Common Questions

Pelvic Floor Physical Therapy, Lymphedema Complete Decongestive Therapy (CDT), and Manual Lymph Drainage Massage. Sessions often include education and a variety of manual therapies and exercise prescription.

Getting started is simple. Reach out through the contact form or call the number listed below. A physician’s referral is not required to get started, but might be helpful especially if you will be submitting charges to your insurance for reimbursement.

Your entire session will be one-on-one with me, a Doctor of Physical Therapy with 20+ years of experience. Sessions will be 60 min in length which allows for all the education, manual work, and exercise that is needed to make lasting change.

If you have had PT before, you have probably experienced the limitations that insurance companies can put on your care. At Carroll Pelvic Health & Wellness, we can focus on what is important to you, not what we think your insurance will pay for.

While I work with patients who carry insurance plans, I am an out-of-network provider. This means I do not bill insurance directly, and payment is due at the time of service.

I understand that many patients depend on insurance reimbursement. After each visit, I will provide you with a detailed receipt that includes the services performed and the amount paid. You may submit this receipt to your insurance company to seek the maximum available reimbursement. Please note that patients are responsible for submitting all receipts and required documentation directly to their insurance provider.

Before your first appointment, I strongly encourage you to contact your insurance company to verify your out-of-network benefits for outpatient physical therapy. To assist you, I offer an insurance benefits worksheet on this page to help guide your conversation with your insurance representative.

I accept payment by cash, credit card, debit card, and health care spending or savings accounts (HSA/FSA), and Venmo @CarrollPH.

At Carroll Pelvic Health and Wellness, many patients find that their out-of-pocket costs are actually lower than what they would pay at a clinic that bills insurance. With today’s high deductibles and copays, receiving care out-of-network often ends up being more affordable than staying in-network.

How does that happen?

If you have a deductible, you’re typically responsible for the full cost of each physical therapy session until that deductible is met. In many clinics, sessions can cost $400 or more, and patients often don’t receive those bills until 6–8 weeks into care—after a significant balance has already accumulated. Even if you’re paying $350–$500 per visit at an in-network clinic, your insurance company may not apply that full amount toward your deductible. Instead, they usually credit only the “allowed” or “reasonable” rate, which is often much lower than what you actually paid.

At Carroll Pelvic Health and Wellness, transparency matters. You pay at the time of service, so you always know exactly what to expect—no delayed bills, no surprise balances weeks later.

My #1 goal at your first appointment is that you feel comfortable, not rushed, and leave with a better understanding of your condition, and also HOPE!

Much of the initial visit is spent learning your journey up to this point, what has been tried, what has worked and not worked so far. You will tell me what your goals are and how you think I can help. I will ask you lots of questions, and no such thing as TMI. I like to spend some time explaining what might be going on, and what the course of treatment might be. If you are coming for pelvic floor dysfunction, I will likely suggest a pelvic floor (external and internal) examination, but this is always according to your comfort level and not mandatory by any means.

If you are coming for lymphedema, I will take a lot of circumference measurements and assess your skin condition and limb range of motion.

Depending on time you may receive some treatment the first day, but at the very least you will leave with 1-3 things to start working on at home.

I am unable to treat Medicare patients at this time due to government regulations that restrict PTs from taking cash payments from Medicare beneficiaries. I hope this will change in the future

The exception to this rule is if you have used all your allotted Medicare dollars at another PT clinic, and Medicare will not reimburse for any more this calendar year.

Another exception is coming for manual lymphatic massage, for general wellness purposes.

Urinary and bowel dysfunction, pelvic organ prolapse, pelvic pain conditions, tailbone pain, painful sex, pain from endometriosis, Interstitial Cysitis (IC/PBS), Pudendal Neuralgia, Pregnancy related pain, post partum and post surgical recovery, Post gender reassignment surgery, pediatric bowel and bladder dysfunction, cancer related lymphedema. click here for more information

Complete Decongestive Therapy is the gold standard treatment for lymphedema. It consists of manual lymph drainage, compression, and exercise to support and work with your own system to move the fluid out of the affected limb. Radiation fibrosis and scar tissue from surgery will often respond beautifully to manual therapy. I can also assist you in obtaining compression garments or pumps.

No, you do not need a referral/order to attend physical therapy - at first.

Indiana has “Direct Access” which allows you to be seen without a referral. Indiana law allows licensed physical therapists to perform a physical therapy evaluation and treatment for up to 42 calendar days without obtaining a referral from your physician or healthcare provider. To continue care past 42 days you must have a referral from one of these approved providers: physician, podiatrist, psychologist, chiropractor, dentist, physician assistant or nurse practitioner. I am happy to assist you with obtaining a PT referral/order.

In addition, having a referral from your provider MAY help if you wish to pursue out of network benefits reimbursement.

You can pay using your HSA, FSA, cash, check, Visa, Mastercard, or American Express.