Financial Policy

Eugene-Pelvic Wellness Center Financial Policy

Please contact our office or speak with your physical therapist if you have questions

In Network Insurance Companies

Women’s Health Physical Therapy of Eugene LLC dba Pelvic Wellness Center Eugene Clinic is a participating provider with the following health plans:

  • Pacificsource
  • Providence
  • Aetna
  • Medicare
  • Meritain Health

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.  Because 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.

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.

Deductibles:  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 $150 for the evaluation, $125 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 you 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.

Late to Appointment Policy:  If you are more than 15 minutes late to your appointment you will need to reschedule.

Cancellation, No-Show Policy

In most cases, your physical therapist will reserve a 45-60 min one-on-one time slot for your treatment. In the event of a late cancel or no-show we  likely will not be able to provide this time slot for another client.  Also, in order to achieve maximum benefit from your physical therapy, it is important to maintain regular visits as prescribed by your therapists.

Therefore, If you must cancel, please provide a minimum of 24 hours notice. If you cancel less than 24 hours in advance, or no show for your appointment you will be responsible for a cancellation/no-show fee of $100. For Monday appointments, contact us by noon on Friday.  You will need to provide this payment on or before your next scheduled appointment.

This includes “no show” appointments. Your therapist may use their discretion and will take circumstances into consideration.  This payment is not billable to insurance. If you do not contact us within 48 hours of a “no show” appointment, all of your future appointments will be removed from our schedule.

New Patients:  If you cancel within 24 hours for your first visit,  at the therapist’s discretion we may bill for the $100 late cancel fee.  If you no show for your first visit we will need to cancel your subsequent appointments and the $100 no show fee will need to be paid before re-scheduling.


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.

{!check} Please initial that you have read and understand all aspects of this financial policy.  Speak with your physical therapist provider before starting treatment  if you have questions