Insurance and Billing
Dr. Vrchota has no contracts with Insurance
companies. Those with private insurance may or may not be able to
obtain re-imbursement from their insurance companies.
She has anticipated that the insurance programs
would not be able to re-imburse her for the time needed for
individualizing an Integrative Healing Plan. She does not want to trim
her program down because many people have been helped by this approach,
and cutting the program into smaller and more frequent visits is
inconvenient for patients traveling a distance for her services.
Fee for service will be due at time of visit unless prior arrangements have been made.
Call for fees.
Doctor Vrchota is in the process of "Opting Out" of Medicare.
Once that process is complete, on July 1, 2004, she will be able to
enter into a private contract with Medicare patients who wish to waive
their rights for Medicare re-imbursement of that visit . Medicare
patients must know they can go to other providers who will provide
health care under their insurance. If a Medicare recipient enters into
a private contract, then they agree to pay fee for service, and they may not submit their bill to Medicare for re-imbursement. Call if you want information sent to you about entering into a private contract.
Dr. Vrchota has not yet entered into any Medicare Contract with
Integrative Health Care of Winona, so she cannot accept those with
Medicare, Medicaid, or Champus, nor any government insurance program.
Therefore, she cannot see patients with any government assisted
Fee for Service Practice, all balances are due
and payable at time of service. We will provide you with a receipt and
billing codes that you may submit to your insurance compnay. We do not
submit claims to any insurance company. Your insurance may or may not
cover any or all of the fees for services at Integrative Health Care of
Winona, PA (IHC of Winona). Medicare Patients: In order to provide you
with the care that you came to Integrative Health Care of Winona, PA to
receive, and because of medicare reimbursement and penalty policies,
Dr. Karen Vrchota and Integrative Health Care of Winona, PA choose not
to bill medicare for any of its services. Dr. Vrchota is in the process
of "Opting out" of medicare, and anticipates this process will be in
effect March 25th of 2004, and will become legally binding July 1st.
2004. Because of this decision, IHC of Winona is not eligible to
receive any form of reimbursement from Medicare or from any
organization that receives Medicare payments. Medicare has not excluded
IHC of Winona from participation in any of its programs. After July
1st, 2004, Medicare recipients may enter into a private contract in
which Medicare recipients waive the right of reimbursement from
Medicare, and agree to pay fee for service. You have the right to seek
and receive services being provided by IHC of Winona by another
provider who does accept Medicare, and you are not compelled to sign
agreements for these services from providers who have opted out of the
Medicare program. Due to the Opt-out process being filed, IHC of Winona
has not applied for or been accepted by any Medicare, Mediciaid, or
Champus agencies. Therefore, we are unable to accept patients with
Medicare or Medicaid, or Champus.