Insurance

Please contact our friendly billing representative with any questions that you might have at 708-489-6777. Our staff will give you a thorough explanation of the billing process and any other information you may need.

Pro-Rehab Services will contact your insurance provider to verify therapy benefits prior to your initial evaluation. At this time we will notify you of co-pays and unmet deductibles. Keep in mind this is a verification of benefits, not a guarantee of payment. Therefore the patient may be responsible for a portion of the services received from Pro-Rehab Services.

Pro-Rehab Services is a Medicare Certified Out-Patient Rehab Facility (ORF). As such, we are a contracted provider with several major insurance networks.

In addition, we are a participating provider for the following list of insurance companies/networks. However, this list is not exhaustive and we enter into contractual relationships with insurance companies on a regular basis. Our front desk staff has a full list of insurance companies we participate with. We will advise you if we are not a participating provider with your insurance company as it may affect the reimbursement rate for services rendered.

The most common insurance networks we participate with are:

• Medicare
• Blue Cross Blue Shield Network
• Private Health Care System (PHCS)
• United Health Care (UHC)/Optum Health Care Network/ACN
• Humana
• Aetna
• Med Risk Management
• CCN/First Health
• Corvel
• HFN
• Galaxy Health Network
• Great West
• Concentra Network Services (CNS)
• Universal Smart Comp
• Beech Street/Multiplan
• PPO Next/Preferred Health/Healthstar

Pro-Rehab Services is contracted with several major insurance carriers and worker compensation companies. As part of the verification process, you will be informed of your benefits prior to your first therapy session.

We are a provider of

• Medicare
• Blue Cross Blue Shield
• PHCS
• Med Risk Management
• and many others

Please contact our billing department to ascertain if we accept your particular insurance.

Your outpatient therapy services are covered under Medicare Part B benefits. It pays for 80% of covered expenses based on its Physician Fee Schedule after you meet the $100 annual deductible. The remaining 20% is your responsibility and is covered partially or fully by your secondary insurance carrier if you have purchased such coverage.

Our acceptance of assignment from Medicare means that we will accept Medicare’s approved fee schedule and you or your supplementary insurance company will have to pay only the remaining 20% as directed by Medicare EOB. Our billing department will be able to explain any questions you may have on billing issues.

For commercial insurance plans, you are responsible for any deductible, co-pays or coinsurance amounts. Your Explanation of Benefits (EOB) will indicate your portion of the bill. The difference between the billed amount and the approved amount for a participating insurance company will be a contractual write-off. You are responsible for any procedures excluded from your policy as well. Co-pays are expected at the time of each visit.

Treatment plans vary in cost based on the diagnosis and individual needs during the treatment process. At Pro-Rehab Services, treatment plans are customized. Each patient’s costs will vary based on individual procedures necessary to return to optimal health.