Billing & Insurance

Payment Options

Payments can be made over the phone by calling us at 920-750-7000. You can also make a secure payment anytime, anywhere using one of these options:

 Financial Assistance

  • Payment Plans: Interested in setting up a payment plan for your account balance? Please reach out to us at 920-750-7000 to see if you are eligible for a plan that would be tailored to you.
  • Catalpa Cares, Financial Assistance Program: Catalpa Cares is a financial assistance program available to patients who are unable to pay for medical care. Through the Catalpa Cares program, we will cover part of your medical care costs and/or help you make payment arrangements to cover the rest of your costs. For information about eligibility or to apply, please call our office at 920-750-7000.

Insurance

We believe every family should have access to quality care. Catalpa Health contracts with most major health insurers. Before you start services with us, it’s important to understand the health insurance coverage you have. Call the number on the back of your insurance card to verify if Catalpa Health’s in-network status, along with mental health benefits and telehealth coverage.

Excluded insurances:

Catalpa does not have contracts with the insurances below and therefore cannot provide services. Please call the number on the back of your health insurance card and request a provider that is contracted. Note, this is not exhaustive, you should always contact your health insurance to confirm you will be receiving services from a network provider. Excluded: Agnesian, Aurora, Beacon/Value Options, Community Connect, CompPsych, Dean Health, Group Health, Co-Op Medicaid, Lakeland Care, Magellan, Meritain, Prevea 360, Quartz Medicaid, Unity Medicaid

To update your insurance with Catalpa, click here or call our Insurance Verification Team at 920-750-7075.

Employee Assistance Program (EAP)

Some employers offer an Employee Assistance Program (EAP) which may cover the costs of some visits. After working with your HR department, contact our Insurance Verification Team at 920-750-7075 to have the EAP authorization applied. Please note that once the EAP authorization has expired, Catalpa will bill the insurances on file. It is your responsibility to notify Catalpa Health of insurance coverages and/or additional authorizations. If we do not have insurance information, or if there is no active insurance, all future visits will be billed as Self-Pay.

Billing Questions

Please do not hesitate to call us at 920-750-7000 regarding your bill. We are happy to explain the information on your bill and answer your questions.

Catalpa’s Financial Policy is found here.

No Surprises Act Billing (NSA) and Good Faith Estimates (GFE):

When you get emergency care or are treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from balance billing. In these cases, you shouldn’t be charged more than your plan’s copayments, coinsurance and/or deductible. Please click here to find out more information about your rights and protections against surprise medical bills.

As of 01/01/2022, health care facilities are required by law to give uninsured and self-pay clients a Good Faith Estimate (GFE) of costs for services when scheduling care or when a patient requests an estimate. The good faith estimate isn’t a bill. When an uninsured (or self-pay) individual is billed for items or services where the total billed charges for a provider or facility are $400 or more above the total expected charges in the good faith estimate, they may request to dispute the amount. To read more about Good Faith Estimates, click here.

Conozca sus derechos contra las facturas médicas sorpresa