FAQs

Frequently Asked Questions

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!

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 $175 for your first visit and $125 for each additional visit. Say you have 4 visits total with me – you will pay just $550 for your visits TOTAL.

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.

How many visits can I expect?
This obviously varies from person to person, but most patients average 2-4 visits.

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!

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!

How many visits can I expect?
This obviously varies from person to person, but most patients average 2-4 visits.

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!

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

Jacynda

“I knew I wasn’t prepared to give birth to my first baby so we invested in the OB program. Tanya helped me not only prepare my pelvic floor for labor but also my mindset. She gave us excellent resources to use in the labor process and really helped me feel confident, prepared, and best equipped for labor. I credit an easy and fast postpartum recovery to the prep work Tanya gave me beforehand. I would 10/10 recommend it. Knowledge is power and what I learned from Tanya is going to be knowledge and tools I use forever! ”

“I couldn’t recommend Tanya more! Not only does she give you undivided attention during your appointment, she truly cares about follow-up care. From emails checking in to problem-solving at later appointments, Tanya goes above and beyond. What I was most impressed by was her ability to pinpoint my area of pain and find stretches and exercises that I could continue to use on my own. When I first walked in her doors, I didn’t even know how to explain how I was feeling. Through the course of her thoughtful interview process, she nailed it! So thankful for the work Tanya does helping women feel empowered in their bodies!” – Emily G

“It was great to gain knowledge in how to recover from having my 4th child. Becoming familiar with breathing techniques, retraining my brain, and strengthening my pelvic floor was such a win. It was great to not feel alone, and well supported working through the postpartum beginning weeks.” – Mollie

“I am so thankful for the timing in finding Tanya at Refine Physical Therapy. I was expecting my first baby and did the OB package (virtually, I’m from Michigan!) I absolutely loved working with Tanya, she is kind, professional, and really easy to talk to. I was so impressed with what she could help me with even though I was in a different state! We went through how to workout safely while pregnant, what to expect for labor & delivery with exercises & positions to help me through, and then navigating postpartum. I felt so much more confident going into labor and I had the help I needed to recover my pelvic floor. I am thankful for her perspective on how amazing our bodies were created and I would work with her again in a heartbeat.” – Tabetha

Bekah

“I appreciated my time with Tanya. As a newly pregnant woman, I wasn’t sure what all I needed to know/do when it came to making sure my body was taken care of to the best of my ability during my pregnancy. To be honest, I didn’t really think that going to a women’s PT was necessary; but I’ll be the first to say it is, before, during, and after labor and delivery. I had some “dribbling” when working out prior to getting pregnant which always worried me and made me feel like something was wrong. I knew that going to Tanya, someone with lots of knowledge and experience on the subject and someone I respect and trust was needed. Tanya gave me exercises to do during pregnancy as well as met with my husband and I to coach us through how to be the best team during my L&D. She also made me feel more knowledgeable on the subject and assured me of my rights and to always ask questions and only do what I was comfortable with. I had the best L&D experience…nothing like you see on the movies which I totally feared!!! I owe a lot of this to Tanya. I also met with Tanya postpartum and will say I now have ZERO leaking..even after having leaking before getting pregnant and have now given birth, and vaginally might I add. THANK YOU Tanya for investing in women and their bodies. I so appreciate you!”

Kelsey

“It was such a pleasure to work with Tanya. I chose her OB package + I’m so thankful I did! She helped me relearn how to breathe correctly and activate my pelvic floor muscles. I’m sure that one of the main reasons I didn’t suffer from major ab separation was because of her. Tanya gave me plenty of tips for getting back into working out postpartum as well which has been a huge lifesaver! The appointments were informative & she was always quick to answer any questions I had outside of the appointments as well. Overall, I would highly recommend the OB package with Tanya!"

“Working with Tanya for the OB package gave me the tools to experience minimal discomfort throughout my pregnancy and postpartum period. She helped me feel confident in my recovery and healing from an unexpected c-section. With my previous pregnancy, I struggled with back pain and experienced pelvic floor issues postpartum. With Tanya’s guidance, I was able to remain active during this pregnancy while protecting and strengthening my pelvic floor and core which helped to prevent any symptoms of prolapse and pelvic floor weakness postpartum. Tanya was attentive to details and answered any questions I had. She always spoke truth and encouragement over me as a mama, as well!”– Stacy

Tanya, I was so impressed with all the knowledge and information you gave us verbally while we were there. I am a person who loves to understand the why of what we do and you were so thorough in explaining everything. I was so thankful for the follow-up visit summary email you sent which we could refer to when we didn’t remember everything you had told us at the appointment. You were so thorough that we didn’t even need to return for more appointments! Great service and a great value!! – Rachel

When my teen daughter started experiencing knee pain and our local doctor recommended PT, we decided to make an appointment with Tanya. I’m so thankful we did! She immediately made my daughter feel welcome and we were impressed with how thorough her assessment was. My daughter appreciated that Tanya took her time making sure she was comfortable with each exercise and knew how to do them correctly. We never felt rushed, which was so nice! Tanya truly cares for everyone she treats and is a blessing to have in our community! – Sarah

Kaleigh

“Tanya was an incredible resource for us during our pregnancy. All of our friends and family told us that dealing with pain and discomfort in pregnancy was viewed as the “norm”. Tanya dedicated her time and talents to educate me on how to improve my levels of pain throughout my pregnancy! She assisted my husband with hands-on learning so that he could better support me during labor and delivery with comfort techniques, as well as detailed explanations of how pregnancy and birth affect my body. She took the time to work through any questions that I or my husband had.
Because we purchased the OB Package that Tanya offers, I was able to not only get assistance through my pregnancy, but also during my postpartum time! Tanya helped me while I was pregnant with exercises to strengthen my core and pelvic floor, and then we added more on after delivery. I am extremely thankful for Tanya and all she did to help me have the best pregnancy, birth, and postpartum experience possible! I recommend Tanya’s services for any woman in their pregnancy, even if they aren’t experiencing any difficulties. Tanya’s care is positive, preventative, and informative!”

“Incontinence is something that I thought I was just going to have to live with and that it was just “something that happened” to all women after having children. Then I started seeing and reading Tanya’s posts on social media and I was interested in learning how to help the incontinence issues I was experiencing as well as the lower back pain and some other things she would mention. That’s when I knew that these issues were not things that women just had to deal with. They were issues that could be resolved and fixed! So I invested in and trusted in Tanya’s professional advice and signed up for her online course! I am so glad that I did! I am almost 7 months postpartum with my third baby in less than five years and I can say that I rarely have low back pain anymore and I can tell that my muscles are getting stronger! Mamas, these things aren’t things that you HAVE to deal with forever. In fact, gaining knowledge and understanding of how our bodies work during the miracle of pregnancy, childbirth, and beyond is something, I think, every woman should do!” – Maria

“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!

Subscribe to my email list to stay up to date on everything I’m doing!

Let's Dive In!

Get My Free Ebook on the Pelvic Floor & Inner Core When You Subscribe

Instagram

Sharing a bit of my heart, my daily life, and all things women's health.

@drtanyarowenhorst