Private Pay & Coaching

Keep moving forward — on your terms.

When insurance coverage runs out before you're ready, or you'd rather work with a coach than navigate a clinic queue, our private-pay options keep your progress going — supplemental therapy and personalized coaching, scheduled around your life.

Concurrent therapy

Supplemental therapy when coverage isn't enough.

Home-health agencies and skilled nursing facilities often cap visit counts or discharge before a resident has fully recovered. Private-pay sessions fill that gap — continuing occupational, physical or speech therapy at the intensity your recovery actually needs.

  • Bridge the gap when your home-health or facility therapist caps visits, discharges early, or simply doesn't have the volume your recovery demands.
  • Continue progress toward strength, safety and independence instead of stalling between authorized episodes of care.
  • Coordinate with your existing therapy team — we complement, never replace, your current plan of care.
  • Flexible cadence: single sessions, weekly blocks or short-term intensives, scheduled around you.

Cash-pay coaching

Coaching that keeps you accountable.

For goals that fall outside skilled therapy, our coaches work alongside you one-on-one — building routines, momentum and real follow-through.

Lifestyle coaching

Sustainable habits, routine design and accountability for the way you actually live — sleep, energy, stress and daily rhythm, not crash goals.

Career coaching

Clarify direction, build confidence and move forward — resumes, interviews, transitions and the soft skills that move a career along.

Personal fitness accountability

Realistic movement goals with check-ins that keep you showing up — strength, mobility and consistency tailored to your body and schedule.

How it works

Simple, private, flexible.

01

Tell us your goals

A short consultation maps where you are, what's missing from your current care, and what you want to reach.

02

Choose your cadence

One-off sessions, weekly blocks or a coaching package — you decide how much support fits your budget and schedule.

03

Get to work

Meet in-clinic or virtually. We track progress, adjust the plan and keep you accountable between sessions.

04

Reassess together

We check in on outcomes and goals regularly and scale up, scale down, or wrap up whenever you're ready.

Common questions

Why pay privately when I already have therapy?

Medicare and insurance set visit caps and medical-necessity thresholds that often fall short of a full recovery. Private-pay sessions let you keep building momentum at your own pace, without waiting for a new authorization or a setback.

Is a referral required?

No referral is needed for private-pay services. We start with a consultation to understand your goals and current care, then schedule at a cadence that works for you.

Do you take insurance for these sessions?

Concurrent therapy is offered on a private-pay, out-of-pocket basis so we can keep scheduling flexible and free of insurance limits. We're happy to provide documentation you can submit to your plan for possible reimbursement.

Where do sessions happen?

Concurrent therapy takes place in our Lexington clinic or, where appropriate, at home. Coaching and accountability sessions are available in-clinic or virtually, whichever fits your life.

Ready to keep your progress going?