Schedule an Appointment: 262-241-8100

Schedule an Appointment:

Mequon Clinical Associates

Financial Policy

Mequon Clinical is proud to be on over 25 insurance panels, thus giving a majority of those in our community an opportunity to benefit from the services we offer. Aside from our dedication to providing comprehensive and compassionate therapeutic options for you or your family, we also remain sensitive to the fiscal realities that many are working through. As a result our rates were determined with this in mind and remain competitive with other clinics across southeastern Wisconsin. Our rates vary depending on provider and service type. We are available to answer any quesitons you may have regarding the rates for our host of services. Please feel free to give us a call at 262.241.7778 and we’ll do our part to give you the answer you need.

Miscellaneous Charges
There may be fees for other services, including telephone therapy sessions, consultations with schools or medical personnel, preparation of reports for legal cases, extensive copying of records and charts. Please consult your therapist with questions regarding services and fees.

Health Insurance
Services may be covered in full or in part by your health insurance or employee benefit plan. Please check your coverage carefully by asking the following questions:

– Do I have mental health insurance benefits?
– What is my deductible and has it been met?
– How many sessions per year does my health insurance cover?
– What is the coverage amount per therapy session?
– Is prior approval required by your insurance company?

The client’s health insurance is a contract between the client and insurance company, and is a vehicle to help pay for medical care. As a service to you, we will call your insurance company prior to your first visit in an attempt to determine your benefits (if you provide us with the information before you come in). Please keep in mind that insurance companies DO NOT guarantee payment for services over the phone, and you are ultimately responsible for any expenses incurred if your insurance does not pay what you expected they would. It is in your best interest to be aware of your outpatient mental health benefits before you attend your first appointment. We will submit your claims to your insurance company if you provide us with current insurance information. Depending on your insurance company, our fees may or may not be considered usual and customary. Insurance companies use many different equations to form a fee schedule.

Clinic policy requires that all anticipated co-pays and visit fees be collected at time of service. These payments may be applied against any unmet deductibles. If your insurance company pays more than anticipated, your account will be credited. We accept cash (exact amount appreciated), personal checks, and credit cards (Visa, Mastercard, Novus/Discover). Please be prepared to make payment at the time of your visit. If you have questions regarding clinic fees, please contact our office staff.

Non-Sufficient Funds / Returned Checks
The clinic charges a $30 fee to you for any check returned by your bank, which is payable before or at time of your next scheduled visit.

Cancellation Policy
Clinic policy requires 24 hours notice for cancellation of any appointments. You can call our office staff to cancel or you can, after hours or on weekends, leave a message in the clinic voicemail system; our voicemail is time stamped. If cancellation is not received on time, a “reserved time fee” will be added to your account, payment of which is due on or before your next visit. Additionally, if you fail to show for a scheduled appointment, the same charge applies.

Failure to Pay
Our staff of mental health clinicians and office support professionals provide confidential, compassionate and effective care to our clients. We adhere to the highest standards of ethical practice and serve your needs in good faith. In order to continue our services to you and other members of our community, we expect payment for services rendered in a prompt manner. If extenuating circumstances arise, please consult with our office staff regarding an acceptable payment arrangement. Failure to do so may result in the need to curtail further sessions until the financial situation is resolved.

If it becomes apparent that a client does not intend to satisfy his/her financial responsibility, a collection agency or attorney may be contacted to pursue collection of the account. If a fee is charged to MCA for collection agency services, it will be charged to the client’s delinquent account.

If you have questions call (262) 241-7778 or (262) 241-8100 for further information.

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