Insurance & Billing

Insurance and Billing

We are accepting the following insurances and still in the process to accept others insurances. 

Listado de seguros aceptados y estamos trabajando para poder conseguir más.

  • SUNSHINE HEALTH
  • AMBETTER (CORE PLANS: BRONZE, SILVER AND GOLD)
  • COMMUNITY CARE PLAN: (FLORIDA HEALTHY KIDS, MEDICAID)
  • OSCAR
  • AETNA (NOT IN-NETWORK WITH AETNA CVS)
  • AETNA BETTER HEALTH – FLORIDA HEALTHY KIDS
  • AETNA FIRST HEALTH
  • CIGNA (NOT IN NETWORK WITH EPO CONNECT PLAN)
  • FIRST HEALTH NETWORK
  • FLORIDA BLUE/ BLUE CROSS BLUE SHIELD OF FLORIDA (NOT IN-NETWORK WITH-MyBLUE HMO)
  • MEDICAID- (SUNSHINE HEALTH PLAN, CMS)
  • MEDICARE
  • TRICARE
  • MULTIPLAN – PHCS NETWORK PPO
  • UNITED HEALTHCARE (NOT IN NETWORK WITH MARKETPLACE PLANS)
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Please have your card with you at the time of your visit. If we file your claim, you are responsible for only the 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 may be responsible for the entire charge at the time of service.

 

The following is a synopsis of Pediatric Dream Care billing and payment policies:


All co-payments are expected at time of service. For your convenience, Pediatric Dream Care accepts cash and Visa/MasterCard debit and credit cards. Surcharges will be assessed for co-payments not made at time of service.


Our contracts with insurance companies require that we verify your current coverage and collect your co-payment at each visit. If your insurance plan requires deductibles and coinsurance, you will be asked to leave a credit card on file so we can charge the assessed patient responsibility after your payer returns the Explanation of Benefits. We do not store credit card numbers in our office, but use a secure link to access the information when we need to process a charge. Please bring your insurance card to every appointment.


Late Arrivals, Cancellations and No-Shows


Late Arrivals: Please always arrive on time for your scheduled appointment. Patients who arrive late for a scheduled appointment may be asked to reschedule or wait for an open appointment time on that day’s schedule. The physician may decide to work with the patient, but this is at the discretion of the physician.


Cancellations: Parents or guardians should call at least one (1) business day in advance if they are unable to keep a scheduled appointment time. Otherwise, the practice will consider the patient a “No-Show.”


No-Shows: Patients who do not present for an appointment will be considered a “No-Show.” The parent/guardian may be charged a $35 fee for a missed sick/re-check appointment and $50 for a missed Well exam. This fee cannot be filed with insurance.


No-shows will be documented in the practice management system, and a history of no-shows may result in a refusal to schedule future appointments. Pediatric Dream Care will notify the parent/guardian via regular mail when making this decision. Thank you for understanding our financial policy. Please let us know if you have any questions or concerns.