Insurance & Financial Information

Accepted Insurance

We participate with most major insurance plans, including:

• Highmark

• Aetna

• UnitedHealthcare

• Cigna

• TRICARE

• Trustmark

• All Delaware Medicaid plans

Please note: Out-of-state Medicaid plans are not accepted at our practice.

Insurance Information & Patient Responsibility

Please present all current insurance cards at every visit. If you are unable to provide current insurance information, payment in full for the visit will be required at the time of service.

Insurance companies require us to collect all applicable co-pays, co-insurance, and other patient responsibilities at the time of service. It is ultimately the patient's responsibility to understand their insurance coverage, benefits, deductibles, and out-of-pocket requirements.

If you have questions about your coverage or benefits, please contact your insurance company directly.

Newborn Insurance Enrollment

Newborns must be added to your health insurance plan within the time frame required by your insurance carrier, typically within 30 days of birth. Failure to enroll your newborn within the required time frame may result in you being responsible for the full cost of your child's care.

Medical Records & Forms

A fee may apply for medical record copies and completion of certain health forms. These fees are not billable to your insurance company and are the responsibility of the patient or parent/guardian.

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Information for Uninsured Patients

We understand that navigating healthcare costs without insurance can be challenging. The information below is intended to help uninsured families understand how pediatric visits are charged and what to expect when your child receives care.

Each Visit May Have a Different Charge

Office visits are not all charged at the same rate. The cost of a visit is determined by the services provided and the complexity of your child's care. Factors considered when determining the appropriate level of service include the medical history, examination, problems addressed, medical decision-making, and time spent providing care.

Our providers are required to accurately code each visit according to applicable coding guidelines. Visit levels cannot be changed simply to reduce the cost of a visit.

Payment Is Due at the Time of Service

For uninsured patients, we collect $168 at check-in, which represents the approximate cost of an average sick visit.

If the total charges for the visit exceed the amount collected, the remaining balance will be billed to you. Please contact our office for current well-child visit fees.

Additional Tests & Procedures

Some tests and procedures performed during a visit involve additional charges. Our providers make clinical decisions based on what they believe is medically appropriate for your child's care, and the provider may recommend testing to help diagnose or treat your child's condition.

Common tests and procedures that may result in an additional charge include:

• Strep testing

• Flu testing

• Ear irrigation

• Nebulizer treatments

• Wart removal

• Other laboratory testing or procedures

If a specimen is collected in our office and sent to an outside laboratory for additional testing, the laboratory may bill you separately for those services.

If the cost of a recommended test or procedure is a concern, please feel free to discuss it with your child's provider. In some situations, the provider may be able to discuss whether the testing is necessary at that time or whether there are alternative options.

Additional charges for services provided during the visit will generally be billed to you as a balance due, rather than collected at check-in.