Eugene-Pelvic Wellness Center Financial Policy
Prior to scheduling your appointments, please complete these secure forms by clicking on the links below. Completing these forms in advance will help us to schedule you with the best PT(s) for your needs.
Please contact our office PRIOR TO SIGNING if you have questions about our financial policy: 541.515.6215.
Completing the forms usually takes only 15-30 minutes. We do our best to gather insurance and financial information for you prior to scheduling. Please read the Financial Agreement thoroughly, we are happy to help you determine your financial responsibility to the best of our ability.
We know insurance is complicated, we are happy to help you understand the terms of your policy and your financial responsibilities.
Our website is also a good resource of information to learn more about who we are, what we treat, and links to other pelvic health websites and blogs.
In Network Insurance Companies
Abel Center LLC dba Pelvic Wellness Center Eugene Clinic is a participating provider with the following health plans:
- Pacific Source (Commercial plans only)
- Meritain Health*
- Regence, Blue Cross Blue Shield*
For in-network insurance companies above: Co-payments are due at the time of service. You are responsible for payments of all co-pays, deductibles, and co-insurances associated with your plan. Since we are billing insurance, you are ultimately responsible for the balance of what insurance does not pay. It is always good to check with your insurance company about your individual policy and the coverage.
Out of Network Insurance Companies
We do not bill out of network insurance companies and we require payment at the time of service ($160 for the evaluation and $135 for ongoing appointments). We are happy to provide the paperwork that is required from us to submit for your reimbursement (Superbill and Receipt). If your out of network insurance company requires our office to complete a prior authorization for your treatments we require an additional $30 for each time the Prior authorization is necessary.
Medicare Clients, Please Note: Although we are participating providers for Medicare, if you have a Medicare Replacement Plan (often called Med Advantage Plan) we may not be contracted with your replacement plan company and you will need to pay at the time of your physical therapy services. Please let us know if you have questions prior to your first visit.
*Providence, Aetna, Meritain, Regence/Blue Cross Clients: Your insurance most likely requires an insurance prior authorization, PA, which is different from a referral. The prior authorization needs to be done by our clinic after your first appointment and your insurance company will then inform us about a deadline and the number of visits that they will allow (reimburse for). We cannot schedule appointments outside of this prior authorization timeline so it is important to do your best to attend these appointments because they may not authorize any more visits beyond the initial authorization period.
If your current insurance deductible is higher than the charges for an appointment. We will ask for a partial payment at the time of service (up to $160 for the evaluation, $135 for ongoing visits). This will be applied to your insurance deductible if we are in-network with your company. Once your insurance company processes these claims, most likely there will be a balance on your account which you can pay in the office during one of your visits or a statement will be sent for the remaining balance.
All Other Insurance Companies
For our non-contracted insurance patients we can provide a significant discount (often 15-30%) for payment at time of service. Instead of our Eugene clinic billing insurance directly, after your payment at each visit an invoice will be provided to you. You can then submit this invoice to your insurance company for reimbursement according to your out-of-network benefits.
Because we will provide a discount for insurance companies for which we are out-of-network we will not be communicating with out of network insurance companies. An additional fee will apply if chart notes or prior authorizations are processed from our clinic.
Our Self Pay rates, paid at the time of service without billing any insurance, are $160 for the Evaluation and $135 On-going appointments.
May be made with check, cash or credit card (most cards are accepted).
Credit cards are subject to a 3% fee if the card is present and 4% if the card information needs to be manually entered.
If necessary, after 90 days on non-payment we will send your account to collections. You will be responsible for an additional 20% to your outstanding balance to cover fees associated with the collections process. This percentage will be increased to 30% if taken to small claims.
Speak with your physical therapist provider before starting treatment if you have questions.