Working with Insurance
As a courtesy to our patients, we will file the necessary forms so that you receive the full benefits of your medical coverage. We ask that you read your insurance policy to be fully aware of any limitations of the benefits provided. If your insurance company denies coverage or determines that a rendered service is not a covered benefit of your plan, you are responsible for the remaining balance. Your coverage is a contract between you and your insurance company and/or your employer and your insurance company. Although we will make a good faith effort to assist you in obtaining your benefits, we cannot force your insurance company to pay for the services we have provided to you.
Arbor Pediatrics does not get involved in disputes between divorced, separated or custodial parenting arrangements regarding financial responsibility for their child's medical expenses. We bill one guarantor and do not handle billing or insurance coverage disputes between parents. The individual bringing in the child for services will be financially responsible for any copayment or unpaid charges.
Administrative Fee for Non-Covered Services
In order to provide full-access care as your child’s medical home, we provide unlimited form completion for school/camp/sports, medical letters of necessity, non-medical insurance forms such as FMLA, disability, life and other administrative services. We offer daytime and after hours access through our secure texting app Spruce and our online patient portal My Kid’s Chart. Phone calls, insurance authorizations, emails, portal messages, refills, form completions and coordination of care with specialists are services that are vital for quality pediatric care but are not covered by insurance. To provide high quality of care in a small personal setting, we charge a nominal fee of $25.00 per patient annually. Insurance will not cover this fee and it is the responsibility of the parent/guardian.