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INSURANCE & BILLING

INSURANCE TIPS

Please bring your most current insurance card when coming to our office to ensure that the insurance information we have on file (i.e. member id, group number, etc.) is correct at the time of service.  Your claim processing could be delayed and you could be held financially responsible if the insurance information on file is invalid.  Be sure to notify your employer/insurance company about any new additions to your family!  For questions related to billing and insurance, please call 727-323-2727.

INSURANCES WE ACCEPT

​Aetna (all except Better Health, Bronze, and Gold)
Cigna
Blue Cross Blue Shield (all except My Blue HMO and Simply Blue HMO)
United Healthcare (all except Community Plan)

UMR

AvMed
First Health

Employers Health Network

GEHA

Golden Rule

Great West

Multiplan

CHAMPVA

Partners Direct Health
Sunshine Health (existing patients only)

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IMPORTANT: If your plan is an HMO instead of a PPO, you must designate our office as your primary care provider (PCP)

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We recommend that you contact Member Services, as indicated on your insurance ID card, to confirm that your chosen pediatrician is in network for your specific plan. 

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Medicaid Plans: If you are selecting a Medicaid plan and would like to join our practice, please note that we only participate in Sunshine Health. 
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INSURANCES WE DO NOT ACCEPT

Most Marketplace Plans

Healthy Kids/ KidCare

Simply Healthcare

Ambetter

Molina

Humana

Bright Health

PHCS - Private Healthcare Systems (unless backed by MultiPlan)

Gold Advantage Plan

Oscar Health

PAYMENT

We collect your copay at check-in so that you may leave the office immediately following your appointment. This can help with your child’s comfort after vaccinations and saves you from having to wait around after your child’s visit.

 

Payment may be made with cash, check, Visa, Mastercard, or Discover and is required at the time services are rendered. Your copay is determined by your insurance card/company, which you should bring with you to each visit.

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*Per the No Surprises Act (effective January 1, 2022) our office will provide uninsured or self-pay patients with a good faith estimate of services that will be billed. 

Subscribe Form

P 727.323.2727

©2020 by Fifth Avenue Pediatrics. 

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