We are open Monday thru Friday from 8:30 a.m. to 5:00 p.m. by appointment.In
case of an emergency after regular office hours, please call our office and leave
a message for the practitioner who is on call.Your phone call will be returned
as soon as possible.
You or your loved one will be treated by a knowledgeable and skilled
practitioner. We will do our utmost to provide caring, personable service. At
the same time, we pay attention to detail in order to assure that our product
and service meet your needs.
EVALUATIONS
Evaluation visits, limited to 60 minutes, are at no charge providing
you have been referred by your physician. Following the evaluation
to determine the most appropriate device for your needs, your practitioner
will provide you with a written estimate of the cost. Our office staff will
contact your insurance company to determine coverage and benefits available
for you. A mold and/or measurements may be taken for the purposes of providing
the device. Some devices can be fit and provided to you at this time, while
other devices may require several appointments to insure the best outcome.
Our office does not accept assignment or bill for any type of auto
accident coverages. In these cases, you will be responsible for all charges from
our office with payment due at the time of service. We will be happy to provide
you with all of the necessary documentation for you to submit to your insurance
company for reimbursement.
CHAMPUS: You will be responsible for 20-25% of the total projected
cost as well as any annual deductible which has not been met. Prior authorization
may be required and all Champus forms must be completed and signed by
the Member before any work may begin.
GROUP HEALTH COOPERATIVE: A Group Health referral authorization
form must be received by our office confirming that the prescribed device
will be covered by GHC. This referral must be completed by your physician
before the appointment with our office. Please note that many prosthetic
and orthotic devices are fully covered by GHC if you have your Medicare
coverage locked-in with GHC as well. Otherwise, your GHC policy may require
a substantial copayment or possibly full payment for your device.
LABOR AND INDUSTRIES: (State Industrial Workman¹s Compensation):
Prior authorization must be obtained from the Case Manager in Olympia
before any work may begin. Please supply our office with the claim number,
the date of the injury, and your employer at the time of the injury.
MEDICAID (DSHS MEDICAL COUPONS): You must provide our office
with a signed coupon for the current month when you are first seen in
our office as well as one for EACH month when you come in. We will be
unable to see you unless you have your coupon. Prior authorization is
required for many items and this must be obtained before any work may
begin.
MEDICARE: We do accept Medicare assignment for covered items.
Your co-payment of 20% as well as any portion of your annual deductible
which has not been met will be required as a down payment. We will also,
as a courtesy, bill your secondary insurance company for you. Any payment
which they make will be sent directly to you.
MEDICARE/MEDICAID COMBINED: Prior authorization may not be required
for all devices. A signed DSHS coupon must be provided to our office
for the current month when you are seen as well as one for EACH month
when you come in. We will be unable to see you unless you have your coupon.
PRIVATE INSURANCE: -Including Preferred Provider Organizations
(PPO) and Health Maintenance Organizations (HMO): Prior telephone or
written authorization may be required from your individual insurance
company before any work may begin. Your co-payment as well as any annual
deductible which has not been met is required as down payment. Our office,
as a courtesy, will submit the billing to your insurance for you as long
as you provide us with
all of the necessary information. We can also bill your secondary insurance
for you, but any payment which they make will be sent directly to you.
SELF PAY (NO INSURANCE COVERAGE): 50% of the total projected
cost is due as a down payment before any work is started. The unpaid
balance is then due at the appointment when you receive the completed
device.
VETERAN'S ADMINISTRATION: Prior authorization is required before
any work may be started.
Please provide the receptionist with the prescription from your physician
and your insurance cards or DSHS coupon.
CPO will provide continued fitting adjustments until such time
as you, the patient, is properly fit and reasonable comfort of the orthosis or
prosthesis is achieved. This will be at no additional cost to you for a period
of 90 days unless physical changes have occurred.
WORKMANSHIP on any device which is custom made by CPO (exclusive
of other suppliers' components) is warranted to be satisfactory and without
defect for 12 months of normal use.
BREAKAGE AND WEAR of components or of your prefabricated device
is covered under suppliers' warranties which vary in duration. The cost
of labor for replacement of any components which break or wear out during
normal use will be absorbed by CPO if the component or device itself
is still under the manufacturer's warranty
REPAIRS AND ADJUSTMENTS - If your prosthesis or orthosis requires
repairs or adjustments beyond the warranty periods which are mentioned
above, an hourly rate will be charged for our services. |
