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Private/Group Health Insurance
We are preferred providers for most group health insurance plans.  It is our policy to confirm the eligibility and benefits of all of our patients.  We will review these findings with you either face to face or we will send a copy via U.S. mail.   

We will work with your insurance company to obtain prior authorizations if necessary and to abide by any restrictions or limitations in your coverage for physical or occupational therapy (i.e. number of visits, dollar amount limitation). 

We will ask for either a copy of your insurance card or the contact information of your insurance company (name of insurance company, group number, insured’s identification number, date of birth and insurance phone number).

We will bill your insurance company once a week.  Your insurance company will send an explanation of benefits, telling us what, if any, is your responsibility.  This may include an annual deductible that must be met before your insurance will pay.  If your deductible is met, your insurance company will pay us 70-100% of the allowed amount.  Since this a percentage, it is sometimes hard for us to estimate your exact coinsurance amount, so we will send you a bill once we know what your responsibility is.

Some policies require a co-payment to be made at the time of treatment.  This is usually a set amount (i.e. $10, 15, 25) per visit.

Worker’s Compensation
 If your injury is work-related, you will need to provide us with either a worker’s compensation claim number and the name and address that the bills should be sent to or a contact name at the place of your employment.  We will still ask for your private health care insurance information and verify coverage and benefits with them also.  This is to assure we are following any prior authorization requirements or limitations that are needed just in case the worker’s compensation claim is denied.

Self-Pay
For patients without insurance, we have affordable payment options available.

We accept payments by cash or check and will work with the patient if a payment plan is necessary.

If you have further questions regarding billing or insurance, please feel free to contact our office at (715) 687-2214. Thank you.