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Insurance

Delaware Modern Pediatrics, P.A. is doing everything possible to hold down the cost of medical care.  You can help a great deal by reducing the number of bills we send to you.  The following is a summary of our payment policy.

INSURANCE COMPANIES Delaware Modern Pediatrics, P.A. PARTICIPATES WITH (as of January 2019):

  • Aetna
  • Amerihealth
  • Independence Blue Cross
  • Highmark/Blue Cross/Blue Shield
  • Cigna
  • Health Care Preferred
  • Keystone Health Plan East
  • Tri-care / Humana
  • United Health Care
  • Medicaid
  • - Amerihealth Caritas
  • - Highmark Health Options

If your insurance plan is not on this list, most likely we can still provide medical care for your children.

PAYMENT IS EXPECTED AT THE TIME OF SERVICE.

Payment is required at the time services are rendered, unless other arrangements have been made in advance. This includes applicable deductibles, coinsurance, and copayments for participating insurance companies. Delaware Modern Pediatrics, P.A. accepts cash, personal checks (in-state only), VISA, MasterCard, and Discover. There is a service charge of $35 for returned checks.

Patients with an outstanding balance (60 days or more overdue) must make arrangements for payment prior to scheduling appointments. We realize that many families experience financial difficulties.  If your family is struggling with medical bills, please contact us; we can help you find ways to make paying the bills less painful.  Otherwise, in such circumstances, we may turn your account over to a collection agency in order for ongoing payments to be made and followed.

INSURANCE:

We bill participating insurance companies as a courtesy to you. You are expected to pay your deductible and copayments at the time of service. If we have not received payment from your insurance company within 45 days of the date of service, you will be expected to pay the balance in full. You are responsible to ensure that all charges are paid, whether by you or by your insurance carrier.

FORM FEES:

We charge $20 for all Camp, School, Day Care, Sports or College forms that need be completed, unless you bring them on the day of your appointment.

MISSED APPOINTMENTS/LATE CANCELLATIONS:

Broken appointments represent a cost to us, to you, and to other patients who could have been seen in the time set aside for you. Cancellations are requested 24 hours prior to the appointment. We reserve the right to charge $30 for missed or late-canceled appointments. Excessive abuse of scheduled appointments will result in discharge from the practice.

It is the patient’s responsibility to provide us with current insurance information and to present the insurance card and identification at each visit. We will submit claims to secondary insurances if we have the proper insurance information.

Our Business Office staff is happy to assist our patients with any insurance questions related to filed claims, and to provide any additional information the carrier may need to process the claim. Specific coverage issues can only be addressed by the patient and the insurance company.

The adult accompanying a minor patient and the parents (or guardians) of the minor are responsible for payment at the time of service. For minors who are unaccompanied, nonemergency treatment may be denied unless payment arrangements have been made.

MEDICAL RECORDS:

** Please note: Old records are helpful, but you do NOT have to transfer records in order to receive care here.  Don't wait for the old records to arrive before scheduling an appointment! **

Are you transferring your child's care to our office from another doctor?  You may download this form, and send it to your previous doctor.  (They may charge a fee for copying records.)

Thank you for choosing Delaware Modern Pediatrics, P.A. for your child’s healthcare needs!