
Calls During Office Hours
All patients are encouraged to call with any questions. The office staff is trained to answer most non-clinical questions, including billing inquiries. For medical related questions or problems, the staff is not able to give any advice over the phone.
If you have a medical related inquiry regarding your child, we’d ask to give us a call at 847-854-9402 and leave a message with the staff. Your primary care physician, the doctor on-call or the nurse will return your call.
Please keep in mind when leaving messages during office hours that our priority is with the patients that are in the office. Thus, your call will be returned once a medical caregiver finishes seeing our priority patients in the office.
After Office Hours Calls
If your child or teenager becomes acutely ill after office hours and you cannot wait until the next morning, the “on-call” will return your call. Our phones are answered after hours by an answering service. They will take our message and forward it to the doctor.
The doctor will determine whether she can handle the situation by phone and see you in the office the next morning or whether it will, in fact, be necessary to have your child seen more urgently in the emergency room.
When you are waiting for a doctor to return your call after hours, it is recommended to disarm the feature on your phone that does not accept calls from anonymous numbers. For privacy purposes, our doctor's have this feature on their home and cell phone.
Prescriptions
For the safety of your child, It is the policy in the office that no new medication is prescribed without being seen in the office. Furthermore, it is the Doctors' general policy not to phone in antibiotic prescriptions.
If your child is sick enough to require an antibiotic, we highly encourage for he or she to first be examined.
For chronic conditions, we will be more than happy to fulfill a prescription refill. Please contact your pharmacy and ask them to fax us a refill request at Fax: (847) 854-9403, or you may leave a prescription refill request with any of our staff members. Please allow up to three (3) working days for your refill request to be called in.
Payment
Co-payments and Deductibles
Your plan may require you to pay a co-payment and/or meet a yearly deductible. We expect these payments at the time of service; be sure that whoever accompanies your child to the office, he or she brings the payment with them. We accept cash, checks, VISA and MasterCard. Co-payments are a contractual obligation between you, your health plan and our practice; if the co-payment obligation is not met, your insurance plan has the right to deny the charges. This may leave you responsible for the services rendered during your visit.
Monthly Statements
You will receive a monthly statement from us if there is any outstanding balance on your account. Our insurance department is available to help you should you have any questions concerning your balance or your statement. Your statement will provide you with a detailed aging of how long balances have been outstanding. Our policy requires that balances older than 120 days are turned over to a collection agency, and we terminate our relationship as your child's physician. We can assist you in setting up a payment plan.
Payment Responsibility
It is always a good idea to double-check with your particular plan to ensure that the doctors are approved providers before you are seen at the office. Although we are happy to file insurance claims on your behalf each time you visit our office, please understand that you are ultimately responsible for the payment of all charges incurred with the office regardless of your insurance coverage or reimbursement.
Guarantor
You will be required to provide us with the guarantor on your child's account with us. The guarantor is the individual who assumes financial responsibility for all payments to the practice. The guarantor is usually the individual that the child lives with (in the case of separated or divorced parents) or the policyholder on the insurance coverage.
Credit Card
We require all parents to leave a credit card number on file with our office. The card will only be used for those patient accounts that have been delinquent for more than 90 days. We will submit claims to your insurance company, send out monthly statements, and make payment arrangements. However, if we are unable to collect (or make payment arrangements) and the account is more than 90 days overdue, we will process the credit card.
Medical Records
Medical Records must be requested in writing and signed by a parent or guardian. We do not charge for records sent to another physician. Shot records can be faxed or mailed at parents request at no charge. There is a fee for records copied for parent's personal use or for use by insurance purposes.
Insurance Plans
Each insurance plan is unique. Many plans have limits and/or exclusions that apply to your child's medical care. We recommend that you check with your particular plan in advance to find out what services are covered and how much they will reimburse you for medical expenses. The office accepts the following insurance plans.
Blue Cross Blue Shield, PPO (Includes EPO)
Aetna
National Provider Network, (NPN)
Blue Choice POS
CAPP Care/Beech Street, PPO
One Health Plan/Great West PPO
CCN PPO
One Health Plan/Great West POS
CIGNA, PPO/EPO
One Health Plan/Great West HMO
Cigna Managed Care Plans (HMO/POS)
PPO Next
Delphi Card, PPO
Preferred Plan, PPO
Evolution Health Systems PPO
Private Health Care Systems, PPO
First Health
Tricare Standard/Health Net
Health Marketing, Inc./Health Pref. of Mid-America, PPO
Unicare PPO
HFN, PPO/EPO
United Healthcare, Choice & Choice Plus
Health Network/BCE Emergis
United Healthcare Select, Select Plus, EPO, POS
Humana/Choice Care, PPO
United Healthcare, Options PPO
