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Financial Policies 

Euro Bill
  • Please give 24 hour notice if you cannot make a scheduled appointment so we can open the time for another patient. Otherwise, you may be subject to a $50 fee.

  • We are currently contracted providers with Anthem Blue Cross PPO, Blue Shield PPO, United Healthcare PPO, Cigna PPO, and Aetna PPO.

  • We charge for in-person office visits, telemedicine/video visits and telephone consultations as allowed by CMS and your insurance provider. 

  • You are responsible for any applicable co-payments at the time of your visit.

  • After your insurance company has processed the claim, you are responsible for any unmet deductibles, co-insurance, or non-covered services. Payment is due upon receipt. Outstanding balances after 60 days are subject to a $50 fee every 60 days.

  • If we are not a contracted provider with your insurance, we can submit claims electronically to your insurance provider as a courtesy. However, we will not accept discounted rates.

  • For patients who do not use insurance, payment is due at time of service, via Visa, MasterCard, cash or personal check.

  • Please call our office to verify insurance eligibility prior to your first visit.

  • IT IS THE RESPONSIBILITY OF THE PATIENT TO NOTIFY OUR OFFICE OF ANY CHANGE IN INSURANCE, MAILING ADDRESS, OR CONTACT INFORMATION.

Policies

Month of January

Annual Administrative Fee

  • In order to continue providing high quality and individualized pediatric care,                                      starting in 2025, all families will be responsible for an annual administrative fee.

  • The fee will be based on the size of the family: 

    • 1 child - $200 

    • 2 children or more - $400 

    • This fee will cover non-billed services.

Medical form with stethoscope

School Forms Policies 

  • Patients must have had a recent Well Child Visit in our office to complete their school or camp form.

  • You may mail or fax any forms that need to be completed for school, camp or daycare.

  • Forms brought in during well visits can be completed at the visit free of charge, otherwise there is a $40 charge.

  • Please allow 7-10 business days for completion. We get many requests at the start of school year - so please plan accordingly.

  • Urgent requests can be completed in 72 hours for a $60 fee

  • If your school form does not require a doctor's signature, you can request vaccine information from our office staff and fill in school forms yourself.  

Vaccination

Vaccination Policies 

  • The pediatricians at Roxbury Pediatrics understand the importance of routine vaccinations to protect our children.

  • We provide vaccinations of infants, school aged children, and adolescents.

  • Roxbury Pediatrics will not care for families who refuse vaccinations.

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