Insurance & Billing
Arundel Pediatrics has contracted and participates with the insurance companies listed below. If you do not see your insurance plan below, do not hesitate to call the office and your insurance company for verification of particpation with your plan.
Please have your insurance card and your Drivers License or a Picture Identification Card with you at the time of your office visit. If we file your claim, you are responsible for your co-pay at the time of visit. If we are not a provider for your insurance, if you are not insured or we do not file with your insurance company, you will be responsible for the entire charge at the time of service. It is your responsibility to present and/or disclose all insurance plans that your child(ren) has for all dates of services at Arundel Pediatrics, P.A.
Please note that with all HMO, MCO and POS insurance plans, your child's physician at Arundel Pediatrics or the practice name Arundel Pediatrics must be listed as the PCP (Primary Care Physician) on the card to receive services for the date of service in which the card was presented. If you come in for a visit and the PCP has not been changed or is incorrect, you will have to contact the insurance company in the office prior to the visit to correct the PCP. Your appointment time may be prioritized to accomodate other patients in the office and you will be seen at the next available appointment time.
Insurance Plans that we currently accept:
- Blue Cross Blue Shield
- Blue Choice
- Maryland POS
- Regional Plans (MD, DC,
- Select Preferred Provider (SPP)
- Blue Preferred
- Basic Federal
- Cigna Healthcare
- Johns Hopkins EHP (we do not accept Johns Hopkins US Family Health Plan)
- Kaiser Permanente HMO SELECT ONLY (NO SIGNATURE Members, Signature members must go to a Kaiser Center)
- United Healthcare
- *No MCO
- *No Maryland Health Exchange products, Core, Navigate, Compass Rose
We are currently acceping new medical assistance patients!
We are currently participating with:
- Aetna MCO
- Maryland Physicians Care
- Maryland Medical Assistance
- Priority Partners
- University of Maryland Health Partners (formerly Riverside Health)
Please make sure that the correct information is on your insurance card - your physicians name, correct phone and address - as our doctors were previously at other addresses, and occasionally that information has to be updated.
Always contact your insurance company to confirm that we participate with your specific insurance plan prior to your first visit.
Please note that with all Medical Assistance Products, your child's physician at Arundel Pediatrics must be listed as the PCP (Primary Care Physician) on the card to receive services. If you come in for a visit and the PCP has not been changed or is incorrect, you will have to contact the insurance company, in the office prior to the visit to correct the policy. If this happens, your appointment time may be prioritized to accomodate other patients in the office and you will be seen at the next available appointment time.
If you have any questions regarding a statement that you have received in the mail from Arundel Pediatrics or an Explanation of Benefits from your insurance carrier, what are your next steps:
- Please contact your insurance carrier and review your Explanation of Benefits with your insurance carrier first.
- If you have additional billing questions once you have spoken to your insurance carrier, you may contact our Billing Specialist, Tina Ripple. We encourage all patients with billing questions to contact our Billing Specialist via the Patient Portal. If you do not have access to the internet you may call 410-789-7337 and request to put a message into our system. Our Billing Specialist will do the corresponding research so that they can effectively and efficiently get your questions answered in a reasonable timeframe and return your call.
Any services that are determined by your insurance company to be family responsibility (additional co-pays, co-insurance, deductible, etc.) or services considered not covered by your insurance company will be considered a patient balance.
Any balances on a patients account will result in a monthly statement mailed to the guarantor detailing unpaid charges. If you are unclear of any charges incurred, please contact your insurance company for clarification of benefits.
Arundel Pediatrics, P.A. Attn: 9058Y P.O. Box 14000 Belfast, ME 04915-4033. Please note when writing a check, in the MEMO please write in the Account Number or Patient Name and the Date of Service.
Please note that there is an additional charge for services provided outside of our regularly scheduled appointments. These include requests for visits after 5:00pm, Emergency Walk-In Visits that disrupt the regularly scheduled business day, Morning Walk-In Office Visits, Federal Holidays and Saturday Office Visits. This charge will be billed to your insurance company however this may become your responsibility if the insurance company does not cover this charge.
Tests that are performed in our office are billed to the patients insurance company by the office staff.
All laboratory tests that are retrieved in the office but are sent to an outside laboratory will be accompanied with the patients insurance information for billing by the laboratory.
All laboratory tests that are requested by your provider and are performed at an outside laboratory are billed directly by the laboratory to your insurance.
Self-Pay/Uninsured Patients Policy
For any patient without current active insurance, non-participating insurance plan or a lapse in coverage, we are happy to see your child. Please inquire about a good faith estimate for your visit if it is scheduled 72 hours prior to the appointment.
Insurance Lapse and Non-Participation
We will provide you with a detailed billing summary for submission to your insurance company if non-participation or lapse in coverage has deemed your child/ren a self-pay patient on the date of service.
No Insurance Coverage
For any patients determined to have no medical insurance coverage, those patients are deemed to be Self Pay patients. All self pay patients will be placed on a discounted sliding fee schedule. In order for the patient to receive the discounted sliding fee schedule rates, payment for services must be paid in full at time of service. If you have a question about the discounted sliding fee schedule, you may contact the office. Please inquire about a good faith estimate for your visit if it is scheduled 72 hours prior to the appointment.
For families that are separated or divorced and need care for their child/ren, the parent bringing the child to the office is authorizing treatment therefore this is who is responsible for payment on the date of service.
When the child/ren has a contracted insurance plan, the co-pay is due at the time services are rendered. Also, all charges deemed parent responsibility by the contracted insurance plan are due to Arundel Pediatrics by the parent presenting the child for the date of service and authorizing treatment.
If there is a divorce decree requiring the other parent to pay a portion or all of the treatment costs incurred, it is the authorizing parent's responsibility to collect from the other parent. Arundel Pediatrics will not make special provisions or act as a mediator in collection of payment.
A copy of the claim can be given to the authorizing parent at each visit upon request.
Non-compliance with this policy may result in termination of care.