The physicians and staff of Madison Women’s Health, LLP value the trust and responsibility you place in us to care for you. Thank you for choosing Madison Women’s Health for your care.
In general, payment for services at our clinic is due at the time of service. This payment can be made by presenting current health insurance eligibility (such as all active health insurance ID cards) or by paying directly for the services – self pay.
Our billing office is available to assist you with any billing related questions or concerns. The billing office can be reached via phone, Monday-Friday, 8:00am to 4:45pm at 608-729-6341 or you can also send an email to billing@madisonwomenshealth.com and you will receive a reply within 24-48 hours.
Insurance Eligibility
It is the policy of Madison Women’s Health to process your claims, based on the information you have presented, in a timely manner. As such, upon each visit, you will need to present all of your current health insurance card(s). If you do not present your insurance card at the time of your appointment, you may be considered a self-pay patient. It is your responsibility to notify us at the time of check in of any changes in your insurance, address, telephone, family status or any other relevant information asked. We also will request a copy of a government issued ID.
If you are not sure if you have current coverage, we will expect that you reach out to your health insurance carrier to confirm you have active coverage and you are allowed to come to our clinic. We will verify your coverage via website or calling the insurance carrier. If the insurance carrier cannot identify you as a member, you are considered self-pay.
If you have a health insurance carrier that is not contracted or in-network with MWH, you may be balanced billed for any difference or contractual discounts that your non- contracted insurance plan applies.
Insurance Claims
Claims will be filed promptly with your health insurance carrier after your visits. It is the expectation of our clinic that you are aware of the policies, procedures and benefit of your insurance plan. This will include pre-service benefit requirements regarding prior authorizations and referrals as well as include your financial responsibilities per your benefit plan for deductibles, copays, coinsurances and out of pocket costs. We will expect that if you have a question about your benefit and how a claim is processed that you reach out to your health insurance carrier to resolve any questions or concerns. You will receive a patient statement from Madison Women’s Health after your health insurance carrier has processed your claims.
We also expect that if you receive any correspondence from your health insurance carrier (e.g. coordination of benefits or questionnaires for liabilities), you respond promptly. Delay in response will prevent processing of your insurance claim and you may be held financially responsible for the services.
Your health insurance policy is a contract between you and your health insurance carrier and MWH is not a party to that contract. We must emphasize that as your healthcare provider, our primary relationship is with you, not your insurance company.
Fees
If you have any questions about the fees for the services you are receiving, please call our billing staff who will research the services you are requesting with our clinical team and provide a fee estimate, in good faith.
Billing, Payments & Collections
You will be expected to pay your bill within 30 days of the date on your statement. If you have not paid your balance full within 30 days, your bill is considered past due. We will make various efforts to collect on any balance on your account for up to 90 days.
MWH reserves the right to expect payment in advance for special circumstances.
If you are experiencing financial difficulties and need to discuss payment arrangements, please call our billing staff at 608-729-6341. We will work with you to set up mutually agreeable payment plan arrangements. We will not honor payment plans that have not included approval by the billing staff and your account may be immediately referred to a third party collection agency.
Future services at our clinic may be denied if your account is not current or you have not contacted us to make arrangements on your account. If you have outstanding bill, you may be asked for payment at time of service.
Should we not receive any further payments, your account will be referred to a third party collection agency which will impact both your future medical care at our clinic well as your credit history.
Our collection agency is Associated Collectors Inc. They can be reached at 800-354-6951.
Credit Cards
As a convenience to our patients, MWH accepts Visa, MasterCard, Discover and American Express. We offer several options for you to pay your bill, over the phone at 608-729-6341, our secure online payment portal or you can mail payments to Madison Women’s Health, LLP, BIN 88538, Milwaukee, WI 53288-0538.
Returned Checks
There is a fee of $30.00, for any checks returned by the bank. This includes patient canceled checks and non-sufficient funds.
Self Pay Patients
It is the policy of MWH that self pay patients are expected to pay in full at the time of service. We define the self pay patient to include:
- Those without any health insurance
- Unable to present a valid member identification card from your health insurance carrier at your visit.
- MWH is unable to verify you have active coverage
For above defined self-pay patients, the following policies apply:
- We require a Pre-service Deposit of $200.00 on the date of service and you will be expected to pay any remaining amount within 30 days of your statement.
- We will provide a 20% courtesy adjustment on provided services.
- Obstetrics patients will be expected to sign a full patient financial responsibility agreement and payments will be expected to be made at every visit – with the account being paid in full prior to the delivery.
