We have a strong commitment to ensure your experience with us meets your needs. We ask that you please take a few moments to review our financial policy in hopes to minimize any miscommunications or misunderstandings regarding your financial obligations.
INSURANCE
We are currently in-network with PacificSource and Providence Health. We will longer be able to submit claims for new patients with Regence Blue Cross plans after August 31st, 2024. As a courtesy to our patients, we will submit claims for you unless our clinic is considered ‘’out of network’’. If our clinic is ‘’out of network’’ we will supply you with a detailed receipt so you are able to submit for reimbursement upon request. We will not be responsible for any prior authorizations, or other requests from insurance companies we are ”out of network” with. We will verify your insurance; however, we cannot guarantee the accuracy of the information we receive from your insurance carrier, nor is it a guarantee of payment. You should contact your insurance company directly with specific questions regarding your policy. Your insurance is a contract between you and your insurance company. You are ultimately responsible for your bill. We will assist in most cases with the prior authorization process and obtaining a referral if Pelvic Wellness Center is ”in network” with your Insurer.
SELF PAYMENT DISCOUNT
Self Payment or Fee for Service arrangements are for those patients choosing to not to have Pelvic Wellness Center bill insurance directly for services rendered. Our fee for a visit is $200 for Initial Evaluation, and $170 per visit (45 minutes to one hour session), due at the time of service. You may request a detailed receipt to submit to insurance for reimbursement. Pelvic Wellness Center does not guarantee or assist with any ‘’out of network’’ submissions beyond providing a receipt. 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.
CHANGES IN YOUR INSURANCE
We cannot bill your insurance unless we have the most accurate information from you regarding your insurance coverage. It is your responsibility to inform us immediately of any changes if you would like us to bill insurance. Failure to do so may result in denial of coverage. You will be responsible to pay full balance.
PAYMENTS
You are responsible for payments of all co-payments, deductibles and co-insurances associated with your plan for physical therapy and are due at the time of service. If you have insurance, balances will be considered current from the date your insurance pays its portion. Unpaid balances after 30 days may be charged to your credit card on file and we will send you an invoice and receipt. Unpaid balances beyond 120 days may be referred to collections. We will work with you to avoid sending your account to collections. We accept cash, checks, and most credit cards for payment. We reserve the right to charge $25.00 fee for all returned checks.
Cash or check Payments: We provide 4% discount for payments using cash or check.
Credit Card on File
Your credit card on file is a requirement of treatment at Pelvic Wellness Center. If you feel that you were charged incorrectly, please contact the clinic so we have the opportunity to investigate the situation.
Pelvic Wellness Center reserves the right to change or amend this financial policy at any time.
Rev 3/11/2024