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Your insurance policy is a contract between you and your insurance carrier or HMO. ACI Seven Hills Pediatrics is not a party to that contract. We must emphasize that as your child's healthcare provider, our relationship is with you, not your insurance company. - Please understand the benefits your insurance or health plan provides for physician office visits. It is your responsibility to know what services are covered. If you are unsure, check with your employer or call your insurer.
- Present your insurance or health plan card at each visit. This will allow us to maintain accurate billing information. If your child is seen as a consult, please bring your health insurance card, claim forms, and HMO authorized referral (if applicable) with you.
- Please register your newborn infant on your insurance plan as soon as you are discharged from the hospital. Generally, in-office care for your newborn is not covered by insurance until the infant is officially registered on your plan. This should be done before your infant is 30 days old.
- Please familiarize yourself with your child's specific insurance plan and your out-of-pocket expenses, such as co-payments, co-insurance, deductible and any noncovered services. Most insurance and HMOs require that a co-payment be made at every office visit, with few exceptions for some plans.
- Not all services are a covered benefit in all contracts (often well-exams and immunizations are not). It is your responsibility to be aware of your insurance company's provision for payment of office visits, immunizations, well-child exams, and routine annual exams including school, camp, or sports physicals.
- Please remember that you are responsible to pay any charges NOT covered by your insurance such as deductibles, co-payments, and noncovered services at the time of your office visit. Full payment of non-covered services is expected at the time of service.
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