Altos Pediatric Associates | Financial Policy

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Welcome to our office. In an effort to make you and your family feel comfortable here, questions regarding our financial policy are answered below. If, after reading this policy you still have questions, please feel free to contact our billing department.

Altos Pediatric Associates has contracts with all the major PPO's such as Aetna, Blue Cross, Blue Shield, Cigna, Great West, Guardian, Health Net, Principal Mutual, United HealthCare, etc., to name a few.

We are NOT contracted with any Health Maintenance Organizations (HMO's) or Medi-Cal.

Our office bills most insurance companies for our patients. However, payment of insurance co-pays, deductible, and any non-covered services are due at the time of your visit.

Our after hours advice nurse provider charges for each after hours phone call. We will therefore be charging $15 for each after hours phone call that goes to the After Hours Advice line. You are responsible for paying these charges in full; this fee will not be billed to your insurance company.

Managed health care plans (PPO's, HMO's, EPO's, etc.) are becoming the insurance plans of choice by employers. You probably have one of these plans. Your individual plan is an agreement between you and your insurance company. It is necessary for you to know the specific details of your own plan. It is your responsibility to know your well care benefit limits before scheduling appointments for physicals. It is especially important for you to notify us if there are restrictions on referrals to specialists and outside facilities, including labs, for services. You may be liable for full fees from those outside providers if they are not contracted with your plan.

Please notify us immediately of any change in your address, phone number, or insurance coverage. We must have current information in our files. You may be asked to fill out an updated registration form from time to time. Please bring your insurance card with you to each visit. Until we receive a copy of your insurance card and verify coverage, your account will be considered a cash account and payment of services is due at the time of your visit.

For those families without insurance coverage, payment in full is expected at the time of your visit. For your convenience, we accept cash, personal checks, Visa, MasterCard, Discover Card, and American Express.

We hope this policy helps clarify your questions. If you are unsure about the rules governing your insurance plan, please contact your benefit office or insurance company directly.

You may call and speak to our billing office at any time regarding your account.