More than medicine.
Chapel Hill Pediatrics and Adolescents want you to get the most out of your health insurance plan. One of the best ways to do so is to review your insurance plan carefully so that you have a clear understanding of your child’s health insurance benefits. This allows you to know what to expect cost wise, after Chapel Hill Pediatrics bills your insurance. Insurance plans vary widely in the amount they pay for office visits, laboratory tests, and procedures. Most insurance companies have a toll-free number on subscribers’ cards to help with coverage questions.
Insurance plans vary widely in the amount they pay for office visits, laboratory tests, and procedures. Most insurance companies have a toll-free number on subscribers’ cards for help with questions about coverage.
We participate with most insurance plans. Your insurance coverage and benefits are a contract between you and your insurance company. Each plan has different benefits for you as well as different financial obligations. Not all insurance policies cover all services. You are responsible for checking with your insurance company to determine covered benefits. We are required to file with your primary and secondary carrier only if we are in network. You are responsible for filing charges with any tertiary insurance carriers for reimbursement.
We contract with the following Insurance Companies for your convenience:
We also accept self-pay patients. We offer a 25% discount to self-pay patients when paid in full at the time of service.
If you have a health insurance plan in which we do not participate, we will consider you as a self-pay patient and payment in full will be expected at time of service.
Our office will contact insurance providers and cooperate with them to help you receive your maximum insurance benefits. We participate in most health insurance plans offered in the Chapel Hill area. If you have a health insurance plan in which we do not participate, we will provide you with a completed claim form so that you can file for your benefits.
Payment is expected at the time of service. This includes co-pays, deductibles, and balances.
Some insurance plans do not pay for preventive health care, including physical exams. If you discover that your insurance company has rejected a claim based on your coverage, we cannot change the coding of the service performed in order to get the claim paid, as this is considered fraud.
Families who must meet yearly deductibles will be required to pay $75.00 at the time of service. A claim will be generated to your insurance company so that this amount will be credited to your deductible.
In addition, we require a copy of your health savings account debit/credit card or a personal debit or credit card to remain on file in our office. Your card will be charged and a receipt generated once your insurance company sends us your explanation of benefits for the claim. If there has been an overpayment, we will issue you a refund to the original form of payment or issue a check.
Feel free to contact our office if you have further questions about our health insurance and billing policies! Current patients can also log in through our website by clicking “Make A Payment” on the home page.
For a more comprehensive overview of our practice’s payment policies, click on the link below to download a document with complete information on our billing and payment policies:
Feel free to contact our office if you have further questions about our health insurance and billing policies! Current patients can also log in using the fields on the patient portal to view outstanding account balances.
