Call Us
STAMFORD OFFICE
203.323.1770
NEW CANAAN OFFICE
203.972.5232

PAYMENT & POLICIES

New England Pediatrics accepts cash, check and MasterCard, Visa or American Express as forms of payment. Co-pays and private pay charges are due when services are rendered. Please review our Financial Policy or call our billing office at 203.972.5233 with insurance or payment questions.

INSURANCE

* We participate in the following insurance plans (We accept two Health Exchange plans-United Individual and HealthyCT): Aetna
Anthem Blue Cross / Blue Shield
Choice Care (Humana Only)
CHN PPO (Consumer Health Network)
CIGNA
Connecticare
Coventry Health Care
Emblem BCBS (Not HMO)
Emblem Health of NY (effective 1/1/17)
First Health
Golden Rule
Great West Health Partners
Harvard Pilgrim Health Care of CT -     (HPHC)
HealthyCT (including Exchange) Until 12/31/16
MultiPlan
NEDH (North East Direct Health)
Oxford
PHCS (No Directors Guild of America)
POMCO
Prime Health
Three Rivers
United Healthcare (including Choice Plus for the Individual Exchange until 12/31/16)

* Effective as of November 1, 2016 and subject to change. Please contact our office to verify our participation in your plan.

STAY INFORMED

Sign up for email alerts, and our news.
Enter email and click Submit

PAYMENT & POLICIES

PAYMENT Fees
  • Co-pay: Varies per individual plan; payable at each visit.
  • Co-Insurance: Many plans require out-of-pocket payments in the form of a deductible or patient co-insurance. Until you satisfy your deductible or co-insurance amount, our charges are payable at the time of each visit.
  • Missed co-pay: $10 each
  • Missed Appointment: $50 - Well visit, $25 - Sick visit
  • Late PE Missed Appointment: Full PE Charge
  • School/Camp Form: $10 per form per patient or $20 for two or more forms per patient when submitted simultaneously.
  • Allergy Protocol Form: $10 per form per patient or $20 for two or more forms per patient when submitted simultaneously.
  • Returned check: $25 each
  • Collection charge: Individual
  • After-hours Surcharges: Services rendered outside of our standard business hours may be billed with surcharges. Surcharges may apply to walk-in hours, late physicals and weekend/holiday visits. If late physical appointments are missed, the full physical fee will be charged.
Statements
  • Your statement is mailed once a month and indicates your balance. Payment is due within 15 days from receipt of the statement.
  • We will bill any balance due to your account after your insurance company responds to our filing.
  • A balance 30 days past due is subject to an 18% annual interest charge.
Private Pay Patients If you do not have insurance or if you have an insurance plan that we do not accept, fees for our services are charged directly to the patient (or guarantor) and payment is due at the time of service. We do not bill your insurance carrier but at your request, we will provide you with an invoice at each visit so that you may file a claim.

New Health Exchanges New England Pediatrics currently participates in two health exchange insurance plans: United HealthCare Choice Plus for the Individual Exchange and HealthyCT. If you have insurance through a different health exchange, we are not able to see you “in network” even if the plan is through an insurance company with which we do participate, such as a commercial plan with Anthem or Oxford. If you choose to continue under our care, you will be responsible to make all payments at the time of each visit. If applicable, we will provide a bill for you to submit to your insurance plan for reimbursement.

PAYMENT & POLICIES

New England Pediatrics accepts cash, check and MasterCard, Visa or American Express as forms of payment. Co-pays and private pay charges are due when services are rendered. Please review our Financial Policy or call our billing office at 203.972.5233 with insurance or payment questions.

INSURANCE

* We participate in the following insurance plans (We accept two Health Exchange plans-United Individual and HealthyCT): Aetna
Anthem Blue Cross / Blue Shield
Choice Care (Humana Only)
CHN PPO (Consumer Health Network)
CIGNA
Connecticare
Coventry Health Care
Emblem BCBS (Not HMO)
Emblem Health of NY (effective 1/1/17)
First Health
Golden Rule
Great West Health Partners
Harvard Pilgrim Health Care of CT -     (HPHC)
HealthyCT (including Exchange) Until 12/31/16
MultiPlan
NEDH (North East Direct Health)
Oxford
PHCS (No Directors Guild of America)
POMCO
Prime Health
Three Rivers
United Healthcare (including Choice Plus for the Individual Exchange until 12/31/16)

* Effective as of November 1, 2016 and subject to change. Please contact our office to verify our participation in your plan.

PAYMENT & POLICIES

PAYMENT Fees
  • Co-pay: Varies per individual plan; payable at each visit.
  • Co-Insurance: Many plans require out-of-pocket payments in the form of a deductible or patient co-insurance. Until you satisfy your deductible or co-insurance amount, our charges are payable at the time of each visit.
  • Missed co-pay: $10 each
  • Missed Appointment: $50 - Well visit, $25 - Sick visit
  • Late PE Missed Appointment: Full PE Charge
  • School/Camp Form: $10 per form per patient or $20 for two or more forms per patient when submitted simultaneously.
  • Allergy Protocol Form: $10 per form per patient or $20 for two or more forms per patient when submitted simultaneously.
  • Returned check: $25 each
  • Collection charge: Individual
  • After-hours Surcharges: Services rendered outside of our standard business hours may be billed with surcharges. Surcharges may apply to walk-in hours, late physicals and weekend/holiday visits. If late physical appointments are missed, the full physical fee will be charged.
Statements
  • Your statement is mailed once a month and indicates your balance. Payment is due within 15 days from receipt of the statement.
  • We will bill any balance due to your account after your insurance company responds to our filing.
  • A balance 30 days past due is subject to an 18% annual interest charge.
Private Pay Patients If you do not have insurance or if you have an insurance plan that we do not accept, fees for our services are charged directly to the patient (or guarantor) and payment is due at the time of service. We do not bill your insurance carrier but at your request, we will provide you with an invoice at each visit so that you may file a claim.

New Health Exchanges New England Pediatrics currently participates in two health exchange insurance plans: United HealthCare Choice Plus for the Individual Exchange and HealthyCT. If you have insurance through a different health exchange, we are not able to see you “in network” even if the plan is through an insurance company with which we do participate, such as a commercial plan with Anthem or Oxford. If you choose to continue under our care, you will be responsible to make all payments at the time of each visit. If applicable, we will provide a bill for you to submit to your insurance plan for reimbursement.
COLLECTIONS POLICY If you are unable to pay your balance on time, we will do our best to assist you with an individual payment plan. If a guarantor chooses not to work with us cooperatively to settle an overdue account, we may place the account with a collection agency.

Patients whose accounts are referred to a collection agency or law firm are required to pay the costs of collection as well as the unpaid balance in order to remain a patient of our practice.

We reserve the right to discontinue our services if your account is placed in collection or with a law firm. In that event, we will send you a medical records release so that you may transfer care and records to a new physician.

STAY INFORMED

Sign up for email alerts, and our news.
Enter email and click Submit