At Milestones Pediatric, we are committed to providing high-quality, affordable healthcare to the children and families who trust us with their care. To ensure clarity regarding financial responsibilities, we ask that you review our financial policy.

1. Insurance

We accept many insurance plans. If you do not have insurance or are insured with a plan that we do not participate with, payment in full is expected at each visit. Additionally, if you have insurance but do not provide us with a current insurance card, payment in full is required until we can verify your coverage. If this information is not provided in a timely manner, you may be responsible for the full balance of the claim.

2. Co-Payments, Deductibles, and Co-Insurance

It is the responsibility of the patient’s parent or guardian to know and pay any co-payments, deductibles, or co-insurance at the time of service. If you are unsure of your portion, we will collect a minimum of $30.00 at the time of service and adjust any overpayment or additional balance accordingly. We accept cash, personal checks, Visa, MasterCard, and Discover. Returned checks due to insufficient funds will incur a $25.00 fee.

3. Claims Submission

As a courtesy, we file claims with your primary and secondary insurance (if applicable) for accepted insurance carriers. However, your insurance company may require additional information directly from you. It is your responsibility to provide any requested details. Any charges not covered by your insurance plan are the responsibility of the patient’s parent or guardian. Please contact your insurance provider directly for questions regarding coverage.

4. Coverage Changes

If your insurance coverage changes for any reason, please notify our billing office immediately to verify that your new plan is accepted. If your service is not covered or your insurance company does not process the claim within 45 days, the remaining balance will become your responsibility. If we do not have an agreement with your insurance provider, you will be responsible for the full payment.

5. Nonpayment and Collections

If there is a balance after your insurance has processed the claim, you will receive a billing statement. Full payment is expected upon receipt. Partial payments will not be accepted unless arranged with our billing department. Accounts past due by 30 days may be subject to in-office collections. If a balance remains unpaid after 120 days, the account may be sent to a collection agency, and all patients associated with the account may be discharged from the practice. If this occurs, you will be notified via regular and certified mail that you must secure alternative healthcare within 30 days. During this time, our providers will only be able to offer emergency care services.

6. Communication Regarding Payment

By receiving care at Milestones Pediatric, you agree that we and our affiliated billing services may contact you regarding your account via phone, text, or email using the contact information you have provided. This may include automated messages or pre-recorded calls.

7. Missed Appointments

Appointments must be canceled at least three hours in advance. Missed appointments or late cancellations will result in a fee charged directly to you. Patients with three or more missed or late-canceled appointments may be dismissed from the practice.

8. After-Hours Appointments

Appointments scheduled outside of regular business hours (Monday–Friday, 8:00 AM – 5:00 PM) may incur an after-hours fee. Some insurance plans reimburse for this fee, but deductibles may apply.

9. Medical Records

Requests for medical records may include a fee based on state regulations. Please contact our office for details.

We appreciate your cooperation and understanding of our financial policy. If you have any questions, please don’t hesitate to ask our team.

By signing below, I acknowledge that I have read, understand, and agree to the financial policy of Milestones Pediatric.