Insurance, Co-Pays, Deductibles, Uninsured Patients & Separated/Divorced Families
Arundel Pediatrics has contracted and participates with the insurance companies listed. If you do not see your insurance plan below, do not hesitate to call the office and your insurance company for verification of particpation with your plan.
Please have your insurance card with you at the time of your visit. If we file your claim, you are responsible for your co-pay at the time of visit. If we are not a provider for your insurance, if you are not insured or we do not file with your insurance company, you will be responsible for the entire charge at the time of service.
**Please note that with all HMO plans, your child's physician at Arundel Pediatrics must be listed as the PCP (Primary Care Physician) on the card to receive services.**
AETNA HMO, PPO, QPOS
Alliance
Beech Street
Care First
Blue Cross / Blue Shield - MD, DC & Federal
Blue Choice
Maryland POS
Cigna
Coventry
Federal Employee Workmen's Comp
First Health/CCN
Great West
Healthnet / Tricare / Sierra (Champus)
Johns Hopkins (EHP)
Kaiser Permanente HMO SELECT ONLY (NO SIGNATURE Members, Signature members must go to a Kaiser Center)
MAMSI
MHIP
Multiplan
NCPPO
Optimum Choice
PHCS
United Health Care (National and Mid-Atlantic) (*No MCO)
Up and Up
Amerigroup
Maryland Physicians Care
MD Medical Assistance
Priority Partners
*Any services that are determined by your insurance company to be family responsibility (additional co-pays, co-insurance, deductible, etc.) or services considered not covered by your insurance company will be considered a patient balance.
*Any balances on a patients account will result in a monthly statement mailed to the guarantor detailing unpaid charges. If you are unclear of any charges incurred, please contact your insurance company for clarification of benefits.
*Please note that there is an additional charge for services provided outside of our regularly scheduled appointments. These include requests for visits after 5:00pm and Saturday visits. This charge will be billed to your insurance company however this may become your responsibility if the insurance company does not cover this charge.
LABORATORY TESTING/BILLING
Tests that are performed in our office are billed to the patients insurance company by the office staff.
All laboratory tests that are retrieved in the office but are sent to an outside laboratory will be accompanied with the patients insurance information for billing by the laboratory.
All laboratory tests that are requested by your provider and are performed at an outside laboratory are billed directly by the laboratory to your insurance.
Medical Assistance:*WE ARE CURRENTLY ACCEPTING NEW MEDICAL ASSISTANCE PATIENTS!!
We currently accept:
Amerigroup
Maryland Physicians Care
MD medical assistance
Priority Partners
* We are no longer accepting Americhoice (United MCO) or Helix, due to difficulties with these insurance companies credentialing our physicians.
Please make sure that the correct information is on your insurance card - your physicians name, correct phone and address - as our doctors were previously at other addresses, and occasionally that information has to be updated.
Please contact your insurance to make sure that we carry your specific insurance plan prior to your first visit.
Self-Pay/Uninusred Patients Policy:For any patient without current active insurance, non-participating insurance plan or a lapse in coverage, we are happy to see your child for a visit according to the fee schedule listed below. Also, we are happy to provide you with a detailed billing summary for submission to your insurance company if non-participation or lapse in coverage has deemed your child/ren a self-pay patient on the date of service.
SICK VISITS: $100* on date of visit
WELL VISITS & CONSULTATIONS $150* on date of visit
*IF THE VISIT EXCEEDS THE AMOUNT PAID ON THE DATE OF THE VISIT, AND/OR MORE EXTENSIVE SERVICES ARE PROVIDED, YOU MAY/WILL BE BILLED FOR THE ADDITIONAL BALANCE ON THE ACCOUNT. THE PATIENT IS RESPONSIBLE FOR ALL REMAINING BALANCES.
Please keep in mind that even though we charge a set amount for a Self-Pay Sick Visit, Well Visit or Consult on the date of the visit, this amount may not satisfy the balance for visit and services rendered on the date of service.
We have a set amount as we are aware that for self-pay patients, it is much easier to plan for a visit with a set initial cost in place and manage the remaining balance in a billed format.
SEPARATED/DIVORCED FAMILIES:For families that are separated or divorced and need care for their child/ren, the parent bringing the child to the office is authorizing treatment therefore this is who is responsible for payment on the date of service.
When the child/ren has a contracted insurance plan, the co-pay is due at the time services are rendered. Also, all charges deemed parent responsibility by the contracted insurance plan are due to Arundel Pediatrics by the parent presenting hte child for the date of service and authorizing treatment.
If there is a divorce decree requiring the other parent to pay a portion or all of the treatment costs incurred, it is the authorizing parent's responsibility to collect from the other parent. Arundel Pediatrics will not make special provisions or act as a mediator in collection of payment.
A copy of the claim can be given to the authorizing parent at each visit upon request.
Non-compliance with this policy may result in termination of care.
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