Insurance

Please print and fill out all of the following forms prior to visiting us.

• Acknowledgement Privacy Practice
• Authorization for Release of Medical Records
• Medically Informed Consent
• Intake Questionnaire
• Patient Information Sheet
• Paying for your Therapy
• Privacy Policy Statement
• Vocational Rehab Form
• Women's Health Intake Questionnaire

Acrobat Reader 4.0 or higher is required to open the above forms. To download and get help using the Adobe Acrobat Reader, please go to: http://www.adobe.com/products/acrobat/readstep.html

Prairie Rehabilitation Services is a Participating Provider in the following networks and programs:

• Accountable Health Plans (formerly Plaines Health Networks)
• Aetna U.S. Healthcare
• Allina/Medica/SelectCare
• America's PPO (formerly The Araz Group)
• Avera Health Plans (MN location only)
• Blue Cross Blue Shield of Minnesota and affiliates
• Corvel
• Dakotacare
• First Choice of the Midwest
• Medicaid (South Dakota and Minnesota, including PMAP programs)
• Medicare (South Dakota and Minnesota)
• Midland's Choice (Sioux Valley Health Plans)
• Mutual of Omaha (through TLC Advantage)
• Patient Choice Health Care (formerly Choice Plus)
• Preferred One
• Prime West Health Systems
• Pro-Net
• Sioux Valley Health Plans
• Sioux Valley Select
• TLC Advantage
• Tricare/Champus
• TriWest
• Wellmark Blue Cross Blue Shield of South Dakota and affiliates

We regularly evaluate our network participation and respond to the requests of patients and referring physicians. Please contact Melanie Wagner at (605) 334-5630 or mwagner@prairierehab.com if your insurance company's PPO is not listed here.