Financial Policy and Insurance
We have elected to be an out of network provider. Instead, we provide physical therapy on a “fee at time of service” basis. By not contracting with insurance companies, we do not have to limit the time or type of treatment provided because of insurance company restrictions. This also allows us to offer competitive rates as we do not pay for billing services.
If you plan on using your out-of-network benefits, prior to your first scheduled appointment, call your insurance company to be sure you completely understand your physical therapy benefits. An Insurance Worksheet is available to help you ask your insurance company the right questions about your physical therapy benefits. We can provide chart notes or other documentation at your–or your insurance company's–request. The amount of reimbursement you receive will vary according to the terms of your insurance policy. We cannot make guarantees or estimates regarding what reimbursement your plan allows as every plan varies.
Regretfully, we are unable to accept patients with Medicare at this time.
We accept cash, check, Visa/MasterCard/Discover, or HSA/FSA at the time of service. Fees are based on your treatment and the treatments performed during your appointment.
The fee ranges are as follows:
1 hour initial visit - $210
2 hour initial visit - $395
1 hour follow up appointments - $185
Fee for Service Model & Insurance FAQs
Q: What is Fee for Service?
A: Payment is made by the patient in full at the appointment time.
Q: Why Fee for Service?
A: As a fee for service provider, we treat patients for at least 60 minutes, every visit, in a private treatment room. In contrast, in-network facilities often offer shorter visits (possibly several in one week) and treatment options are limited to what insurance is willing to pay for. Fee for service allows you as the patient the freedom of choice when it comes to your health.
Feel free to utilize our Insurance Worksheet when you call your insurance company so you ask the right questions.
Q: Will I get reimbursed for therapy?
A: Your insurance company will reimburse you according to your plan’s out of network benefits.
Q: Do I need a referral from my physician?
A: Wisconsin is a Direct Access state for physical therapy. This means patients are allowed to seek evaluation and treatment from a licensed physical therapist without a prescription or referral from a physician. If you plan on utilizing your out of network benefits, it is best to confirm with your insurance company that they do not require a referral for reimbursement.
Q:What can I expect to pay for each appointment?
A: Fees are based on time spent with you and the treatments performed during your appointment.
The fee ranges are as follows:
1 hour initial visit - $210
2 hour initial visit - $395
1 hour follow up appointments - $185
Mercier Therapy Shared Journey Fertility Initial Appointment - $225
Mercier Therapy Shared Journey Fertility Follow-Up Appointment - $205