Boutique Medical Care
Boutique Medical Care provides a medical home for patients with a mutual patient-physician focus on preventive care in a small practice setting. Generally, there is limited contracting with insurance companies and there is an arrangement between the patient and primary care physician in which the patient (parent or responsible party) enters into a "direct" financial relationship with the physician for both medical and non-medical services related to a patient's overall care.
At Petite Pediatrics we are contracted with a few select insurance companies. If we are a non-contracted provider with your isurance company payment is due in full at the time of service. As a courtesy, we will submit a claim on your behalf and you will be reimbursed directly from your insurance company for the services provided depending upon your individual contract. However, if we are contracted with your insurance provider you will be responsible only for the designated co-pay.
At Petite Pediatrics we are contracted with a few select insurance companies. If we are a non-contracted provider with your isurance company payment is due in full at the time of service. As a courtesy, we will submit a claim on your behalf and you will be reimbursed directly from your insurance company for the services provided depending upon your individual contract. However, if we are contracted with your insurance provider you will be responsible only for the designated co-pay.
Billing & Insurance
It is your responsibility to understand whether your insurance has limits on the doctors you can see, or the services you can receive. You are financially responsible for the medical services provided.
Petite Pediatrics participates with a limited number of insurance plans:
Petite Pediatrics participates with a limited number of insurance plans:
- Cottage Health System Employee Health Plan
- Anthem Blue Cross Prudent Buyer Plan
- Cen-Cal - Healthy Families
We accept all PPO insurance plans as an out-of-network provider:
- As a courtesy, we submit claims to your insurance carrier on your behalf.
- Depending upon your insurance coverage, you will then be reimbursed directly according to your plan's out-of-network benefits. Please contact your insurance carrier for full details of your plan coverage.
We do not accept HMO insurance plans.
Fee Schedule
The fee schedule has been designed to represent the usual and customary charges. It reflects time spent, supplies needed and the complexity of the problem and/or procedure. Because sending a monthly statement is costly for us, and ultimately passed on to you, payment for services is expected when those services are rendered. As a provider of Boutique Medical Care, Petite Pediatrics and the patient (parent or responsible party) have agreed to enter into a direct financial relationship. As such, specific information regarding the Fee Schedule is available to current and prospective patients through the office directly.
Payment
Payment and/or co-payment is due at the time of service. We accept payment in the form of cash, check and credit (American Express, Discover, Master Card and Visa). There will be a $35.00 service charge for all returned checks.
Financial Policy
You are responsible for payment at the time services are rendered. If someone other than yourself is responsible for the bill, such as a divorced spouse, we will provide a statement that you can use for reimbursement purposes. Payment is expected from the person who brings the child in for services, and we do not get involved with billing other persons or waiting for the conclusion of court cases.
We realize you may have financial problems, at times, making immediate payment difficult. Please feel free to discuss this with us prior to the scheduled appointment so that payment arrangements can be made. While we are concerned about our collections and expenses, we do not intend to jeopardize your child's medical care. We always try to honor a faithful relationship.
Past due amounts that are greater than 90 days over due are subject to being turned over to a collection agency and termination from our practice could result. You are strongly encouraged to pay all past due amounts promptly or set up a payment plan with us.
There is a $35.00 charge for returned checks. If two (2) checks are returned, you will no longer be able to write checks in our office. Payments must be made either by cash, credit card, money order, or certified check.
We realize you may have financial problems, at times, making immediate payment difficult. Please feel free to discuss this with us prior to the scheduled appointment so that payment arrangements can be made. While we are concerned about our collections and expenses, we do not intend to jeopardize your child's medical care. We always try to honor a faithful relationship.
Past due amounts that are greater than 90 days over due are subject to being turned over to a collection agency and termination from our practice could result. You are strongly encouraged to pay all past due amounts promptly or set up a payment plan with us.
There is a $35.00 charge for returned checks. If two (2) checks are returned, you will no longer be able to write checks in our office. Payments must be made either by cash, credit card, money order, or certified check.
No-Show Policy
Please inform our office within 24 hours of your scheduled appointment if you are unable to make the appointment. After one (1) no show, you will be notified by our office. After a second no show, you will receive letter and a $45.00 charge will be added to your account. Insurance will not pay for this charge. After a third no show, your account will be reviewed and we will attempt to contact you directly by phone to determine the cause of the missed medical evaluations. Please be aware that multiple missed appointments may result in the involvement of Public Health Services and/or Child Welfare Services, and/or dismissal from the medical practice.
Boutique Medicine and Insurance
Many families obtain a high-deductible PPO insurance policy that will provide catastrophic coverage but allow you to use the money you save on the lower monthly premiums to obtain the kind of high-quality personalized care you and your children desire and deserve.
Additionally, families may also optimize the use of Flexible Spending Accounts (FSAs), Health Savings Accounts (HSAs), or Health Care Reimbursement Accounts (HCRAs) if offered by their employer, which allows them to set aside pre-tax dollars for medical services not covered by their insurance.
Please note: This information is offered for informational purposes only and is not intended to be used for promotion of insurance or banking programs.