Insurance & Billing

Out-of-network, without the surprise bills.

Choosing an out-of-network surgeon shouldn't mean paying more, or worrying about a bill you didn't see coming. Here's exactly how we protect you.

You pay your in-network rate

Before your visit, we send a secure payment link for only what you'd owe an in-network surgeon, typically just your plan's copay. No penalty for choosing us.

No balance billing, ever

We will never send you a surprise bill for the difference between our fee and what insurance pays. Sorting that out is our job, not yours.

Surgery at your in-network facility

When surgery is needed, we operate at a facility that's in-network for you, so your facility and anesthesia costs stay at your in-network level.

How it works

Simple for you. We handle the rest.

1

Settle your share before your visit

Ahead of your appointment, we send a secure payment link for only what an in-network visit would cost you, usually your standard copay. You pay online before you arrive, then simply come in and get care, with nothing to handle at the front desk.

2

We bill your insurance directly

We file the claim and manage the paperwork with your insurer. You don't chase claims or get caught in the middle.

3

We pursue fair payment, not you

For surgical care, we work directly with your insurance company through negotiation or the independent arbitration process built to resolve these situations. That's strictly between us and the insurer.

4

Your costs stay transparent

We'll always talk through any expected costs before treatment or surgery, no guesswork, no surprises after the fact.

Why we practice this way

Money should not stand between you and excellent care.

Dr. Wichman built this practice to put patients first, with the time to listen, the freedom to recommend what's genuinely right for you, and a billing approach designed to remove financial fear from the equation. Being out-of-network lets us practice medicine on your terms, not a contract's.

Our commitment to you: you will never lose access to care with us over cost, and you will never receive a surprise balance bill. If money is ever a worry, tell us, we'll find a way forward.
Common questions

What patients ask us

Will I pay more because you're out-of-network?

In the vast majority of cases, no. Our policy is to collect only your in-network-equivalent share, typically your copay, up front, and to pursue the rest from your insurance company ourselves.

Do you ever balance bill?

No. We do not send patients surprise bills for the balance between our charge and what insurance pays. That's our commitment.

What if my plan has no out-of-network benefits (HMO or EPO)?

Some plans work differently. Please call us before your visit and we'll review your specific coverage and explain your options clearly, always before anything is scheduled.

Do you see Medicare patients?

Yes. Dr. Wichman is a non-participating Medicare provider, which simply means we can treat Medicare patients and still work with Medicare on your claim. Call us and we'll explain how your visit and any coinsurance work.

Do you accept Medicaid?

We're sorry, but we are not able to see patients whose coverage is Medicaid at this time. If Medicaid is your insurance, please call us and we'll do our best to help point you in the right direction.

Will surgery cost me more out-of-network?

We perform surgery at facilities that are in-network for you, so hospital and anesthesia costs are billed at your in-network rate. For our surgical fee, we work directly with your insurer, that part doesn't fall to you.

Have questions about your specific plan?

We'll give you a straight answer, before you ever step in the door.

This page describes our general billing philosophy and is not a guarantee of coverage or payment. Benefits vary by plan and situation. Please contact our office to confirm the details for your specific insurance. Wichman Orthopedics and Wellness is the trade name of Wisconsin Center for Orthopedics and Wellness, S.C.