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MCP Policy Information 

 

Insurance+ 

  We accept MOST insurance plans. However, at this time, we are not accepting new Medicaid patients until further notice. We will be sure to announce when we have decided to once again accept new Medicaid patients. If you have any questions about a particular insurance plan, please call our billing department.

 

  It is important that you bring your current insurance card to every appointment. As a courtesy to our patients we will submit your claims but we must have accurate information to do so. Please remember to inform the receptionist at the time of check-in if your insurance information has changed. If we do not have the correct or current insurance information on file, it could result in you receiving a bill from our office.

 

 

Financial Policy+

   If you have a co-pay, deductible, a co-insurance, or an overdue balance, please take note that we will collect in full the contracted amount at the time of service. Due to the Affordable Care Act and other major healthcare changes, we will no longer be able to bill you for these particular payments. Therefore, if you know you will not be able to pay these contracted amounts at the time of service, you will need to contact our office to reschedule your appointment.

 

   Our office accepts cash, check, and all major credit cards. We have a $25 fee for all returned checks. You will be responsible for paying the $25 fee along with the amount of any returned checks within 10 days of the sent notice or further action will be taken. 

 

 

New Patients & Newborns+

   It is highly recommended that your insurance provider be contacted as soon as possible after your newborn arrives. Most health plans allow 30 days to add your newborn to your insurance plan. After 30 days, if the newborn is not listed under the insurance policy we have on file, you will be responsible for all charges unless otherwise corrected with our office. Even though your newborn will not yet be listed under the insurance, please still be sure to bring your insurance card with you to your newborn's first appointment. If you have Medicaid and you have not received your Medicaid card before your first appointment, please be sure to bring the "Unborn Medicaid" paper containing your newborn's Medicaid number. Reminder for ALL new patients and newborns: If you do not bring your insurance card or number to the appointment, it could delay your appointment or you will be asked to reschedule your appointment. 

 

There is paperwork that we ask to be filled out prior to your child's first visit. You have the option of printing out the appropriate paperwork from our website or getting it from our office. If you elect to obtain the paperwork from our office the day of your first appointment, we ask that you arrive 15-20 minutes prior to your appointment in order to provide sufficient time to complete the paperwork before your actual appointment time.

 

We ask that newborn parents bring any discharge paperwork from the hospital or NICU to your newborn's first appointment. All other new patients are required to bring their current immunization record as well as any and all other medical records or documentation from their previous physician or pediatrician. If we do not have your child's (2 months and older) current immunization record at the time of their first appointment, you will be asked to reschedule the appointment. It is important that we have all the necessary information and documentation in all our patients' charts in order to care for them appropriately.  

 

 

Established Patients+

   We ask that all established patients arrive 5-10 minutes early to their appointment in order to help ensure our doctors stay on schedule. It is important that you always remember to bring your insurance card to every appointment. If you have a change in insurance, change of address, or change of phone number, please be sure to let the receptionist know when you sign in. You can also give us any new/updated information when you call to schedule your appointment.

 

 

Prescriptions & Forms Pick-Up Policy+

   In order for our providers to timely and appropriately care for the patients in the office, any prescription refill requests (that require being picked up in our office) or paperwork requests will not be available for pickup until 24 hours after your request has been made. For example, if you call and request a refill for your child's ADHD medication on Friday at 3:00pm, the prescription will not be available for pickup until the following Monday at 3:00pm. All ADD & ADHD medication prescriptions or any controlled substanceprescriptions must be picked up at our office; they will not be sent to your pharmacy. All other prescription refills can be sent to your pharmacy for pickup. All prescription refill requests can be made by contacting either office's nurse line. Please feel free to contact our office if you have any questions or concerns regarding this policy.

 

 

Vaccine Policy+ 

   We at Marshall County Pediatrics, P.C. are pleased you have chosen us to be the primary care provider for your child’s health care needs. We are committed to seeing your child grow up as healthy as possible and reach their given potential.

 

Our office views immunizations as a huge benefit in preventing serious, potentially fatal diseases and in saving lives. Vaccinating children and young adults may be the single most important health-promoting intervention our office performs as health care providers. We believe that all children and young adults should receive all of the recommended vaccines according to the immunization schedule published by the Centers for Disease Control and Prevention and the American Academy of Pediatrics.

 

The vaccine campaign is truly a victim of its own success. History has shown the amazing improvement in the mortality rates and rates of long term disabilities since the advent of vaccines. There are some potential side effects of vaccines, but these are almost all brief and minor, especially when compared to the devastation that the vaccine preventable diseases cause. Over the past several years, many people in Europe have chosen not to vaccinate their children with the MMR vaccine after publication of an unfounded suspicion (later retracted) that the vaccine caused autism. As a result of European children being under immunized, there have been small outbreaks of measles and several deaths from complications of measles.

 

We believe that by not vaccinating your child you are taking a selfish advantage of thousands of other children who do receive vaccinations. Our office respects your right to choose not to vaccinate your child, but strongly disagree with this choice. The consequences of not vaccinating your child include:

  • Contracting the disease the vaccine should prevent (the outcomes of these illnesses may include one or more of the following: pneumonia, illness requiring hospitalization, death, brain damage, cerebral palsy, meningitis, seizures, and deafness, and other very serious outcomes).

  • Transmitting the disease to others. The most vulnerable of our population are infants and small children. Their immune systems won’t process certain vaccines until they are over 1 year old. If they are exposed to a child with a vaccine preventable disease, they may well contract the disease and have some of the outcomes listed above. The place where there are more infants and small children in close proximity with other children who may be ill is in a pediatric office. We therefore choose not to have unimmunized children who may harbor and transmit illness to these vulnerable children come to our office.

 

The facts listed above are not to scare you or pressure you, but to emphasize the importance of vaccinating your child.  

 

We will continue to provide care for your child for the next 3 months as you educate yourself about the dangers of these preventable diseases. If you still do not feel the need to vaccinate your child after this period of informing yourself as to the safety of vaccines and the devastation that the preventable diseases may cause, we will ask you to find another medical home for your child as we will not knowingly endanger the health and welfare of our other patients by potentially exposing them to these diseases.

 

 

Nurse Visits+

   Please call our office in order to set up all nurse visit appointments.