Why is our cash based services superior to the traditional care model?

Traditional outpatient therapy clinics often book 3-4 patients per hour. This is to account for rising overhead costs and decreasing reimbursement from the insurance companies. Unfortunately, this translates to generic treatment sessions with intermittent supervision from a therapist. Additionally, many commercial insurance policies require a significant copay per visit.

By offering cash-based services, we are able to offer a transparent per visit rate. At a typical outpatient clinic, a patient may be booked for 3 times a week. The average outpatient clinic bills insurance approximately $250 per visit. This cost would then be passed down to the patient until the plan’s deductible is met. With one-on-one care, Wayne Rehab can provide superior care fewer visits per week and save you money.

Do you accept Medicare?

Wayne Rehab is a Medicare contracted provider. Cash prices do not apply to traditional Medicare beneficiaries because Medicare sets the pricing. Traditional Medicare with a secondary or supplemental plan will often cover 100% of treatment costs.

Do you accept Medicare Advantage?

Medicare Advantage plans that offer out-of-network benefits will be billed on the patient’s behalf. Managed care plans and Medicare Advantage plans without out-of-network benefits will be charged the full cash rate.

What about other commercial insurance policies?

Wayne Rehab is a cash-based clinic and is not affiliated with any commercial insurance policies. Payment in full is required at the time of service (excluding traditional Medicare beneficiaries).

What forms of payment do you accept?

We accept cash, check, credit, and HSA/FSA.

Can I submit claims to my insurance provider?

Yes. You may still be eligible for reimbursement depending on your specific out-of-network coverage. A superbill will be generated at your request in order to self submit claims.

Do I need a referral from a physician?

No, with exceptions for Medicare beneficiaries. In the state of Indiana, a patient can be seen for 42 days without the referral from an MD, DO, or NP. Medicare conditions of participation do require that Medicare beneficiaries obtain a referral from an MD.

Do I need to be homebound in order to receive services?

No. Wayne Rehab is an outpatient therapy provider. Homebound status as required by traditional Home Health Agencies does not apply.

How are you different than a Home Health Agency?

Wayne Rehab is an outpatient therapy provider which provides treatments outside a traditional brick and mortar building. A traditional Home Health Agency is considered an inpatient provider which offers skilled nursing in addition to rehab services. In order to be eligible for services offered by a Home Health Agency, a patient must be considered homebound, but Wayne Rehab has no such restriction. Additionally, therapy services are often limited by Home Health Agencies due to declining reimbursement from insurance companies but Wayne Rehab’s unique payment structure allows for extended services to promote more efficient healing and rehabilitation.