EXCHANGE MARKETPLACE INSURANCE
Anthem, PHP and United Healthcare are no longer offering a Marketplace insurance network product. Therefore, we have successfully negotiated with Ambetter from MHS Health Insurance Marketplace to become a participating "in-Network" provider effective December 11, 2017. At this time, this is the only marketplace product that we have contracted with.
You will be expected to present your insurance card at each visit. We ask that you be familiar with your insurance. If you are enrolled in an insurance that requires prior authorization or a written referral, please notify our office before the appointment. Our office can not be held responsible for any service that has been denied benefits due to lack of authorization. If you are sent for labwork or diagnostic testing, please be aware of what facilities your insurance allows you to use. These will be listed as "in network" in your insurance policy.
We recommend that you verify all of your insurance benefits prior to your appointment with our office. Each insurance company has many different benefit packages. Knowing which services your plan covers is helpful to you and our office. If you would like any assistance in understanding your limits, maxes, deductibles or any aspect of your benefits, let us help! Call our Patient Accounts Coordinator today @ (260) 918-2594.
The physicians of Pediatric Associates, Inc. follow all coding guidelines created by the U.S. Federal Government Department of Health and Human Services. Therefore, we are unable to alter codes and services related to your child's healthcare.
Payment is required at the time of service unless other arrangements are made in advance. This includes applicable coinsurance, deductible, and co-payments. We understand that payment in full may not be possible in some circumstances. As a courtesy, we offer payment arrangements. Pediatric Associates, Inc. accepts personal checks, cash, Visa, MasterCard, Discover, and most debit cards. It is our expectation that your balance will be paid off within 3 months of the initial set up date of your monthly payment arrangement. Please contact our billing department to make payment arrangements. Our office charges a 1% monthly (12%APR) finance charge to all balances that are not paid in full by 90 days. If you would like to make a one time payment online, please visit https://indygateway.net/v2/pair#/pedpub
Effective July 2018, our office requires a 24 hour prior notice of any cancellations. Failure to comply may result in a $25.00 fee.
Prescription refills can be handled best during regular business hours Tuesday through Friday. The on call physician will not be able to refill medications after hours or on the weekends. We ask that you allow enough time for our office to honor your request prior to running out of any medication. Any controlled medication prescription will need to be picked up from our front office and an acknowledgment signed stating you have received the prescription. We also ask that you check all prescriptions before leaving the office.
Due to the high demand of physical forms for school, sport, and camp activities, we ask that you allow at least three business days to process your request. Please note that peak times for the completion of these forms are May-August and could result in longer wait times. If you are requesting the completion of an FMLA form or want a school form sooner than 3 days, a fee may be assessed.