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PELVIC FLOOR THERAPY FOR WOMEN
You’re In CONTROL!
In 2019, Tara Galles, MS, OTR, opened the You’re In CONTROL! Central Indiana location (in Kokomo, IN). As an athlete and mother of four children, she was in need of pelvic floor therapy and had to drive an hour each way to see a qualified professional specializing in pelvic floor therapy. Understanding the great need for women’s health rehabilitation in her own community, Tara, already a certified occupational therapist, sought out advanced training in pelvic floor therapy and started her own private practice.
You’re In CONTROL! not only provides life-changing rehab for women (and sometimes for children and teens), but also provides training for the next generation of pelvic floor therapists. One of those therapists, Caroline Fenker, OTD, completed her doctoral capstone while working with Tara at You’re In CONTROL!
Pelvic floor therapy has been shown to be an effective treatment for a wide variety of conditions affecting women.
We treat women of all ages who are ready to Take CONTROL! of their bodies and get back to being a natural woman!
You’re In CONTROL! founder, Tara Galles, MS, OTR.
What to expect at your first appointment
Our mission is to move you to Take CONTROL! and work with us to rehabilitate your body, so you will feel like a natural woman again …
Click the button below to access a printable document (pdf) explaining what to expect at your first appointment.
CHECK INSURANCE COVERAGE
Wondering what to expect from copay and out of pocket costs? Don’t know if our services will be covered by your insurance policy? We’re happy to check for you. Click the button below to provide the information we need to check your benefits. We’ll get back to you with what we find.
Learn about the services we offer at our Central Indiana location.
FREQUENTLY ASKED QUESTIONS
What insurance do you take? What does it cover?
What insurance do you take? What does it usually cover?
Most insurance companies cover our therapy services, however each insurance company has its own policies, rates of coverage, and network of preferred providers.
If you want to use your insurance benefits to pay for our services, please contact us so we can run your insurance numbers to determine how much your insurance will reimburse. We will let you know your expected copay and any out of pocket costs for services.
Also, very important, some insurance companies require prior authorization. In this case we must complete an evaluation and send it to the insurance company before they will approve and cover treatment.
We understand insurance billing — approval can be a complicated process. Please don’t hesitate to ask questions. We will do our best to clearly communicate what we learn about your benefits.
With that said, miscommunication does happen every now and then, and we cannot guarantee that your insurance company will cover the services they tell us they will cover. It never hurts for you to call the customer service line to verify benefits on your own.
We strive to work with most insurance companies. We know that it can be stressful to navigate the insurance coverage process and we’ll do what we can to make it as smooth as possible.
Most insurance companies will cover women’s health rehabilitation under your physical and/or occupational therapy benefits because they understand the long-term health risks and disability that can occur when women do not take control of their pelvic floor impairments.
Following is a list of insurance companies we work with:
- Aetna
- Anthem Blue Cross Blue Shield
- Anthem Healthy Indiana Plan
- Caresource Marketplace Indiana
- Caresource Healthy Indiana Plan
- Cigna
- Managed Heath Services Indiana
- Medicare B
- Medicare Advantage
- Pro Health Community
- Theramatrix
- UMR
- United Healthcare
We are no longer accepting MD Wise.
Learn more about paying privately by reading our self-pay rates and policies.
No health insurance? No problem!
NO HEALTH INSURANCE? NO PROBLEM!
Our self-pay program allows us to provide clinical treatment based on the need of each individual without third party insurance reviews, network restrictions, and visit limits. It also means you do not have to obtain a referral for physical or occupational therapy from your physician prior to starting treatment.
FIRST APPOINTMENT COST IS $150.
Your first appointment will provide you with information about your body and an individualized plan of care with prescribed exercises. (Read about what to expect at your first appointment by reading the document available here.)
Additional therapy will be billed at $100.00 per visit. We do offer a discounted rate when you bundle visits. The discounted bundles must be paid up front, and is based on your plan of care.
As a private pay client, you can pay for treatment at the time of service using your Health Savings Account (HSA), Flexible Spending Account (FSA), credit card, or cash.
If you have more questions about payment policies, please contact us.
Can a psychologist refer me for pelvic floor therapy?
Can a psychologist refer me for pelvic floor therapy?
Yes, but …
To be seen in one of our clinics, unless you are a self-pay client, we must have a referral by a licensed physician, physician assistant, nurse practitioner, chiropractor, or psychologist.
While these are the guidelines our clinics must follow, please be aware that not all insurance companies will reimburse for services provided outside of a physician or nurse practicioner referral. Medicare is one important example of an insurance provider who will not accept a psychologist’s referral.
If your psychologist has recommended pelvic floor therapy, or you are a psychologist who would like to refer a client, we suggest sending the referral to us so we can check with the insurance company regarding permitted referral sources. Submit your referral by:
- faxing the referral to (844) 874-6349, or
- emailing us at hello@youreincontrol.org
If you plan to pay privately for services, we can accept referrals from psychology without issue.
What is the timeframe for rehabilitation?
WHAT IS THE TIMEFRAME FOR REHABILITATION?
The short answer is that it depends on the issue.
Most women are seen for pelvic floor therapy once a week. Treatment plans are individualized so the timeframes below are approximate treatment plan times for some of the issues we freqently rehab:
- Prenatal Conditioning: One or two visits to occur at or after 30 weeks
- Postnatal Rehab: Three or four visits with the first visit during the peripartum period and the remaining visits at six weeks postpartum (or when released for activity by the obstetrician). Women with severe tears or bowel and bladder issues may requre more visits or a longer timeframe.
- Bladder Issues: 8–12 weeks
- Bowel Issues: 4–12 weeks
- Gynecological Issues or Pelvic Pain: 4–8 weeks
- After Cancer Treatment: 6–8 weeks
While we do provide manual therapies and other hands-n modalities at our clinic, our treatment model heavily relies on work you do in your home. Practice makes perfect, and your home program will help you train your body to effectively use your pelvic floor muscles without issues.
Please understand, treating neuromusculoskeletal pathologies and learning the control necessary to resolve symptoms requires a different amount of time for each woman.
Why can't I just do Kegels?
WHY CAN’T I JUST DO KEGELS?
While women’s pelvic issues fall into various categories, each woman’s underlying causes are very different. Thus, every woman will best respond to an individualized exercise program developed specifically for her situation.
While many healthcare professionals will recommend Kegel exercises for pelvic floor issues, research reveals there is no one exercise that can resolve pelvic floor muscle issues. In cases of hypertonicity or neuro-overactivity, Kegel exercises can actually make conditions worse.
Gynecologists have been unsuccessful in attempts to identify a single exercise protocol even for common pelvic floor issues such as bladder leakage, and therefore advise an individualized approach to creating a treatment plan.
An individulalized therapy evaluation and home program is your best option to resolve pelvic issues.
Will treatment require an internal pelvic exam?
Will treatment require an internal pelvic exam?
No, but it is recommended.
Seeking therapy for your health issue is a sensitive matter but one that can vastly change the quality of your life. If you’re considering taking contol of your issue, or if your medical provider has recommended pelvic floor therapy, it’s because the muscles of your pelvic floor may be contributing to your urinary, gynecological, or gastrointestinal symptoms.
Our clinic specializes in evaluting the neuromusculoskeletal region of the pelvis, restoring function to pathological structures, and teaching you to control these muscles, nerves, and other tissues.
To evaluate your condition and create the best plan for you, it is best if your terapist performs an internal pelvic floor muscle examination. We require your written consent to perform any internal therapies and encourage you to bring a medical chaperone if that makes you feel more comfortable. The examination is performed by observing and/or palpating the perineal region including the vagina and/or rectum using a lubricated gloved finger. This evaluation will assess skin condition, reflexes, muscle tone, length, strength and endurance, scar mobility, and function of your pelvic floor region.
The evaluation may also include vaginal or rectal sensors for muscle biofeedback. You will be educated on pelvic anatomy and function throughout each step of the exam.
You may choose to stop the exam process at any time.
If the pelvic exam creates a barrier for you to Take CONTROL! of your health issue, we encourage you to schedule a consultation and discuss this with the clinician to help you better understand your treatment options.
We understand pelvic floor issues are very sensitive and we strive to create a safe and comfortable environement. If you choose to decline the pelvic exam, there are still options for treatment, however these options may mean that recovery takes longer or produces incomplete results.
We have successfully treated women who have refused a pelvic exam.
Do you treat men?
DO YOU TREAT MEN?
Yes, under certain circumstances.
While our clinic specializes and markets to women, we understand men have limited treatment options for pelvic floor issues.
Pelvic floor issues for men can range from chronic pelvic and back pain, to testicular pain, bladder issues, bowel issues, and erectile dysfunction.
Due to the sensitive nature of male pelvic floor issues, and the fact that all of our therapy providers are women, we require all male patients have a medical chaperone for at least the first visit. We are sometimes able to provide a chaperone. Please inquire when you first make contact.
Please request appoinments for men over the phone.
If you are a man deciding to take control of your pelvic health, we encourage you to schedule a consultation to discuss your issue with a clinician and determine if pelvic floor therapy is right for you.
Do you treat children and teens?
DO YOU TREAT CHILDREN AND TEENS?
Yes, under certain circumstances.
While our clinic specializes and markets to women, we understand children and adolescents also experience pelvic floor issues including chronic constipation, pelvic pain, bladder leakage, and bed wetting. These symptoms can come and go throughout childhood and adolesence and are often pelvic floor related.
It is estimated that 15% of adolescent female athletes regularly experience accidental bladder leakage and over 90% are unable control loss of gas [source]. Studies have also found that adolescent acquired scoliosis is exacerbated by pelvic floor muscle imbalance. Providing pelvic floor therapy intervention for these health issues in female adolescents can produce lifetime benefits [source].
We require provider referral for all pediatric patients. Due to the developmental and sensitive nature of children we require a medical chaperone and signed consent from both the minor and their guardian.
It is our prefence to conduct a consultation prior to seeing children in our clinics in order to ensure symtoms are consistent with pelvic floor dysfunction. If you believe your child’s issue may be caused by pelvic floor neuromusculoskeletal dysfunction, please schedule a consultation and we will be glad to answer questions about what is and what is not a pelvic floor related issue, and make a recommendation as to whether your child is a good candidate for rehab.
DO YOU KNOW?
WOMENS HEALTH OCCUPATIONAL THERAPY
Specializing in pelvic floor and core rehab (and strengthening) for women.