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Insurance and Billing

We want your experience at Northpointe Pediatrics to be as smooth as possible. Below is an overview of our accepted insurance plans, billing policies, and payment options. If you have questions about your coverage, please call our office with any questions.

Insurance Plans

Northpointe Pediatrics participates with many major insurance plans, including:

  • Aetna

  • Blue Cross Blue Shield

  • Blue Care Network

  • Blue Cross Complete

  • Priority Health

  • Priority Health Choice

  • Cigna

  • United Healthcare

  • Tricare

  • Medicaid (select plans)

  • Confinity / PPOM

  • Health Alliance Plan

  • SmartPlan

If your plan is not listed, please contact our office and we can help determine your coverage.

Insurance Verification

Insurance coverage can vary by plan. We recommend checking your benefits before your visit to avoid unexpected costs.

​Questions to ask your insurance provider:

  • Does my plan cover well visits and immunizations?

  • Are there limits or maximums per year?

  • What copays or deductibles apply?

  • Are there age limits for coverage?

Billing Information and Policies

Payments

  • Payment is due at the time of service

  • We accept Visa, MasterCard, and Discover

  • Payments can be made in person, by phone, or via Text2Pay (You may receive a secure text message with a link to pay)

 

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Statements

  • Monthly statements are sent at the beginning of each month

 

Fees & Policies

  • A $10 fee applies if copays are billed after the visit

  • Appointments must be canceled before 5pm the day prior to avoid a fee

  • Same-day cancellations or missed appointments will result in a no-show fee

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Late Policy

We ask that you arrive 5 minutes before your scheduled appointment time. We understand sometimes things happen beyond your control that may cause you to be late. However, we reserve the right to ask you to reschedule if you arrive late for your appointment. Our practice makes every effort to run on time with appointments, as we believe everyone’s time is equally valuable.

 

Northpointe Pediatrics provides multiple courtesy reminders ahead of a scheduled appointment.  Appointment arrivals past the scheduled time may result in the need to be rescheduled.  We do not guarantee a “grace period” and cannot honor all late appointments.  All appointments must be canceled by 5pm the day prior to the scheduled appointment time or are subject to a cancellation fee of $25.00 for sick/same day visits, and $50 a well check/medication check.

If you have billing questions or need assistance with a statement, please contact our billing department.

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