All copayments are required at the time of service. For your convenience Just 4 Kids Pediatrics accepts cash, personal checks, MasterCard or Visa.
If your insurance plan requires deductibles and coinsurance you may elect to leave a credit card on file so we may charge the assessed patient responsibility after your payer returns the Explanation of Benefits.
Charges pending must be paid up to date at the time of each visit unless prior arrangements have been made. We will do our best to inform you of the amounts owed when we call to confirm your appointment.
Your child’s insurance card must be presented at each visit. If you do not have his or her insurance card and insurance cannot be verified then you must either pay for the visit out of pocket or reschedule the appointment.
Our office is not a party to your divorce decree. The responsibility for payment for the child’s visit is the responsibility of the accompanying adult.
The following fees will be charged for services not covered by your insurance:
Missed sick appointment $20
(Not cancelled within 2 hours of the appointment)
Missed well visit $30
(Not cancelled with 24 hours of the appointment)
Returned check fee $30
Forms filled out at the time of the well visit No Charge
Forms filled out not at the time of well visit $5
(Forms will be ready in 24 hours)
Forms filled out the same day not at a well visit $20
Records Copied $10 per patient
$30 maximum per family