Insurance Information

Abington Pediatric Associates accepts the following types of insurance:

Aetna PPO, HMO
Amerihealth, PPO, HMO
CHIP (Aetna & Keystone only)
Cigna
Health America
Highmark Blue Shield
Horizon
Independence Blue Cross
Keystone Health Plan East
Oxford
United Healthcare, PPO

Our staff is very knowledgeable about medical insurance, however policies differ. It is your responsibility to know your coverage. Your policy is a contract between you and your insurance company, and you are ultimately responsible for payment of any bill. If you have indemnity insurance, we will provide you with a receipt, which has all the necessary medical information for your insurance company to process your claim. Staple the receipt to your own claim form in the section normally filled out by the physician. A receipt may be obtained at the time of the visit. If you have any questions regarding insurance issues, please feel free to contact our office personnel. If your insurance coverage changes please notify us as soon as possible. REMEMBER to add your newborn infant to your policy immediately.

Some insurance companies require 365 days from the last physical exam (after 2 years of age) in order for the visit to be paid. Call your insurance company regarding their policy on this matter.

Managed Health Care (HMO) Patients

Please make sure that we are participating members of your insurance company. Remember your insurance company requires you to pay your co-pay at the time of the visit. Referrals are required in advance for all visits to other physicians or institutions. These referrals must be requested at least 48 hours before your visit to allow us time to fill out the forms. Paper referrals may not be faxed. Please be ready to give the FULL NAME of the physician, diagnosis, procedure(s) to be done and the place of service. Most managed care companies refuse to allow us to give retroactive referrals. Please familiarize yourself with your company's rules regarding Emergency Room visits.

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