Fees and Insurance

We would be happy to discuss and explain our fee schedule with you. At the end of each visit you will receive an itemized statement for services rendered. To help keep our costs (and fees) down, it is necessary that all co-pays, deductibles, and charges for private pay patients be paid at the time of service. Additionally, you will need to present a current, valid insurance card at each visit for us to photocopy.

**For your convenience, you may now e-mail our business office at billing@cwpeds.com with billing questions. You will receive a response within 1 business day. Please include child’s name, birth date, account number, and a daytime telephone number.

We participate with the following insurance plans:
Aetna (all products), Direct Care America, Affordable,
First Health, Beech Street, Health star, Blue Cross/Blue Shield (all products), Humana, Bluegrass Family Health, Multiplan, CHA Health, Private Healthcare System (PHCS), Cigna, Underwriters, Commonwealth Administrators, United Healthcare, Cumberland Healthcare

*If you don’t see your insurance company listed here, please ask someone in our business office if we participate as we are always adding to our list.

A word about newborn charges . . . We have learned that many insurance companies do not pay for pediatrician’s newborn care. Our office will file all newborn claims after you provide us with the correct insurance information.
   
The new age of medical insurance coverage is more complex and can be frustrating at times for both physician’s offices and patients. Therefore, it is vital that you understand your insurance and its own individual requirements. As each employer writes its own coverage, each employee must understand how his or her insurance works. You should keep a current list of participating physicians also. You must add your baby to your insurance plan within 30 days, no exceptions.
     
It is essential that you understand the referral process for your coverage. Many insurance companies may require that you obtain a written or verbal referral from us before seeking help from a specialist. These referrals cannot be backdated. It is your responsibility to contact our office prior to scheduling a visit with a specialist. We may ask that you have your child evaluated in our office prior to referral if we have not previously evaluated the problem.

Regarding Laboratory Services . . . Each insurance company contracts with a lab to perform your outpatient laboratory services and these contracts often change from one calendar year to the next. Please be aware of the contract requirements of your insurance plan so that we can direct you to the appropriate lab or facility for these labs.
 
One final note about fees . . . If you are having difficulty making payments for medical services, please feel free to talk to our staff. Your child’s health is our most important consideration and arrangements can be worked out if there is a problem.