Accepted Insurance Carriers
Below is a list of insurance carriers that Penfield Pediatrics physicians participate with. Each carrier may offer several different plans, and Penfield Pediatrics may not accept them all. Please contact your insurance carrier to learn if our providers participate with your particular plan, and the services you require are covered under your plan.
We utilize ACM and URMC labs for patient testing and to process specimens. Please make us aware of any conflicts with your insurance coverage.
While there are numerous insurance plans available to our patients, we encourage you to check your plan's list of participating providers to confirm we are participating with your plan. If we are not participating with your health plan, you will be charged "out of network" fees by your plan. Please let our staff know if our providers are "out-of-network" of your insurance plan.
To review our practice fee schedule, please contact our Billing Office at 585-377-8105. Be advised that the fee schedule is an estimate of your visit and may not include absent or unforeseen circumstantial charges.
Become Aware of Your Insurance Plan's "Network Tiers"
Today, many insurance plans sort providers into "in-network" and "out-of-network" tiers. Typically "in-network" care is less expensive than "out-of-network" care. Before you receive care, it's a good idea to contact your insurance company to help you understand how your health care provider's status in a particular tier may affect your healthcare costs.
There May be Separate Charges for Some Services
Autism, developmental, vision and hearing screening have always been important components of your child's wellness checks. They are recommended by the American Academy of Pediatrics and are necessary to provide quality healthcare and to complete school/camp forms. Please be advised that some insurance plans may not cover these screenings in full and you may be billed for the additional expense.
Likewise, our providers use screening tools for depression, anxiety and ADHD to assist with the diagnosis and treatment of your child. Please be advised that some insurance plans may not cover these screening tools in full which may result in an additional expense billed to you.
If your child should receive an additional diagnosis or treatment during a Well Child Visit, your insurance must be billed for that service. Depending upon your particular health plan, this may result in a deductible or copayment assigned to you.
Referrals & Insurance Plans
When your primary care physician sends you to a specialist or arranges a procedure or test, we will provide you with the name and phone number of the specialist or facility that will perform the service so that you can ask them if they are an "in-network" provider or facility with your insurance plan.