OFFICE POLICIES

Financial Policy

Pediatric Associates is committed to providing you with the best possible care and will be pleased to discuss our professional fees with you at any time. Your clear understanding of our financial policy is important to our professional relationship. Please ask if you have any questions regarding our fees, financial policy or your responsibility.

Preventive Care Appointments

Our office follows the American Academy of Pediatrics guidelines, which requires all patients to receive annual preventive care visits and required immunizations. In these visits, the physician does a complete health examination. If wellness visits are reluctant to be scheduled or kept, this will result in the child and all siblings to be discharged from our practice.

Canceled Appointments

As we do understand emergencies arise, please be courteous and cancel or reschedule your appointment at least 24 hours in advance. If you have an appointment that is “no call no show” you will be charged a $50.00 office fee. No insurance plan reimburses this charge and patient will be responsible in full.
Three or more missed appointments without notice will result in a discharge from the practice.

After Hours Phone Calls

There will be a $20.00 after hours phone consultation fee for all calls made to the doctor or nurse after normal business hours. Insurance plans do not reimburse this charge and patient will be responsible in full. This option is intended for emergency purposes and we are happy to provide this service during evenings and weekends. Anytime after regular office hours, you may leave a message for the office staff to return your call at (352) 369-8700 or you may reach the On-Call Physician or Nurse at (352) 369-8700 and press 2 (following our voicemail instructions)

Medicaid

It is the policy of this practice NOT to accept Medicaid, except in those cases where Medicare is the primary payor and for On Call services only. Pediatric Associates does adhere to the Florida Medicaid Agreement and title 42 code of the federal regulation 447.20 and civil rights act of 1964.

Fees for service

Fees for services provided are due at time of service.

Self pay

Payment in full is expected at the time of service.

Insurance

This practice participates with most insurance companies and will file a claim with your insurance carrier. You are expected to pay any deductibles, co-pays or percentages as required by your policy at the time of service. It is your responsibility to verify that Pediatric Associates participates with your insurance carrier.
If unable to verify coverage, you are expected to pay in full at the time of service and we will provide you with the necessary receipt to file a claim to get your reimbursement.

Insurance denials

If a claim is denied due to insufficient patient information or updated patient information required from you, the balance of the claim will be the patient’s responsibility to pay, as well as, to contact your insurance company to correct and give the necessary information.