RESOURCES

BEFORE YOUR VISIT

Please arrive 15-30 minutes prior to your evaluation in order to complete your intake paper work. You can download the paperwork below and fill it out at home to expedite the intake process. Please bring your insurance card, ID card, comfortable clothes, medication list, prescription from your doctor, and any test results that have been performed with your doctor or other health care practitioner. When you arrive, our office staff will review your benefits quoted from your insurance provider and collect any co-pay or coinsurance. During your first visit, your therapist will conduct an initial evaluation to assess your issue. Your initial evaluation may consist of discussing your medical history and current issues, objective testing and diagnostic testing followed by an initiation of a treatment plan, a home-exercise program and discussing your plan of care. A copy of your initial evaluation will be sent to your physician.  Please plan for one and a half hours for the initial evaluation.

BILLING

BILLING PROCEDURE:

At Balance Chicago, we accept all major insurance plans. As a courtesy, we will verify your insurance coverage and benefits. On your first visit, our Patient Liasion will go over your deductible, coinsurance and any co-payments you may have. Keep in mind that the benefits quoted to us by your insurance are an estimate and may differ based on insurance policies, so we encourage patients to be aware of all their physical therapy, chiropractic and acupuncture benefits. All visits will be sent to you insurance company in a timely manner, and you will then receive a detailed statement showing what the insurance has paid, and anything that may become patient responsibility. Please do not hesitate to contact our office at 773.525.5200 with any billing questions.

CARE CREDIT

Care Credit is a credit card for your health needs that lets you enjoy the benefits of living well today with special healthcare financing options so you can pay monthly. The Care Credit health care credit card helps make costly procedures and treatments more manageable with promotional financing options. Financing is subject to credit approval.

PHREESIA PORTAL

The leader in patient check-in, now offers online bill pay, a more secure and convenient way to pay your medical bills. Pay on the go without the hassle of writing and mailing a check. Credit and debit cards accepted, including HAS & FSA cards. The transaction is encrypted and processed on a secure server, and payments are instantly confirmed with an email receipt.


MAKE A PAYMENT

FORM LIBRARY

PATIENT PRESCRIPTIONS

To begin treatment our office will need a prescription from your physician. If you would like to schedule an initial evaluation please print this form and ask your physician to fill out the form. If you do not currently have a physician our office will be more than happy to recommend one for you.

CHIROPRACTIC INTAKE FORM

Download this form if you are coming into our office for chiropractic services.

PHYSICAL THERAPY INTAKE FORM

Download this form if you are coming into our office for vestibular or physical therapy treatment.

ACUPUNCTURE INTAKE FORM

Download this form if you are coming into our office for acupuncture services.

VESTIBULAR DISORDER QUESTIONNAIRE

download this form if you are coming into the office for vestibular therapy.

FAQ

What should I expect at the initial evaluation?

Please arrive 15-30 minutes prior to your evaluation in order to complete the intake paper work. You can download the paperwork from our website to make the process easier.  At that time, our office staff will review your benefits quoted from your insurance provider and collect any co-pay or co-insurance due. During your first visit, your therapist will conduct an initial evaluation to assess your current condition.  Your initial evaluation may consist of objective findings and diagnostic testing followed by an appropriate treatment plan, a home-exercise program, and discussing your plan of care. A copy of your Initial Evaluation will be sent to your physician.  Please plan for one and a half hours for the initial evaluation.

What should I wear to my initial evaluation?

Wear comfortable clothes that you can move around in (i.e. don’t wear high heels!) If you are coming for an orthopedic appointment, bring shorts and a t-shirt or tank top.

How often and how long will I be in therapy?

Unfortunately, we cannot predict your treatment frequency or length without a full examination of your medical history and a full assessment. Your plan of care will be discussed during your initial evaluation and may need to be amended during your therapy depending on your progress during therapy.

Will you be in contact with my physician during therapy?

We are in contact with your physician throughout your therapy. We send your physician a copy of the initial evaluation as well as a progress note every four weeks. Make sure to write down all of your physicians on your Patient Information Form (including any general practitioners, ENTs, neurologists) so that we can make sure to be in contact with all of your physicians.

What is Diagnostic Testing?

All vestibular testing completed during the initial evaluation and reevaluation are considered diagnostic testing. We have a variety of diagnostic tests available to correctly evaluate your vestibular problems (dizziness, vertigo, light-headedness, balance problems, loss of balance, etc.) Since these procedures fall in a diagnostic testing service category instead of physical therapy, your insurance benefits for them may be different from physical therapy. It is important for your physical therapist to perform these tests so that they can accurately diagnose your problem and create the best plan of care to ensure your recovery.

What happens if I am running late?

If you are running late, please call and let us know so that we can accommodate your schedule. We ask that you be on time to all appointments. However, we do understand that situations arrive where you may be late.

What is Balance Chicago's cancellation policy?

Please give us 24 hours notice if you need to cancel an appointment to avoid a $50 cancellation fee. If 24 hours notice is not given, the $50 cancellation fee will be collected at your next appointment.

What is a Physical Therapy Modality?

A variety of treatments that can help strengthen, relax, and heal muscles. They include hot packs, cold packs, ultrasound, TENS, and electric stimulation. Aetna insurance includes manual therapy, neuromuscular re-education, and therapeutic exercises as modalities.  Some insurance companies limit the number of modalities a patient can use per visit.

I have insurance. What do I have to pay?

As a courtesy we will verify your benefits with your insurance company. Your insurance company will provide us a quote of your financial responsibility. Please note that insurance quotes are not a guarantee of benefits or coverage. Your responsibility may include the following:

  • A Co-Pay, which is a small amount you have to pay to access medical care according to insurance contract. It might be a fixed amount.
  • A Co-Insurance, which is a percentage determined by insurance plans as patient responsibility once the insurance processes your claim.
  • An Insurance Deductible, which is the amount the insurer is required and obligated to pay before the insurance will pay their portion of co-insurance.
  • Medicare patients do not pay a co-pay. However, they may be responsible for a small portion of the bill and a small deductible at the beginning of the year.

What if I don’t have insurance?

We also offer out-of-pocket payment options. Please consult the front desk coordinator to discuss this option further.

What is a Co-Pay?

A small amount you have to pay to access medical care according to insurance contract. It might be a fixed amount.

What is a Co-Insurance Policy?

A percentage determined by insurance plans as patient responsibility once the insurance processes the claim.

What is an Insurance Deductible?

The amount the insurer is required and obligated to pay before the insurance will pay their portion of co-insurance.

  • Medicare patients do not pay a co-pay. However, they may be responsible for a small portion of the bill and a small deductible at the beginning of the year.

What is a Pre-Existing Condition?

A physical condition of an insured person which existed prior to the issuance of the policy.

What are Maximum Therapy Benefits?

The dollar amount or a number of visits that the insurance company as approved for therapy. Once the patient has reached this max the insurance company will no longer pay for treatment.

What is a Pre-Certification/ Prior Authorization?

The cost-containment technique which requires physicians to submit a treatment plan and an estimated bill prior to providing treatment. This allows the insurer to evaluate the appropriateness of the procedures and lets the insured and the physician know in advance which procedures are covered and at what rates benefits will be paid.