Insurance

We will gladly file insurance for patients who participate in our managed care plans after we have verified their benefits. In order to file for you, we require proof of insurance prior to the appointment with the physician. Please contact the office to determine if we are providers for your managed care plan.

We must have your valid, current and verifiable insurance card prior to filing charges with your insurance company.

Copays/Co-Insurance

Most insurance companies require that we collect a copay/co-insurance from you each time that we provide services for your child.

If you need to return for the following reasons:

  • to bring back lab work,
  • for hearing and vision screening, or
  • for immunizations on a day other than on the day of the original visit,

you will be required, by your insurance company, to pay your copay/co-insurance both for the day of the original visit and on the day that you return to the office. If for whatever reason, your insurance company does not ask for an additional co-pay/co-insurance, we will credit your account when we receive a complete explanation of benefits from them.

Plan Name

Aetna EPO
Aetna HMO/POS/PPO
Aetna Exchange (Aetna CVS Health Plan)
BC/BS HMO/POS
BC/BS Open Access
BC/BS PPO
BC/BS Private
CareSource-GA – Peachcare for Kids (Medicaid Replacement)
Choice Care (Humana POS/PPO)
Cigna EPO/HMO/POS/PPO
Cigna Exchange/Cigna+Oscar
Coventry HMO/POS
Coventry PPO
First Health PPO
Humana HMO/POS/PPO
Medicaid-GA CHIP
Multiplan
PHCS POS, PPO, EPO
United Health Care – UHC HMO
UHC EPO
UHC POS/PPO

 

Hospital Affiliations

  • Scottish Rite Children’s Medical Center
  • Northside Hospital