Frequently Asked Questions
01
Do you accept insurance?
At this time, my business is cash-pay only. However, I keep my rates much lower than traditional therapy to offset this, plus, I have a full hour reserved for your care, vs. traditional therapy which is typically a 30-45 minute appointment. You may use your Flex spending or HSA to pay for the appointment if you like, and you can also self-submit your visit to your insurance company. I am happy to provide you with all the necessary coding and information to do so!
02
Wouldn’t I spend less by using my traditional health insurance?
Not necessarily. If you are going to a hospital-based facility and your deductible is $3000 (and you’ve not yet met it), your initial evaluation may cost you $300-400 for 30-45 minutes. Then your follow-up visits may cost you $150-200. If you have 4 appointments, you could spend $750-1000 and not meet your deductible – which means that is all coming out of your pocket.
Say you go to a private practice that accepts insurance and you have to make a co-pay. If your co-pay is $75 and you have a traditional 30-45 minute visit, you save some, but the amount you pay for the length of one-on-one time spent with your primary PT is most likely less, and you may average 2-3x more appts (increasing overall cost).
When you pay cash or apply to an HSA or pay with Flex spending, you will pay $200 for your first visit and $150 for each additional visit. Say you have 4 visits total with me – you will pay just $650 for your visits TOTAL.
03
What are the advantages of non-traditional cash-pay PT?
I worked in a hospital-based setting for 10 years so I’m very familiar with that type of practice. I KNOW that I can provide a higher quality of care b/c I’m not pushing people in and out the door. I give you more one-on-one time, you are assured that you will have the same PT (myself) at every visit, I equip you with the tools you need to do most of your work from home, which means LESS overall visits. In addition, because my business is cash-pay, I can actually provide the quality care and services you NEED without being dictated by only what insurance companies are willing to pay for. This means care that is designed perfectly for YOU. All of this together equals fewer visits and more money you get to keep in your pocket.
04
How many visits can I expect?
This obviously varies from person to person, but most patients average 2-4 visits.
05
06
Are you actually telling me that you can correct leaking/incontinence?
I have seen incredible results with women who have mild-moderate incontinence! Often times women have no awareness of their pelvic floor or think they are doing a kegel correctly when in reality they are substituting with other muscles. Pelvic floor dysfunction is multi-faceted, but I believe most issues can be corrected with a properly trained women’s health PT!
Do you see women that aren’t pregnant, haven’t been pregnant, or are many years postpartum?
YES! It’s a misconception that I only work with pregnant & newly postpartum women. I actually am trained & DO see women along the spectrum of life! Women in their 40-60s (I don’t see women beyond age 65 as it’s against Medicare guidelines to use cash-pay services) can experience tremendous results in decreasing pain, improving incontinence, pelvic organ prolapse, and strengthening at ANY age!! Don’t discount yourself! If you have a brain, nervous system, and muscles, function can be restored, we just need to teach them how to work together! I love seeing middle-aged women & it’s my passion to help you live life to the fullest at EVERY stage!
04
How many visits can I expect?
This obviously varies from person to person, but most patients average 2-4 visits.
05
Are you actually telling me that you can correct leaking/incontinence?
I have seen incredible results with women who have mild-moderate incontinence! Often times women have no awareness of their pelvic floor or think they are doing a kegel correctly when in reality they are substituting with other muscles. Pelvic floor dysfunction is multi-faceted, but I believe most issues can be corrected with a properly trained women’s health PT!
06
Do you see women that aren’t pregnant, haven’t been pregnant, or are many years postpartum?
YES! It’s a misconception that I only work with pregnant and newly postpartum women. I actually am trained and DO see women along the spectrum of life! Women in their 40-60s (I don’t see women beyond age 65 because it’s against Medicare guidelines to use cash-pay services) can experience tremendous results in decreasing pain, improving incontinence, pelvic organ prolapse, and strengthening at ANY age!! Don’t discount yourself! If you have a brain, nervous system, and muscles, function can be restored, we just need to teach them how to work together! I love seeing middle-aged women and it’s my passion to help you live life to the fullest at EVERY stage!
Still have questions? Reach out!
"Dr. Tanya was a blessing during my prenatal and postpartum care. She provided me with a warm, welcoming, judgement-free zone to ask my honest questions concerning changes in my body pre and post delivery of our little boy! I was always greeted with a kind smile and felt like my concerns were always addressed and my voice was heard. I am so grateful to have met her and worked with her during/after pregnancy. She helped me regain confidence in my body as well as provided grace during the time of recovery! We definitely will be using her services in the future!"
"All I can say is Tanya is 'very' good at what she does. She knows her stuff! She really cares about her patients, customizes their care according to each individual's needs, spends quality time with you, listens, really listens to you. She helps you with what you have going on now, but also helps you with a good base for a long-term healthy lifestyle. It is up to you to put it into practice what you learn from her and to stick to it, to be successful."
- Kendra r.
- Michelle L.
Success Stories
Nicki R.
"My family and I do mission work in Central America and I found Dr. Tanya on social media a few years ago when I was healing from my 4th delivery and struggling with various symptoms of prolapse. I loved her content because it was helpful and she seemed like the kind of person I could be friends with in real life! Fast forward to last year when I had a traumatic birth while delivering my 5th baby here on the mission field. I had complete prolapse a few days after birth. I contacted her right away because I knew I was going to need a lot of help. Dr. Tanya was amazing. I was in such a low place when we had our first appointment at 5 days postpartum—feeling hopeless and scared about what life was going to be like. She encouraged me in so many ways over our virtual appointments. She gave me hope that I would be able to function as a wife and mom. She gave me a plan to achieve the goal—which at the time was just to be able to be on my feet and serve my family. She patiently worked with me over a series of virtual appointments—discussing where I was physically, asking specific questions, having me do certain movements on the video call, analyzing what I told her and then coming up with therapy moves and other treatments to address the issues. At several weeks postpartum, I was barely able to walk and now I’m 6 months pp and I have been able to start doing light workouts and going on walks with my family. I can even stand for hours cooking and cleaning and I am able to do it and feel mostly symptom free!
"My family and I do mission work in Central America and I found Dr. Tanya on social media a few years ago when I was healing from my 4th delivery and struggling with various symptoms of prolapse. I loved her content because it was helpful and she seemed like the kind of person I could be friends with in real life! Fast forward to last year when I had a traumatic birth while delivering my 5th baby here on the mission field. I had complete prolapse a few days after birth. I contacted her right away because I knew I was going to need a lot of help. Dr. Tanya was amazing. I was in such a low place when we had our first appointment at 5 days postpartum—feeling hopeless and scared about what life was going to be like. She encouraged me in so many ways over our virtual appointments. She gave me hope that I would be able to function as a wife and mom. She gave me a plan to achieve the goal—which at the time was just to be able to be on my feet and serve my family. She patiently worked with me over a series of virtual appointments—discussing where I was physically, asking specific questions, having me do certain movements on the video call, analyzing what I told her and then coming up with therapy moves and other treatments to address the issues. At several weeks postpartum, I was barely able to walk and now I’m 6 months pp and I have been able to start doing light workouts and going on walks with my family. I can even stand for hours cooking and cleaning and I am able to do it and feel mostly symptom free!
Dr Tanya was there for me in my darkest moments, not just helping me heal physically (which she did in an amazing way) but also encouraging me in ways I never imagined. She truly cared about me, not just as a patient on a screen, but as a friend and sister in Christ. She was consistent to check in on me between appointments and always available to answer questions. She was a light in a dark place and the Lord used her in my life in a way I will never forget. Her prayers for me meant so much! I would recommend her to anyone—no matter where you live!"
Dr Tanya was there for me in my darkest moments, not just helping me heal physically (which she did in an amazing way) but also encouraging me in ways I never imagined. She truly cared about me, not just as a patient on a screen, but as a friend and sister in Christ. She was consistent to check in on me between appointments and always available to answer questions. She was a light in a dark place and the Lord used her in my life in a way I will never forget. Her prayers for me meant so much! I would recommend her to anyone—no matter where you live!"
"Working with Tanya was one of the best things I could have done for my postpartum recovery! Right away, it was so easy to see her genuine care and deep passion she has for her work and helping her clients. She educates and shares her knowledge SO well. I appreciated her willingness to be open and all the extra wisdom she shared outside of pelvic floor work! I highly recommend working with Tanya - especially for your postpartum recovery!!!" - Kate V.
"Working with Tanya was one of the best things I could have done for my postpartum recovery! Right away, it was so easy to see her genuine care and deep passion she has for her work and helping her clients. She educates and shares her knowledge SO well. I appreciated her willingness to be open and all the extra wisdom she shared outside of pelvic floor work! I highly recommend working with Tanya - especially for your postpartum recovery!!!" - Kate V.
When I first encountered Refine PT, I was six months pregnant with my sixth child and struggling again with the pelvic pain I had experienced with my previous two pregnancies. I thought the pain, leaking, and weakness was a normal part of having children. Tanya coached me through exercises that kept the pain at bay until the very end of my pregnancy. It really did help keep me on my feet this time! She also educated me on what NOT to do, to minimize the pain and protect my already weak core.
After my baby was born, I had no strength. I could hardly carry the carseat, or a laundry basket full of clothes. If we had to do a lot of walking, my husband would carry the baby for me because I would start to have pelvic pain. I had two or three appointments with her in person. I started with a 5cm gap. As I got stronger, I purchased her Diastasis 101 course and began to alternate my therapy exercises and the course exercises daily. It took me 5-10 minutes per day to complete the exercises. It took about 8 months to work through the course, and then a quick check with Tanya confirmed my gap was closed! I continued daily exercises and began using Refine Fitness to gain strength.
After working with Tanya individually, through her course, and also through Refine Fitness, I'm stronger in general, and more confident with my form. I can function without pain, jump on the trampoline, cart my toddler around, and live our farm life without worrying about hurting my core. It was also so helpful to have access to Tanya, for questions, but also for encouragement that I have a good body and a good shape, no matter what size and shape, and that working out is less about appearance and more about healthy habits for a healthy future. - Kayla
When I first encountered Refine PT, I was six months pregnant with my sixth child and struggling again with the pelvic pain I had experienced with my previous two pregnancies. I thought the pain, leaking, and weakness was a normal part of having children. Tanya coached me through exercises that kept the pain at bay until the very end of my pregnancy. It really did help keep me on my feet this time! She also educated me on what NOT to do, to minimize the pain and protect my already weak core.
After my baby was born, I had no strength. I could hardly carry the carseat, or a laundry basket full of clothes. I had two or three appointments with her in person. I started with a 5cm gap. As I got stronger, I purchased her Diastasis 101 course and began to alternate my therapy exercises and the course exercises daily. It took me 5-10 minutes per day to complete the exercises. It took about 8 months to work through the course, and then a quick check with Tanya confirmed my gap was closed! I continued daily exercises and began using Refine Fitness to gain strength.
After working with Tanya individually, through her course, and also through Refine Fitness, I'm stronger in general, and more confident with my form. I can function without pain, jump on the trampoline, cart my toddler around, and live our farm life without worrying about hurting my core. It was also so helpful to have access to Tanya, for questions, but also for encouragement that I have a good body and a good shape, no matter what size and shape, and that working out is less about appearance and more about healthy habits for a healthy future. - Kayla D
“The OB package was the best decision I ever made in regards to pelvic floor and abdominal health during and after pregnancy! I was skeptical at first because of how bad a tear I had with my first delivery and how uncomfortable recovery was for me. However, I gave it a try and was SHOCKED at the results. Dr. Rowenhorst worked with my specific body type and my specific concerns to help heal me from my first delivery and go into my second delivery with confidence that I can recover. The exercises were so easy and not at all time-consuming given I have a two-year-old and newborn to run after! I had a third-degree tear with my first, only a first-degree with my second. My pushing time went from two hours with my first to two pushes total on my second! The gap between my abdominal muscles went from 2.5 cm to 1 and is still shrinking! A plus was that she was completely comfortable with me bringing my babies to the appointments given I have no one to help watch them. I highly, highly recommend her programs. She cares so much about the individual and their concerns and she won’t stop until you’re functioning the way God made you to function!”
- Rachel
Get in touch!
Relationships are the heart and soul of my business, and if you have a question or would like to connect, I’d LOVE to hear from you! Please reach out and I’d love to get to know you better or answer any questions you might have!!
Have a question? You can also check out our FAQs page!
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