Traditional MEDICARE ACCEPTED
TELEHEALTH ·NY & NJ
MEDICARE ADVANTAGE PATIENTS WELCOME —
PRIVATE PAY & OUT-OF-NETWORK OPTIONS
Medicare-Covered Physical Therapy for Chronic Pain — Including PRT
One of the few PRT-trained therapists who accept Medicare
Yes, Medicare Covers This
Yes, Medicare covers telehealth physical therapy for chronic pain, so you can access specialized care without needing to travel to a clinic. Like all patients, you can see me directly under Direct Access — no physician referral required to get started. Medicare separately requires a physician to certify your plan of care for continued treatment, which I coordinate directly with your doctor.
Telehealth covered
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No referral needed
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PRT included
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Why This Matters
Scans often show wear and tear that is a normal part of aging, unrelated to your pain level. When pain persists longer than three months, it is often due to a highly sensitized nervous system. PRT helps retrain your brain to interpret these signals accurately, providing relief even when structural findings remain the same.
Many Medicare patients seek care after years of chronic back or neck pain, osteoarthritis, spinal stenosis, fibromyalgia, or pain that persists after surgery or cancer treatment — having tried injections, multiple rounds of PT, and sometimes surgery without lasting relief. If your pain has lasted more than three months and standard treatment hasn't helped, your nervous system may be driving it — and that's exactly what this approach addresses.
Why This Is Hard to Find
Most providers trained in specialized Pain Reprocessing Therapy or TMS concepts do not accept Medicare. This often leaves patients feeling stuck between high out-of-pocket costs and standard physical therapy that doesn’t address the nervous system. I built my practice specifically to bridge this gap, ensuring that Medicare-covered patients can access the same evidence-based neuroplastic treatments that were once only available to those paying privately.
Coinsurance
Patients are typically responsible for a 20% coinsurance after meeting their annual deductible, with Medicare covering the remaining 80%.
Direct Access
No referral required to start. Medicare beneficiaries can see a physical therapist directly, the same as any other patient.
Direct Billing
No complex superbills or reimbursement forms. I bill Medicare directly, so you can focus entirely on your recovery.
Licensed in NY & NJ | Specialized PRT Provider
Understanding Costs & Coverage
Does Medicare cover telehealth physical therapy?
Yes. Medicare Part B covers outpatient physical therapy delivered via telehealth. This expansion ensures access to specialized care like PRT regardless of your ability to travel to a clinic.
Is Pain Reprocessing Therapy (PRT) covered?
PRT techniques are integrated into your physical therapy plan of care. Because I am a licensed Physical Therapist, these sessions are billed as standard Medicare physical therapy, making PRT accessible under your benefits.
Do I need a referral from my doctor?
No. Medicare beneficiaries have direct access to physical therapy, meaning you can see me for an evaluation and begin treatment without a physician referral — this has been Medicare policy since 2005. The one thing Medicare requires is that a physician certify your plan of care within 30 days of your first visit for your ongoing treatment to stay covered. I handle that coordination directly with your doctor, so it's one less thing for you to manage.
What will my out-of-pocket costs be?
If you have met your annual deductible, Medicare typically covers 80% of the cost. If you have a supplemental (Medigap) plan, it often covers the remaining 20% coinsurance. I verify your benefits before your first full session.
To see the full range of chronic pain conditions covered under your Medicare benefits through my practice, visit my Conditions Treated page.
What about Medicare Advantage (Part C)?
Medicare Advantage plans are offered by private insurers and vary widely. I accept traditional Medicare (Part A/B) and bill directly through Medicare. However I am not enrolled with any Medicare Advantage plan.
If you have Medicare Advantage there are two options that may work depending on your situation:
Out-of-network benefits — if your plan includes out-of-network physical therapy benefits you may be able to see me and submit for reimbursement. Call the member services number on your card and ask whether you have out-of-network PT benefits and what your reimbursement rate is.
Private pay — since I have no contract with any Medicare Advantage insurer, members whose plans do not include out-of-network benefits are welcome to see me on a private pay basis.
Not sure which applies to you? Reach out for a free 15-minute call and I can help you think through your options.