therapy,” you can choose any licensed provider, including ProBalance.

Do I need a referral to start PT?
Not initially. In California, you can start PT without a referral for up to 12 visits or 45 days. However, if your insurance requires a diagnosis code, you may want to see your doctor first. We’ll refer you out if your condition needs medical diagnosis beyond PT.

What if I’ve had surgery or a long break from PT?
Your therapist will decide whether a full re-evaluation or an updated plan is needed, depending on how much your situation has changed.

Can I continue with my PT after rehab for wellness or maintenance?
Yes. Many clients continue with their PT for wellness or performance training. These sessions focus on optimizing movement and function but are not covered by insurance, Medicare, or third-party payors.