Financial Policy of Westfield Pediatrics:

Please review our financial policy as outlined below:

1.  You must present your insurance card at every visit.  Please notify us if there is a change in your insurance coverage.  If the insurance company that you designate is incorrect, you will be responsible for payment of all services rendered as well as for submitting all charges to the correct plan.

2.  You are responsible for all co-pays, co-insurance, and deductibles. .

3.  Co-pays are due at the time of service as per the terms of your insurance plan

4.  We will submit bills to your primary insurance company.  If you have secondary coverage, you may submit for reimbursement directly to you.  You will be responsible for any balance not covered by your primary insurance.

5.   If we do not participate with your insurance plan or if you do not have insurance, you will be expected to pay for services at the time of the visit.

6.  You will be billed  for any outstanding balance that is not covered by your primary insurance plan.  Please remit payment within 10 business days of receipt of your bill.  If other arrangements have not been made and we have not received payment within 60 days, your account will be sent to collections.

7.  A $30 fee will be charged for any returned check.

8.It is your responsibility to know the terms of your insurance plan.  You must know if a referral, authorization, or pre-certification is needed for procedures or specialist visits.

9.  When making an appointment for an annual physical, please make sure that it will be covered by your insurance plan.  Many plans will only allow one physical every 365 days. 

10.  We charge $10 for each health form (this includes an immunization record) and we charge $5 for an immunization record only.