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What Insurance Does Alpine Pediatrics Accept?
We are contracted with all major commercial insurances as well as most smaller company insurances. We do not accept Healthshare, Christian Ministry, or other cost-sharing plans. Patients with these plans are considered self-pay, making them eligible for our office self-pay discount, and can seek reimbursement from the plan directly. If you are unsure about your insurance plan, please call your insurance company to verify that your benefits allow you to be seen at Alpine Pediatrics. You may also contact our billing office at 801.772.1068 with any questions you may have.
If your children are not insured, payment is expected in full at the time of service. If the balance is paid in full within one week from the date of service, we offer a 25% discount to cash pay patients, which is comparable to insurance discounts.
If you have insurance, Alpine Pediatrics makes every effort to ensure your claims are billed and processed to your insurance in a timely manner. In order to do this, we ask that you come to your child’s appointment with your current insurance card to verify that we have the correct information for claim submission. Please be aware of your coverage and benefits before the appointment, and be prepared to pay any patient portion that your insurance requires of you at the time of service.
We provide all vaccines that are given to commercially insured patients, and the State provides the vaccines that are administered to uninsured patients or patients covered by Medicaid. While the vaccines are the same, the State does not allow us to mix the two stocks. Privately purchased vaccines can be several hundred dollars, so it is very important for patients to know their insurance coverage and benefits prior to the appointment. We have documentation for you acknowledge whether you are privately insured or not, and vaccines are given based on this documentation. If for any reason your insurance does not cover the vaccines or is not active as presented at the time of service, the balance will be your responsibility.
Hardship and Payment Plans:
If for any reason you are unable to pay your balance in full at the time of service or upon receipt of the first statement, please contact our billing office at 801.772.1068 to discuss payment options or ask a receptionist about options. We do not deny access to services due to inability to pay, race, color, sex, national origin, disability, religion, age, sexual orientation or gender identity. A discounted/sliding fee schedule is available based on family size and income. If you decide to apply for hardship, we will require a copy of a legal form of identification, prior year tax return, 2 most recent paystubs, and insurance card. Our financial aid is a sliding schedule based on Federal Poverty Guidelines.
Sliding Fee Schedule 2021
I have insurance, but still owe money. Why?
It is very important for you to know and understand your insurance benefits. There are many policies and plans for each person or employer group, and we are unable to determine what your policy benefits are for each visit based on the information on your insurance card.
We encourage you to ask your insurance plan important questions regarding your benefits such as:
|• ||Do I have well child or preventative care for my child?|
|• ||Is there a limit or maximum benefit to the well child or preventative care?|
|• ||Are the vaccines covered by my insurance?|
|• ||Are there vaccine coverage limitations? Alpine Pediatrics follows the current immunization guidelines established by the American Academy of Pediatrics (AAP) and the Center for Disease Control’s Advisory committee on Immunization Practices (ACIP).|
|• ||If my child is having an office procedure done, such as wart removal, mole removal, fracture care, laceration repair etc.; what will I be responsible to pay?|
|• ||Does my plan have a deductible that will need to be paid each year and how much is my deductible?|
|• ||How much is my copayment?|
|• ||Coinsurance is a percentage of the charges that may be your responsibility and is not part of the copayment.|
|• ||Is the physician or physician assistant participating with your insurance plan?|