Appointments and Billing

Appointments

Appointments are custom designed for each patient. Below is a list of typical appointment types:

  • Half hour introductory appointment: This is for those who have not yet decided to pursue the treatment and want to learn more about it first-hand. It provides one the opportunity to see how the Motor Control Restoration program works. The person is not connected to any equipment. There is the opportunity to view videos of my previous patients, see the equipment, and ask questions.
  • One hour assessment: Effective treatment cannot occur if a proper assessment is not done. During this hour the major muscle groups involved in the targeted movement are assessed, and a program is created after the assessment is over but before the first treatment session. There may be up to 10 muscles that are targeted. For example, if someone’s goal is to be able to use an arm in there currently is no movement, the muscles of the back as well as the arm and hand may be targeted. With having completed over 10,000 treatment sessions over the past 26 years, Dr. Bolek has a huge collection of programs for a variety of movements at his disposal.
  • One hour treatment: Treatment goals are developed with the patient. Dr. Bolek’s role is to suggest a method by which the patient can reach the desired movement. Electrodes are applied and work is begun. The one hour sessions are intense.  Most patients find them very rewarding, as progress is sometimes seen during the first session. The sessions are exhausting both mentally and physically, because the patient learns to “unlearn” old movement patterns and establish new ones. Loose, comfortable clothing is suggested.
  • One hour assessment on site: Arrangements can be made for the assessment to be conducted at the patient’s therapist or doctor facility. For example, many children with cerebral palsy are seen for physical/occupational therapy at clinics or a private practice setting, and the assessment can be conducted at that site. The advantage is that the treating therapist can observe first-hand the results of the assessment. Patients choose this option because it gives their therapist a “window” of muscle activity they would not ordinarily have available to them. By necessity, the times and dates available for on-site work are limited because, in addition to the one hour assessment, there is time needed for travel and setup.

Billing

By choice I am an “out of network” provider for all health insurance plans, including Medicare. Usually this means you will be reimbursed less from your insurance company when you utilize my services. As you can see from the description of my practice, it is an innovative form of treatment created by me. Unfortunately, insurance companies do not look kindly on innovative technologies. We will need to determine how much your plan will pay and then work together to establish a co-payment that you can afford.

You will be supplied with a monthly HCFA (universal) health insurance form, completed with all necessary provider information and treatment codes which you will then submit to your insurance carrier. Please check your coverage by asking the following questions:

  • Do I have mental health insurance benefits?
  • What is my out-of-network deductible and has it been met?
  • How many sessions per year does my health insurance cover?
  • What is the out-of-network coverage amount per therapy session?