POLICIES
To provide top-notch service, we have some policies to ensure things run smoothly.
Preventative care, also known as check-ups or wellness visits, is crucial for avoiding serious health issues. This includes routine wellness exams, health screenings and vaccinations.
Your insurance does not cover non-preventative services during well child visits. We can address an issue if the schedule allows, but be prepared for deductibles, copays, or coinsurance. For specialized care focused on specific problems like constipation, bedwetting, headaches, and others, we recommend scheduling a separate appointment.
To maintain active patient status at Pirate Pediatrics, it is essential to attend Preventative Care Well Child Visits, following Bright Futures/American Academy of Pediatrics (AAP) guidelines. Non-compliance with these visits will lead to discharge from the practice.
Preventative Care & Well Child Visits
Not attending a scheduled appointment or failing to provide a 24-business-hour cancellation notice is considered a missed appointment. Arriving 5 minutes late for your appointment is a missed appointment, requiring rescheduling. All missed appointments, including late arrivals, incur fees as specified in our Financial Policy. Two or more missed appointments lead to discharge from the practice.
Missed Appointments, Cancellations & Late Arrivals
To prevent disease, Pirate Pediatrics follows the AAP vaccine schedule. Patients are required to adhere to the vaccination schedule.
Vaccine Policy
Form Completion
- Easily cover your insurance obligations like copays, coinsurance, deductibles, non-covered services
- Save both time and money by eliminating the need for check-writing and mailing bills
- Enjoy a fully virtual and touchless payment process
- Avoid extra charges like service fees for unpaid copays, returned checks, interest charges and collection fees
After each visit, your insurance coverage will be detailed in your Explanation of Benefits (EOB). Any remaining balance will be charged to the credit card on file.
What are the benefits of a credit card on file?
Credit Card on File
- Your insurance is billed based on the information you provide; bring your insurance card to each visit.
- Payment is due at the time of service for all patients, including self-pay and out-of-network insurance.
- A $30 fee is added if your copay is not paid at check-in
- A $35 fee is added to all past due balances over 30 days.
- We offer documentation for filing out-of-network insurance claims.
Financial Policy
Pirate Pediatrics has a zero-tolerance policy for verbal or physical abuse, threats, harassment and profanity directed towards our providers and staff, as well as any damage to our property. Additionally, firearms, knives and any potentially weaponized items are strictly prohibited on our premises. Violations of these policies will lead to immediate dismissal from the practice.
Behavior Policy
- Parent completes the Vanderbilt form through CHADIS.
- Pirate Pediatrics sends a CHADIS email invitation to the teacher. Please inform them in advance.
- Teacher completes the Vanderbilt form via CHADIS.
Follow up visits are required every one to three months.
Review the ADHD Medication Policy for more details.
