Billing and Insurance
Taking Care of your Bill
We want you to have access to high-quality behavioral healthcare regardless of financial status or insurance coverage. If you have questions or concerns
about your bills, insurance or payments, please contact Patient Financial Services.
Patient Financial Services Contact Information
Attn: Patient Financial Services
34700 Valley Road
Oconomowoc, WI 53066
Frequently Asked Questions
Do these guidelines apply to any service locations?
Rogers Behavioral Health represents Rogers Behavioral Health System and its Rogers Memorial Hospital locations in Wisconsin and its Rogers Behavioral
Health specialized outpatient locations in Florida, Illinois, Minnesota and Tennessee. These financial assistance guidelines apply to care at any of these
Will my insurance policy cover my treatment?
Our admissions staff will help answer your insurance coverage questions during the admissions process. With your permission, an intake specialist will
request a benefits quote from your insurance provider. This quote is not a guarantee of coverage, as each insurance plan has varying restrictions for
benefit availability, service providers and medical necessity criteria.
We strongly recommend that you contact your insurance carrier to verify your benefit coverage prior to seeking treatment. Call the toll free number on your
insurance card to inquire about your coverage for behavioral healthcare, medical services and prescription drug coverage. It’s important to have a clear
understanding of your coverage and any restrictions.
Which health plans does Rogers accept?
Rogers is contracted with many national health plans, including most Aetna, Blue Cross and Blue Shield, Cigna, Humana and United plans. Rogers is also an
approved provider for Ontario and British Columbia’s Health Ministries. Some exclusions may apply. Please contact admissions at 800-767-4411 for the most
Medicare covers only inpatients services and coverage varies by age and health maintenance organization (HMO) enrollment. Medicaid coverage is dependent
upon age and levels of care (exclusions apply).
For uncontracted insurance plans, Rogers will attempt to obtain a single case agreement (SCA). A SCA is a contract with an out-of-network insurance
provider who has agreed to a specific one-time rate for your care.
Is a deposit required for admission?
Under certain circumstances, a deposit may be required. In most instances, your deposit will be equivalent to your remaining deductible, out-of-pocket,
and/or copay (whichever may apply). Unused portions of your deposit and/or additional prepayments will be refunded to you after the claim is processed by
your insurance provider(s).
Can I use a credit card for a deposit?
Yes. We accept Discover, MasterCard and Visa. We recommend calling your bank prior to admission to inform them of the upcoming charge.
Has my claim been sent to my insurance company?
We bill your insurance company within 45 days. Any bills you receive from us should reflect payments made by your insurance provider.
Insurance coverage requires adequate insurance information upon admission. If you did not initially provide insurance information to admissions, it has
been longer than 60 days since discharge and your insurance company does not have a record of the bill, contact Patient Financial Services.
Can I set up a payment plan for my balance?
Contact Patient Financial Services to apply for a payment plan.
I think my bill was already paid. Why am I still receiving a statement?
If you recently mailed your payment, your check and bill likely crossed in the mail. If you receive another statement, please contact Patient Financial
What if I need a copy of my bill or I do not understand my bill?
We would be happy to issue a duplicate bill and/or answer your billing questions. Please contact Patient Financial Services.
Will I receive one bill for the total cost of my care?
In many cases, you will receive more than one bill for separate charges from the hospital and your doctor, as well as additional lab, medication and
diagnostic fees from our third party partners.
Other Important Financial Information
Upon admission, Patient Financial Services will ask for your health insurance information, either in person or over-the-phone. Please have your medical
insurance card with you when admitting to Rogers or calling Patient Financial Services.
Pre-Authorization, Pre-Certifications and Out-of-Network Coverage
Your insurance coverage may vary based on your:
Pre-authorizations and pre-certifications:To provide coverage for your care, most insurance providers require authorization prior to admission. Even if your treatment at Rogers is entirely covered
and you have a quote of benefits for the program, your stay may not be covered unless authorization is obtained. This means you may be financially
responsible for your care
Upon arriving for admission, we will notify your insurance carrier of your admission to request authorization. The authorization process can take 30
minutes to 72 hours.
Instead of waiting for insurance authorization, you may sign an insurance status form stating you understand the authorization has not yet been obtained,
but wish to proceed with admission.
For authorization questions, contact Admissions at 800-767-4411.
In-network coverage:Admissions will communicate with your insurance provider to determine which services are covered under your policy. In many cases, you may contact your insurance company directly to verify coverage.
Out-of-network:Your insurance company may limit reimbursements using their parameters for cost of services, also known as UCRs (usual, customary and reasonable). Rogers’
service fees may differ from your insurance company’s defined UCRs. If so, you are responsible for the amount not covered.
You may contact your employer or insurance provider for questions about coverage. Although we may assist, it is ultimately your responsibility to verify
and understand the terms of your policy. This may require working directly with your insurer.
Patient Financial Services will file claims with your insurance provider on your behalf. You will need to fill out a release of information form upon
admission to allow us to do so.
If you are covered by more than one insurance plan, we will file claims with both companies. Once insurance plan will be your primary insurance and the
other will be your secondary insurance. In some cases, you may use Medicare in addition to your primary and/or secondary insurance plans.
For primary and secondary insurance claims:
- Patient Financial Services will file your primary and secondary insurance claims for you. Once your primary insurance provider has paid, we will send a
claim to your secondary insurance. To best help you, you will need to fill out a release of information form upon admission.
- Ultimately, it’s your responsibility to coordinate billing and payment information with your insurance provider(s).
For Medicare claims:
Patient Financial Services will file your Medicare Parts A and B supplemental insurance claims.
Medicare will send some claims to your supplemental insurance. You will need to notify Medicare if there are any changes in your supplemental insurance
Medicare will send payments directly to Patient Financial Services.
You will receive an explanation of Medicare benefits directly from Medicare.
If you received treatment from more than one program or provider, you may receive more than one bill. Even if you were treated within the same Rogers
hospital or clinic, you may receive separate bills from the hospital and doctor.
The payments you and your insurer make during the billing period are listed separately on your bill. The balance you still owe is also listed.
Types of bills you may receive:
Hospital and Physician bills:
Rogers will bill for both the facility and the physicians. For questions about a bill you received from us, please contact Patient Financial Services.
Wisconsin Diagnostic Laboratories or Millennium Labs bill:
Rogers uses third party diagnostic laboratories for our lab services. Lab fees are billed separately for residential, partial hospital and intensive
outpatient care. For questions regarding your lab bill, contact the billing department of the lab who sent you a bill: Wisconsin Diagnostic
Laboratory’s at 414-805-7656 or Millennium Labs at 877-451-7337.
Genoa Pharmacy Medication bill: Rogers uses a third party pharmacy for some medication services. Medication fees are billed separately for residential, partial hospital and
intensive outpatient care. For questions regarding your medication bill, contact Genoa Pharmacy’s customer service department at 888-436-6279.
Mobilex Diagnostic bill:
Rogers uses a third party diagnostic service for our radiology services. Diagnostic fees are be billed separately for residential, partial hospital and
intensive outpatient care. For questions regarding your radiology bill, contact Mobilex’s customer service department at 614-888-2226.
*Rogers enters service level agreements with all third party vendors to ensure they reflect our mission while interacting with our patients. If you have
been treated unfairly, please contact Patient Financial Services immediately. We will address concerns with our third party vendors on your behalf.
If you are concerned about out-of-pocket treatment costs, contact Patient Financial Services to:
Determine your eligibility for financial assistance
Discuss payment options
Develop a payment plan
If you do not have health insurance, contact Patient Financial Services to learn more about financial assistance provided by the following programs:
If applying for a Charity Care Grant, copies of the following forms must be submitted with your application (if applicable):
Proof of completion of medical assistance application process
Proof of household income (pay stubs for the past 90 days)
Three most recent bank statements from all banking or credit union institutions of the household
Two most recent tax returns, including all schedules of patient, spouse or any person who claims the patient as a tax dependent
Full disclosure of claims and/or income from personal injury and/or accident-related claims
Divorce decree stating child support or alimony received