We at Mountain View Pediatrics strive to keep all our fees as reasonable as possible while providing the highest quality health care to your child. To accomplish this mission, payment is expected at time of service. If there are unusual circumstances which prohibit this, our private collection specialist will discuss your circumstances and make arrangements for our timely payment for our service to you.
If you are covered under an insurance plan that we are contracted with (see below) you will be expected to pay any applicable co-payments and deductibles at the time of service.
There are literally hundreds of insurance plans in Northern Arizona, and the decision to become a provider can often be complex. Large national Insurance companies require substantial discounts on our fees that in an urban area might be possible but in our environment are not. We have been able to contract with a number of insurance plans that understand our practice area and reimburse us appropriately. Currently at Mountain View Pediatrics we are providers for the following plans:
- HMO's:
- Cigna
- HealthNet
- United Health Care of Arizona
- PPO's
- Arizona Foundation for Healthcare (Formerly Maricopa Foundation)
- Arizona State Employees Insurance
- BC/BS
- Champus (PPO only, not TRICARE HMO)
- HMA Network
- Humana
- Schaller-Anderson Network
- United Health Care
- AHCCCS
- AP/IPA
- Health Choice
- CAPSTONE
- CMDP
If you are a member of one of the plans or one of the PPO Networks, make sure that you bring in a copy of child's insurance card. If you are not enrolled in one of the plans above, we will provide you with a complete receipt that can be sent to your plan for your reimbursement.
Navigating through the insurance world can be very frustrating, especially for new parents, so we have compiled a short list of things to help:
- Most insurance plans allow 30 days to enroll a newborn to your insurance, after this it may be difficult or impossible, you must contact your insurance company (or human resources) and add your new child.
- If you are insured through an HMO, it is important to understand the "PCP" concept. All HMO patients must have a PCP, if you do not elect one, the plan may auto-assign your child to any provider in the area. It is important that you contact your plan either after a new birth, moving to this area, or changing physicians to our practice. Keep in mind that if you are switching PCP's that it might take up to 30 days for this to be accomplished.
- If you are insured through an HMO, any additional medical care that your child needs must be authorized by our practice. If your child needs to see a specialist, requires home health or ancillary medical service, our staff will work on obtaining the necessary authorization.
- At the beginning of every year, most insurance plans will send you a letter asking for brief information. You must fill this out and send it back, as your insurance will not pay on any claims until they receive this information.
- There is a state program to provide immunizations free to children that we participate in. This is the VFC (Vaccine for Children) program, and your child may be eligible if:
- a. You have no insurance.
- b. You have insurance, but there is no immunization coverage.
- c. Your child is on AHCCCS or Kid's Care.
- d. You are a Native American.
If you qualify, please let our reception staff know that they can sign you up for this program.
If you have any questions, please feel free to contact us!
