front desk for Bethany Hansen pelvic floor PT

Do I need a referral for Physical Therapy services?

Minnesota is a direct-access state; therefore, you do not need a referral to receive treatment from a physical therapist. If you plan to use out-of-network benefits, we encourage you to contact your insurance company prior to your first visit to determine if a referral or pre-approval is required.

Will you communicate with my other healthcare providers?

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home exercise program and plan of care with male pelvic floor patient

Do you accept insurance?

We are out-of-network with all commercial insurance plans, including Medicare and Medicaid. Insurance companies often dictate how long sessions can be, what treatments are covered, and how many visits are “allowed.” Staying out-of-network allows us to focus entirely on what’s best for you and provide the quality and comprehensive care we believe people with pelvic health issues deserve. We accept payment at the time of service and accept HSA, FSA, all major credit cards, Venmo, and personal checks.

Can I submit to my insurance for reimbursement?

Yes! After your visit, we can provide you with a superbill (itemized document) that you can submit to your health insurance company. Many people do receive reimbursement for out-of-network physical therapy services. Reimbursement amount will depend on your individual plan, so reach out to your insurer and ask about your out-of-network deductible, out-of-network out-of-pocket maximum (amount of money that an individual must pay before an insurance company or (self-insured health plan) will pay 100% of an individual's out-of-network health care expenses for the remainder of the year, and percentage of reimbursement before out-of-network maximum is achieved.

Can I use my HSA or FSA card?

Yes! Many clients use their Health Savings Account (HSA) or Flexible Spending Account (FSA) to pay for sessions.

Can I see you if I use Medicare?

Unfortunately, no. We are out-of-network for all commercial insurance, including Medicare and Medicaid. Some health care professionals are allowed to “opt out” of the Medicare program and privately contract with Medicare beneficiaries; however, Physical Therapy is not. If you are a Medicare beneficiary, you are not allowed to receive Physical Therapy services from a Physical Therapist who does not have a relationship with Medicare unless it is a service that Medicare never covers, such as wellness services. With this Medicare rule, we are, unfortunately, not allowed to see patients who have Medicare Part A or B. As a profession, we encourage people to contact their legislators to change the rules of Medicare so that Medicare beneficiaries can choose who they work with for Physical Therapy services, including those providers who do not have a relationship with Medicare. For more information, please visit: https://www.apta.org/advocacy/issues/medicare-private- contracting.

pelvic floor education with Bethany Hansen Physical Therapist

How can I best prepare for my first visit?

Please have your intake form completed to the best of your ability and the consent signed. It allows us to spend more time assessing and treating you if we have more information before your visit starts. If you have any questions before your visit, please contact us ahead of time. If you are a person with a uterus and are menstruating, do not cancel your appointment and contact us beforehand if you have any concerns.

Do you treat men?

We specialize in the evaluation and treatment of pelvic floor dysfunction in adults of all genders.

What makes your clinic different?

We offer one-on-one, individualized care with extended time, no rushed sessions, and a holistic approach that addresses your whole body—not just the pelvic floor!

bethany hansen pelvic floor PT working with male patient

What happens during the first visit?

Initial assessments are 55–60 minutes, one-on-one with your physical therapist. Your first visit includes a detailed discussion of your symptoms, medical history, and goals. A typical first visit may involve assessing posture, breathing, movement patterns, strength and endurance, external palpation, often on the hips, low back, abdomen, pelvis, and legs, and (if appropriate and with consent) a gentle internal exam (vaginal and/or rectal) to assess pelvic floor muscle tenderness, tone, and coordination. Then, we discuss the findings, collaborate on a treatment plan, and review options for your home exercise program. All assessments and treatments are performed in accordance with patient comfort and consent.

What happens during the return visits?

Return visits are 55–60 minutes, one-on-one with your physical therapist. Treatments may include manual therapy, body mechanics and posture education, movement strategies, behavioral changes, education, and home exercise program review, update, or change. All assessments and treatments are performed in accordance with patient comfort and consent.

Do I have to have an internal exam?

No. Internal assessment is always optional. We can tailor your care to your comfort level and still make progress without it.

How often will I come in, and how many sessions will I need?

Initially, most clients come once a week or every other week, then taper as symptoms improve and you gain confidence with your home program. Although there are exceptions, the majority of people see improvement in symptoms within 4-6 weeks, if not sooner. There are many factors that influence this, and we can discuss expectations and answer specific questions during your visit.

Bethany Hansen pelvic floor physical therapist working with patient

Bethany Hansen pelvic floor physical therapist helping patient with exercise

Is pelvic floor PT safe during pregnancy?

Yes, with appropriate precautions. We often help with back or pelvic pain, urinary leakage, birth prep education, and education for early postpartum recovery. Although there is nothing linking an internal pelvic floor assessment or treatment during pregnancy with adverse effects, we typically wait until after the 1st trimester to assess this area internally, with the patient’s verbal consent and medical provider’s (OB or midwife) verbal or written clearance. Exceptions can be made if the patient obtains written clearance from their medical provider. Evaluations can also be performed without an internal pelvic floor muscle assessment.

When can I start postpartum PT?

We typically begin around 4–6 weeks postpartum, or sooner, with your provider’s approval. Every recovery journey is unique, and we meet you where you are.

Bethany Hansen pelvic floor physical therapist working with pregnant client

Where are you located, and what’s parking like?

We are located within Guided Health at 7250 Metro Blvd. Suite 100, Edina, MN, conveniently close to Highway 100. We have ample parking out front and have a wheelchair-accessible entrance to the right of the main entrance.