MK Orthopaedics

About MK Orthopaedics

MK Orthopaedics Surgery & Rehabilitation, Sports Medical Institute, is a full-service rehabilitation practice. We emphasize on sports-related injuries, but also include trauma, adult and pediatric fractures, foot, hand, and spine conditions, and treatment of injuries resulting from workplace, occupational and everyday accidents.

Mission Statement

We strive for excellence in a compassionate, caring efficient environment achieved through mutual respect and communication.

We provide the highest level of orthopaedic and rehabilitative care. Our surgeons specialize in the diagnosis and treatment of diseases and injuries of bones, muscles, tendons, nerves and ligaments. We treat injuries of the knees and shoulders, back and neck injuries, sprains, fractures, wrist, hand and foot ailments and pain resulting from injury, and we can help with pain management.

For more information please visit our website, or call us at (815) 741-6900.

1. How do I know if MK Orthopaedics contracts with my health plan?

To receive full insurance benefits, some insurance providers require patients to receive services with “in-network” or “participating provider” hospitals and physicians. Call your insurance carrier to make sure MK Orthopaedics is in your network.

2. How much is my visit going to cost?

It can be hard to know ahead of time exactly how much you'll be charged for a visit. Charges are based on such things as time spent with the clinician, services ordered, diagnoses associated with those services, and supplies that are used.

3. How will I know how much I owe?

Your health plan may require a co-payment or deductible that will be due during appointment

Following your healthcare services, your insurance provider will send you an Explanation of Benefits (EOB), which will detail the amount it has paid, any non-covered or denied amounts, and the remaining balance that you are responsible for paying.

Review this EOB, compare it to your MK Orthopaedics billing statement, and call your insurance provider or a billing representative from MK Orthopaedics @ 815-741-1879 if you have questions or concerns

4. How much is my deductible and coinsurance?

Your deductible and coinsurance amounts are determined by the insurance plan in which you are enrolled. This information should be included in your insurance benefits handbook. If you cannot find this information or have other questions, contact your insurance carrier.

5. Why do I still owe a balance if my insurance company has paid?

Based on your insurance plan, you may be responsible for deductibles, copays and co-insurance for fees not covered by your insurance company.

6. Why aren't all services covered by my insurance company?

Under any plan, there may be services that are not covered because the insurance company may consider them routine or unnecessary. If you disagree with the decision, you should contact your insurance company for more information. 

7. What does “adjustment” mean?

“Adjustment” refers to the portion of your bill that your hospital or doctor has agreed not to charge you.

8. Does MK Orthopaedics bill secondary insurances?

Yes, we will help you to receive full benefits from your insurance provider. You will be asked to provide complete insurance information upon registration. Be sure you have a copy of your insurance cards at that time. As a service to you, we will submit secondary claims along with required EOBs to your insurance provider. However, if your insurance provider doesn't make payment within 60 days, we will ask you to pay the amount owed.

9. Why do I have to give my insurance information every time I visit MK Orthopaedics

We ask for your insurance information every time you visit to ensure that our records are accurate and up to date. Patients and/or employers change insurance carriers with great frequency. To process your bill quickly and accurately, we ask you for your insurance information on every visit. This gives us the opportunity to verify your insurance coverage and benefits

10. Can I make payment arrangements?

To make payment arrangements, call the Billing office @ 815-741-1879 and one of our Billing representatives will work with you

11. What if my insurance coverage changes?

You should bring your current insurance card to your next visit. You should also contact our billing office to provide updated information.

12. I have an upcoming service/surgery and I have health insurance coverage, what steps should I take?

Become familiar with your insurance plan:

• Patient Check List:
  • Verify your insurance benefits.  Will you have a co-pay/deductible or will there be co-insurance obligations?
  • Verify with your insurance plan if a referral and/or authorization will be required for your service.
  • Verify with your insurance plan if provider is in-network or out-of-network and how the benefits will vary.

13. Which methods can I use to pay my bill (check, cash or credit card)? 
MK Orthopaedics accepts payments made by cash, check, money order, or credit card.  We accept Visa, MasterCard, American Express and Discover Cards.

14. Who should I contact if I have an insurance-related problem? 

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Please contact your insurance company with any insurance related concerns. 

15. How will I know if my insurance company has paid my bill? 

You should receive an Explanation of Benefits (EOB) from your insurance carrier outlining how your claim was handled, including amount of payment, patient responsibility and/or denials. If there is a balance due from you, we will mail you a statement

16. Why wasn't my last payment reflected on this statement?  

When a payment clears that date of service in full, there is no subsequent billing of a zero balance statement for that date of service. 

17. What does the disallowed on my statement mean?

Disallowed is and adjustment, this is the amount represented on your EOB as an adjustment. Neither the patient nor the insurance company is responsible for this amount

18. Why am I being billed for surgery when I didn’t have surgery at the provider’s office?

Insurance companies and providers use a coding system known as CPT(Current Procedural Terminology). These codes used describe the services we did for you are found in the surgery section of the CPT Book. 

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