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Pelvic floor therapy

Pelvic floor therapy is a specialized physical therapy that treats muscle dysfunction in the pelvic region. Insurance companies such as Aetna, Cigna, and UnitedHealthcare frequently cover pelvic floor therapy if prescribed for diagnoses including urinary incontinence or pelvic pain, according to Your Insurance Info.

Most insurers require a physician referral before approving pelvic floor therapy claims. Medicaid programs in states like California, Texas, and New York may cover pelvic floor therapy under rehabilitative services.

Medicare Part B covers medically necessary outpatient pelvic floor physical therapy for conditions like post-prostatectomy incontinence. Patients usually pay copays of $20–$50 per session when covered by commercial health insurance plans.

Average costs without insurance for one session of pelvic floor therapy range from $125 to $200 in cities such as Los Angeles, New York City, and Chicago. Pre-authorization is required by most major insurers before starting pelvic floor therapy sessions.

Insurers commonly limit coverage to 6–12 visits unless the provider demonstrates progress or medical necessity. Flexible spending accounts (FSAs) and health savings accounts (HSAs) allow reimbursement of out-of-pocket costs related to pelvic floor therapy documented with itemized receipts.

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