FAQs

Getting Started

If you have not been here before, you will need to register into our online system. This will give you access to your appointment times, payment and visit history, and allow you to schedule yourself for classes or even request PT & private Pilates appointments some practitioners.

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Download the mobile App to check your schedule and join classes in the future.

How do I schedule a Private Physical Therapy or Pilates appointment?

Please contact us directly or call us at 510-523-1900. You may also request an appointment time via our online scheduler, but note that the online scheduler is to serve more of a guideline PT's/Pilates teachers may have possible times available that aren't listed online.

What do I bring with me to my first appointment?

Print & fill out our New Client/Patient Forms if you are coming for a private appointment. These forms are not necessary for classes.

For PT patients, if you have a copy of a referral or diagnosis from an MD, DC, DO, or DPM, then bring that in (not necessary on first visit, but helpful if you have one).

> Download New Client/Patient paperwork

How do I dress?

Please wear attire that allows for ease of movement and that enables us to monitor your alignment. Avoid jeans or very baggy clothes (including baggy shorts for men unless you wear tights underneath) when possible. Many exercises are best performed without shoes or socks. We sell special grip socks in our studio for those who prefer them.

How do I get to your studio/clinic?

Click here for specific driving directions.

Is parking an issue?

Parking is rarely an issue. Just make sure you either park in one of the spots marked “ProBalance Only” or in any unmarked spot within the parking lot.

What if I arrive before or at my appointment time and the door is locked?

We occasionally lock the door if we do not have someone at the front desk (especially during evenings/weekends). You may ring the doorbell (hold it for at least 2-3 seconds) and this will alert any practitioner who may be upstairs or in a room with a closed door to come out and meet you. If this is just for a regular appointment where you do not need to fill out any additional paperwork, please wait 5 minutes before your appointment time to ring the bell if the door is locked so as to not disrupt a class if the teacher is upstairs.

What are your hours of operation?

With the exception of the regularly scheduled classes, the studio is open by appointment 7 days/week at various times, depending on the practitioner. Since all of the practitioners who work out of ProBalance are independent contractors, they have the choice to modify their schedule based on their load and within the spatial constraints of the facility. We do our best to accommodate schedules so feel free to contact us to see if we have someone available for the times you would prefer.



“ProBalance always found a way to keep us active and motivated during our recovery period. ” « T&G

 


Physical Therapy

 

Do I need a prescription to see a physical therapist?

In the state of CA, you may go directly to a physical therapist for up to 12 visits or 45 days (whichever comes first), before seeing a physician or chiropractor for physical therapy treatment of an injury or specific condition. However, if it appears that you need care that is beyond the scope of physical therapy, we will refer you out to the appropriate practitioner at that time. Please note that physical therapists cannot legally make a medical diagnosis. Some insurance companies insurance companies require a diagnosis code to receive reimbursement so you may still want to see your MD or DC prior to starting PT if you are planning on submitting to your insurance.

What if I want to see a physical therapist for wellness services?

Often, clients are looking for a safe, efficient way to improve their overall wellness, fitness, and function but may have pre-existing health conditions that would make it wise to first be screened and initially perform these types of fitness activities with a physical therapist. All of the physical therapists who work out of our office are specialists in recognizing abnormal movement patterns, muscle imbalances, soft tissue/joint restrictions, postural dysfunction, etc. throughout the body. In our “Wellness PT/Pilates sessions”, physical therapists are able to use the skills within their scope of practice to improve and optimize movement without a specific diagnosis. Note that these Wellness PT/Pilates sessions are not covered by insurance or Medicare.

Does ProBalance bill insurance for Physical Therapy services?

Many of the services at ProBalance may be reimbursed by your insurance. Please note that to maintain our high standard of care, we are not contracted with health insurance providers and are therefore considered an out of network provider. Although we are out of network, our physical therapy services may still be covered by your insurance, but it is your responsibility to understand the limitations of your insurance with regards to deductibles and copays so there are no surprises when you receive payment. Payment to ProBalance is expected at the time of service, and upon request, we will provide you with a superbill, which contains the codes required for reimbursement directly from your insurance.

Are physical therapy services covered by FlexSpend or Health Savings Accounts (HSA)?

Physical therapy and Pilates services for rehabilitation are typically reimbursable by FlexSpend or HSA plans, if instructed by a physical therapist, as it is a form of therapeutic exercise, neuromuscular re-educaiton, and functional re-training. A prescription for Pilates (if paying for wellness/fitness Pilates) from your MD or DC is recommended to ensure that the interventions are medically necessary.

Do you accept Medicare?

ProBalance is not enrolled as a Medicare provider and therefore we are not set up to bill Medicare for PT services. If you do have Medicare PT benefits and a prescription for physical therapy, we will recommend you to a different clinic so you are able to take advantage of your benefits for treatment of your specific diagnosis. We will be happy to see Medicare eligible clients for non-covered “Wellness PT/Pilates” concurrent with your PT treatment at a different facility or after your Medicare benefits have been exhausted.  Please let us know if you are a Medicare beneficiary so we can advise you appropriately.

Does ProBalance take liens or bill third party payors?

If you were involved in an automobile accident or personal injury case that was not your fault, you may still need medical attention and treatment while waiting for a settlement from the other party to pay back your medical providers. Unfortunately, our office is not set up for being able to handle liens or to bill your auto insurance med-pay directly. You may still utilize our services if you choose to pay at the time of service and submit the superbill with Physical Therapy treatment codes to the auto insurance company on your own.

I have a prescription for physical therapy on another facility’s stationary. Do I need a specific referral to use ProBalance for PT?

You are not restricted to seeing a particular therapist based on the stationary that the physical therapy referral was written on. As long as your referral requests physical therapy, it can be honored at any facility.

Pilates

 

What should I expect in a Pilates fitness session?

Pilates is a very precise form of exercise that focuses on quality versus quantity of movement. The emphasis is on improving flexibility, core control, movement strategies, and self-awareness. Pilates sessions are most effective after a medical history review and an initial screening of posture, strength, flexibility, joint motion, balance, and coordination has been taken. This ensures that your Pilates program is set at the appropriate level based on your goals and fitness level. Exercises may be performed on the mat or on specially designed pieces of apparatus and very specific verbal and tactile cues are used to ensure optimal movement strategies.

What am I exercising on?

Pilates apparatus use a combination of springs and levers to create a smooth resistance or assistance to movement. The ProBalance Pilates Studio uses equipment from Balanced Body, Inc. A variety of props/tools such as the Oov, rollers, balls, bands, towels, and rings are also utilized.

What is the difference between Private Pilates taught by a Physical Therapist (PT/Pilates) versus a Pilates Fitness Teacher (Fit Pilates)?

There is a difference in pricing due to the difference in skill, experience, and scope of practice when dealing with clients who currently have or have had past injuries or physical limitations. These clients may require different exercise progressions or adaptations of the exercises based on their medical history.

Does Pilates involve hands-on techniques?

There may be times where the Pilates teacher may use very specific, gentle tactile cues to encourage your body to move in the desired alignment. For physical therapists and other practitioners where advanced manual therapy techniques (soft tissue mobilization, joint mobilization, myofascial release, massage, etc) are within their scope of practice, these techniques may be incorporated into the movement session with the permission of the client to optimize results.

Is Pilates safe when I have an injury?

Pilates is a very gentle, yet challenging form of exercise. Pilates is ideal for individuals who are currently recovering from an injury or have a predisposing physical condition when performed with the appropriate precautions and by a skilled practitioner. Some examples of injuries that benefit from Pilates include: Back injuries, neck pain, shoulder, hip, knee, ankle injuries, arthritis, osteoporosis, and prenatal/postpartum conditions. It is recommended that individuals get clearance from their healthcare professional prior to initiating any exercise program.

Can I perform Pilates at home?

While the Pilates apparatus in the studio appropriately facilitates or challenges movement retraining, home exercise programs are regularly taught and encouraged by the PT’s and Pilates fitness teachers to ensure a balanced and consistent routine. This can be done using mat work with a variety of bands, props, balls, and gravity. It is recommended that Pilates exercises be performed 2-3x/week for maximum results.

Will my insurance, FlexSpend, or HSA account cover Pilates?

Pilates services for rehabilitation may be reimbursable by you insurance company if instructed by a physical therapist as it is a form of therapeutic exercise, neuromuscular reeducation, and functional training. You may also be able to submit your receipts towards your FlexSpend account when services are performed by a physical therapist or by a fitness Pilates teacher, when under the recommendation of a medical professional.

Classes

 

How do I know if I’m in the right level of class?

We offer multilevel classes designed for various populations. Note that while the levels provide a guide, there will be times when we may require a certain level of proficiency in a private or duet session to ensure your safety before being allowed to participate in a class.  These levels are listed on our online class scheduler.

LEVEL 0 (Beginner)
Has little or no experience with Pilates exercises on the mat or apparatus. Needs a slower pace, moderate assistance with changing settings on apparatus, and/or assistance with modifications & positioning for pre-existing medical precautions (i.e. low bone density, prenatal/postpartum, sciatica, total joint replacements, spine issues, balance, etc.). Needs significant instruction and cuing on posture and movement fundamentals.
LEVEL 1 (Basic)
Has some Pilates experience (past or present) on either mat or apparatus. May need min/moderate assistance with changing settings on apparatus, and/or assistance with modifications & positioning for medical precautions. May need min/moderate cuing for posture and movement fundamentals.
LEVEL 2 (Intermediate)
Moderate fitness level and substantial Pilates experience, specifically working on the apparatus in a class setting or privately. Able to change most spring/apparatus settings with little or no assistance. Able to self modify and properly position with necessary props for any pre-existing medical conditions. Has a solid grasp of posture/movement fundamentals with good body awareness.
LEVEL 3 (Advanced)
Should have a high level of fitness, practicing Pilates consistently at least 2x/week for 6+ months privately or in classes, and/or is currently in a Pilates Teacher Training program or is a Pilates teacher. Able to change all spring/apparatus without assistance. They must have excellent body awareness and a solid understanding of any limitations within their bodies. **Note: These classes may require instructor approval to participate and may not be suitable for all bodies.

> View Class Descriptions & Schedule



“Pilates helped my golf game tremendously. After I had more strength in my core, I improved my balance. The calming atmosphere also seemed to help me with my mental focus.”« G.N.

 


Rates

Time is your most valuable commodity. The quality and expertise of the ProBalance team enables you to reach your goals in the most efficient way possible, leaving time to enjoy the things that mean the most to you. We have a variety of pricing options to serve a range of needs and budgets for both rehabilitation and wellness, and many services are eligible for submission to health insurance and/or FlexSpend plans.

Rates as of January 1, 2016
PHYSICAL THERAPY*
Highly Skilled PT- one-on one  entire session
Receipts for these sessions may be submitted to insurance or flex spend (NOT Medicare–read below)$175 Initial PT Evaluation & Treatment$135 PT Treatment (45-50 min)
PRIVATE PILATES for Fitness/Wellness
PT or Pilates Evaluation/Intake for Wellness-55min$145 w/PT$89 w/Pilates Instructor $175 w/Ada Wells, PT
Single Private Pilates Session-55min$115 w/PT$85 w/Pilates Instructor$135 w/Ada Wells, PT
3-Pack Private Pilates Session-55min$315 w/PT$240 w/Pilates Instructor
6-Pack Private Pilates 55min (expires in 12 mos)$595 w/PT$450 w/Pilates Instructor
12-Pack Private Pilates 55min (expires in 12 mos) $1150 w/PT$840 w/Pilates Instructor
PILATES DUETS per person
Single Pilates Duet (55min)$65 w/PT$60 w/Pilates Instructor $70 w/Ada Wells, PT
6-Pack Pilates Duet (expires in 12 mos)$330 w/PT$300 w/Pilates Instructor $390 w/Ada Wells, PT
12-Pack Pilates Duet (expires in 12 mos)$600 w/PT$540 w/Pilates Instructor
GOLF FITNESS/REHAB SERVICES with Ada Wells, DPT, Level 3 TPI-Certified Golf Medical Professional, Polestar Pilates Educator
Package rates are available with Ada Wells, PT per above pricing$285
Deluxe Golf Fitness Assessment (90min)
$197
Standard Golf Fitness/Movement/Posture Eval (55 min)
$135
Single Pilates or Golf Fitness (55 min)
Pilates & Fitness/Wellness Classes
Pilates Mat Class (50 min)$25 Drop In$20 Single Class
(preregister online)
$200
Pkg of 12 (6 month expiration)
Pilates eXpress Class (25 min)$25 Drop In$20 Single Class
(preregister online)
$200
Pkg of 12 (6 month expiration)
Pilates Apparatus/Reformer Classes (50 min)$38 Drop In$35 Single Class
(preregister online)
$340
Pkg of 12 (6 month expiration)
Introduction to Pilates Apparatus (50 min)$15** Drop In$15** Single Class
(preregister online)
**Special Intro Price only available 1x by current, former or new clients to ProBalance.
Other Class Packages
 Combo Pilates Class Package
(Includes 3 Apparatus Classes + 6 eXpress Pilates Classes)
50 min Apparatus Classes ($30 additional per class)
25 min eXpress Classes ($18.33 additional per class)
 $200
6 Pack of Apparatus Pilates50 min Classes ($30 per class) $180
 6 Pack of eXpress Pilates25 min Classes ($18.33 per class) $110
**Packages with classes of same “Drop In” or per session price are interchangeable between class types, instructors, and locations.

*Physical Therapy (PT) Services: While we are an out of network provider, most PPO’s will pay a portion of the physical therapy charges at ProBalance with a physician’s prescription. To ensure our high standard of care, payment is expected at the time of service and a superbill will be issued at the patient’s request with the PT reimbursement codes needed for the patient to submit their own claim.

Physical Therapy pricing that will be submitted to insurance will vary based on the services provided as the amounts are billed per procedural unit in 15 min increments. We typically use treatment codes 97110 Therapeutic Exercise and 97140 Manual Therapy.

Important information for Medicare Beneficiaries: Please note that we are NOT enrolled as a Medicare provider. If you have Medicare, you will need to use your Medicare benefits first with a Medicare approved PT outside of ProBalance (we would be happy to give you referrals). Our physical therapists cannot accept payment for services for treatment of a specific diagnosis if you have existing Medicare benefits. However, Medicare eligible clients can be seen at ProBalance for our maintenance, preventative, general fitness, and wellness services which are not Medicare eligible interventions. We will have you sign a form indicating that we are performing wellness services only. These charges for wellness will not be billable to Medicare or any other insurance for reimbursement.

If you are seeing us for PT/Pilates for wellness, we can identify movement dysfunctions and structural issues that may be keeping you from achieving optimal alignment, posture, performance, and movement efficiency and utilize our “PT toolbox” to address those findings…the bonus is typically that you look and feel better!

We do not accept Worker’s Compensation or liens.

Forms

 

Pre-Screening Health Questionnaire, Privacy Notice, and Consent Forms

We take pride in the high-level quality of our services and operate on a different model and level than traditional physical therapy clinics and regular fitness Pilates studios. In order to provide you with the best possible experience, please print, fill out, and bring in the New Client/Patient packet to your first private appointment.

> Download New Client/Patient paperwork

Policies

 

What are your general studio policies?

Please refrain from using colognes, perfumes, or scented lotions.

Please turn off cell phones before entering and refrain from chewing gum.

Please be aware that this is a healing environment and a place where people seek safety and positivity. Negative or disrespectful comments to our staff or others will not be tolerated.

What are your privacy policies?

Our studio complies with HIPAA standards as a large part of our services depend on knowing some past or current medical history. Note that we are a teaching facility so there periodically may be students observing your session or class. Please be assured that they are required to adhere to our published privacy policy.

> Read or print a copy of our HIPAA privacy policies

What are your payment policies?

Payment is expected at the time of service by cash, check or credit card. Returned checks will incur an additional $20 charge and balances over 30 days may be subject to collection fees and interest of 1.5% per month on the outstanding balance.

What is your cancellation policy?

Cancellations for private appointments made before 24 hours of the scheduled time may be done at no charge by contacting your practitioner directly, email us, calling 510-523-1900, or directly from our online scheduler.

Late cancellations/no shows for appointments of less than 24 hours will be charged a fee ranging from 50%  up to the full price of your session, depending on the practitioner.

Cancellations of classes are allowed up to 12 hours before class start time. Note that class instructor reserves the right to cancel the class within the 12 hour window if there are an insufficient number of signups for the class.

If there was an outstanding reason for a late cancellation (medical emergency, illness, death in the family), please contact our office before the start time of your appointment. We operate on the honor system.

Note that frequent cancellations and last minute changes may result in being placed at the bottom of the waiting list for appointments or discharged as a patient from our facility.

What are your refund or exchange policies?

There is a $35 processing fee to exchange a used package for ProBalance credit for different services once one session in a package has been used.

Refunds on unused packages will only be issued within 7 days of purchase. Beyond 7 days, we can refund to account credit your unused package amount to be used towards future services or products.

What are your class policies?

We ask that you do not get on Pilates apparatus before your Pilates teacher has arrived.

Please let your practitioner or teacher know if there have been any changes to your health to determine if it is safe for you to proceed with appropriate modifications.

Please arrive on time. If you arrive late, it will be at the teacher’s discretion as to whether or not you will be allowed to enter class. You will typically not be allowed to enter the class 10-15 minutes past the start time of the class. This is to ensure a safe warm-up, minimal disruption, and optimal exercise experience for everyone.

A signed waiver (either in person or online) is required to be allowed to participate in class.