Health Insurance
Pediatric Orthopedic Associates is pleased to accept a wide variety of insurance Plans including but not limited to: United Healthcare, Cigna, Aetna, Blue Cross and Blue Shield of NJ, Amerihealth, Americhoice, UHP, NJ Health (formerly Mercy Horizon), Healthnet, Oxford, Multiplan, Magnacare. Note: Some Plans require referrals to visit our Office. Please arrange for referrals through your primary care doctor. Please call today to confirm current participation in your specific Plan!
How Insurance Works:
A co-payment is required at the time you arrive for your appointment. The specialist co-payment printed on your insurance card is the amount we will collect. If we participate with your insurance, we will submit our charges to your carrier. If however, we do not participate with your insurance, we will require payment at the time services are rendered. Patients who self-pay for services will receive an itemized bill for reimbursement.
Depending upon your specific Plan, deductibles or a co-insurance may apply. In some cases, patients may be billed for un-covered services or the difference between our charges and the insurer's rate. The Billing Department will be happy to assist you with all financial issues should they arise.
We recommend that all patients know and understand their specific insurance Plans as they can differ widely. The following are important items for a patient to know before they seek health-care services: current participation-status of the provider, referral requisites, co-payments, deductibles, co-insurance, in-network and out-of-network obligations, limits of coverage and un-covered services or items.
The requirements of the patient's insurance plan represent a contract between the patient and the patient's insurer. Pediatric Orthopedic Associates as the provider, will make every effort to assist the patient with financial issues, however, the patient is ultimately responsibile for all charges incurred for services provided.
A good resource to obtain more information about your plan is through your Employer's Human Resources Office. You may also contact your insurer's membership hotline printed on the back of your card if you have specific coverage questions or require clarification about specific issues.
