Billing & Insurance
Health care insurance is intended to cover some, but not all, of the cost of your child's medical treatment. Please familiarize yourself with your specific policy by contacting your benefits office or by calling the phone number listed on your insurance identification card. You should be aware of any deductibles, coinsurance and copayments, as well as, non-covered services.
You will be asked at each visit if your insurance is still the same. We ask this question to keep our records as accurate as possible, and also to properly file to your insurance company for payment of the services we provide to your child. All patients receive the same medical treatment in our office regardless of insurance coverage. However, there are some administrative procedures that must be altered for certain managed care plans.
Participating health plans change contracts frequently. Please check with our business office if you are changing health plans. As of 9/1/2010, we participate with the following listed insurance plans. However, since contracts frequently change, it is important to call and verify that we still participate.
FPA participates with:
- Net PPO/Mamsi Life & Health
- BCBS PPO
- Coventry/Southern Health
- First Health
- Great West
- Humana PPO
- One Health
- United PPO
FPA does NOT participates with:
- Anthem Healthkeepers
- BCBS Care First: Open Access OR Blue Choice
- Beech Street
- Care First
- Mamsova/MDIPA/ Optimum Choice
- United HMO/EPO
We will file insurance claims for those patients with insurance plans in which we participate. If we do not participate with your insurance company and in the case of hospitalization, you will be provided with a statement of the charges for services provided to your child in the hospital by our physicians. This statement will satisfy the "Physician/Supplier" section of the insurance claim form, which you are responsible for filing to receive reimbursement from your insurance company. The insurance company will usually respond to your request for reimbursement within 30 to 45 days. If you do NOT hear from them within this time, please contact them to determine the delay. You will continue to receive a monthly statement from us until the account, which is your responsibility, is paid in full.
Payment for all copays and non-covered services is expected at each visit to our office. Payment may be made by cash, personal check, Visa or MasterCard.