Insurance & Billing

Trying to pay a bill?

The easiest way to pay any Angel Kids Pediatrics bills is by signing onto your patient portal. 

Need to setup or complete your portal registration? Looking for your pin number? Once you have your pin, it only takes three quick and easy steps to complete.

Don’t have Private Insurance, Medicaid, or CHIP?

Don’t have Private Insurance, Medicaid, or CHIP?   

Angel Kids Pediatrics will not deny you access to services based on an inability to pay.

There is a Sliding Fee Discount Program available to you that may be able to help.

Ask us about our Sliding Fee Discount Schedule to see if you are eligible.

Only available at the following locations:
(1)   Angel Kids Pediatrics Northside: 2040 Riverview Street; Jacksonville, FL 32208
(2)   Angel Kids Pediatrics Central: 6801 Beach Boulevard; Jacksonville, FL 32216
(3)   Angel Kids Pediatrics Normandy: 8225 Normandy Boulevard; Jacksonville, FL 32221

KNOW YOUR INSURANCE COVERAGE  
  1. NEWBORNS: Notify your insurance company immediately! The insurance companies DO NOT automatically know just because they received a claim for the birth. The baby is PRESUMED covered under the mother’s policy for 30 days (check with your plan), but this is PENDING the baby being added to the plan.
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  3. It is your responsibility to know if your coverage is active. We access the information from the insurance company, when they show the policy is INACTIVE we notify the person presenting the child. The visit balance is due at the time of service, or your appointment may be rescheduled.
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  5. Some Health Insurance plans require you to choose a Primary Care Physician (PCP).One of our providers MUST be listed as your PCP in order for the insurance company to process your claims.
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  7. Please bring YOUR CHILD’S insurance card to EVERY visit! Your child’s card may have a different number or suffix and it does not always go sequentially (policy holder may be 01, child 05, and spouse 08). Even if you keep the same insurer from year to year it is likely that information on the card has been updated. Your card often has information needed should we have to obtain prior authorization for medications, procedures, etc.
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  9. We DO NOT know the specifics of your insurance policy. It is your responsibility to understand the details of your child’s healthcare plan. There are many benefits and cost variations chosen through an employer based on policy or the exchange. There are dozens of different plans offered by large and small insurers.
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  11. Most insurance policies now have deductibles, co-insurances, cost-shares which may be in addition to your copay.
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  13. Most policies cover preventative health visits (well-visits), HOWEVER, this does not mean that all services performed are covered. Insurers MAYNOT fully cover charges for screenings and assessments recommended by the Academy of Pediatrics Bright Futures Guidelines.
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  15. IF YOU WANT THE PROVIDER TO ADDRESS ANY HEALTH CONCERNS DURING A PREVENTATIVE CHECK (WELL VISIT), THIS WILL RESULT IN COPAY BEING APPLIED.
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  17. Our providers recommend treatments or services that they feel are best for your child: a service (lab test), a treatment (like removal of ear wax), a procedure (like clipping of the tongue), a prescription or referral to the specialist. This does not mean your child’s insurance policy will cover these services. You may avoid out of pocket costs by checking with your insurer to see that the service or providers are in network before the service is performed.
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  19. Referrals need to be in place before making a Specialist appointment. It is your responsibility to make sure a referral is in place PRIOR to the appointment. Contact the physician who submitted the referral PRIOR to your service. Process of referrals may take up to 10 to 15 business days based, on severity.
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  21. If seen at an Emergency Room, patient is still required to be seen by PCP for any referrals to be submitted for processing (regardless if a referral was received from7+ an ER Physician).This is a requirement per the insurance company.
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  23. Your insurance policy is a contract between YOU AND THE INSURANCE COMPANY. As a courtesy, we file the claim with the insurance information provided at the visit. If the service is not covered, or you did not provide the current information we will not file for services over 60 days oldand you may be responsible for the cost of the entire visit.
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  25. We want to provide great care in an efficient manner. Please work with us by providing timely and accurate information. If you know there is going to be an issue please let us know upfront so we can work with you. Please contact Billing with billing questions and Physicians for treatment.
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Coinsurance: The money you have to pay for health services after you have paid the deductible.

Copayments: The fee paid for a doctor visit, hospital stay or other service.

Deductible: The amount of money you pay before your insurance starts to pay.

Eligible expense: A service or product recognized by the IRS that is purchased to help treat a medical condition or prevent a disease.

Employee contribution: The money an employee pays to be covered by a health plan; also called “premium”.

Flexible Spending Account (FSA): An employer sponsored account in which pre-tax funds are set aside from an employee’s paycheck each year. FSA funds can be used for eligible medical expenses, dependent care or commuter expenses, as determined by the IRS.

Health Maintenance Organization (HMO): A kind of health insurance plan that usually requires members to receive services through doctors, labs, and hospitals that contract or work with the HMO.

Health Reimbursement Account (HRA): Health care accounts that employers fund for covered workers or retired persons; IRS does not tax this money; also call Health Reimbursement Arrangements.

Health Savings Account (HSA): Health care bank accounts that let people put money aside tax free to pay for medical, dental and vision costs; IRS limits who can open and put money into HSA; money in HSA stays in the account until it is used.

Network provider: All the doctors, hospitals, nursing homes and laboratories that have contracts with an insurance company; also called “in-network” provider and “participating network” provider.

Non-network provider: Doctors, hospitals, and other health care professionals who do not participate in our network and may provide services at a higher cost.

Out-of-pocket maximum: The most you have to pay for health services; once paid, the insurance company pays 100 percent of eligible health care costs.

Point-of-service (POS): A health benefit plan that allows the covered person to choose to receive service from a participating or non-participating physician or other health care provider, with different benefit levels associated with the use of participating physicians or other health care providers.

Preferred Provider Organization (PPO): An organization where providers are under contract to provide care at a discounted or negotiated rate.

Insurance Accepted

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