When you think of getting in to see a physical therapist, one question that always arises is whether a referral is needed? In Texas, it all depends on the particular laws surrounding physical therapy and your health care needs.
Texas Direct Access to Physical Therapy Services
In many states, including Texas, you have what’s called direct access to physical therapy. This means you can visit a physical therapist without a doctor’s referral or prescription. Texas is one of the few states to allow physical therapists to present for direct access assessment and treatment without a prior referral. This law allows patients to access care for musculoskeletal pain, injuries, and rehabilitation without requiring them to see a primary care physician.
But, there are a few notes that are important:
Direct Access Limitations: You can see a physical therapist directly in Texas, but the therapist will be able to treat you for a limited number of visits (usually the limit is 10) before they must contact your physician or other healthcare provider. If the therapist believes further treatment is warranted after these initial visits, they may refer you to a doctor.
Insurance Potentially Affected: Direct access means you can go see a physical therapist without needing a referral, but insurance carriers still could require a doctor’s referral in order to pay for physical therapy. You will have to check with your insurance provider whether direct access to physical therapy is covered under the plan you are enrolled in.
Conditions That Can Be Treated Without a Referral: Lower back pain, neck pain, and sports injuries are all common conditions that can often be treated by a physical therapist without the need for a referral. But more complex conditions or those needing specialized care might require a referral.
Advantages of Direct Access to Physical Therapy
There are several benefits of direct access:
Earlier Treatment: You don’t have to wait for a referral or an appointment with a doctor before starting physical therapy.
Lower Costs: Even though you will still need to submit your results to a doctor, you can save money on a doctor’s visit by receiving the results without seeing your doctor and incurring a co-pay, as well as avoid having an additional medical bill to pay for.
Immediate Treatment: You can begin treatment immediately, which can result in a quicker recovery.
Conclusion
Texas law allows you to seek out a physical therapist without being referred, so you can get treatment more quickly for common musculoskeletal problems. But definitely check with your insurance provider about coverage and talk with your therapist if you need further medical evaluation.
