Insurances

Insurances

MVPediatrics is contracted with most major commercial insurance companies. There are many different plans offered through each company, so be sure to contact your insurer directly to verify that we are “in-network” with your specific plan. If your plan is an HMO/EPO or requires a PCP on file, contact your insurer to select one of our Physicians as your child’s Primary Care Provider (PCP) before your appointment to avoid any processing delays.

MVPediatrics Financial Policy

MVPediatrics will submit claims to the insurances with which we are contracted, which include most major health plans. We are not contracted with all insurances; nor are we “in-network” with all plans offered by major health insurance companies. You can verify we are in your plans specific network by contacting your health insurance provider by phone, or using their “Find a Doctor” tool on their website.

All patients must complete our patient information sheet before being seen by our office for the first time. Please bring your insurance card with you to your first appointment so that we can have a copy on file. It is important for you to understand that your insurance coverage is a contract between you and your insurance company. Please review your policy so that you are aware of your benefits and obligations.

If your insurance policy requires a co-payment, co-payments will be collected at the time of check in for all appointments. We will bill your insurance company after each visit. Once we receive a copy of the explanation of benefits for each claim submitted we will mail out a statement to you for any balance due per your insurance plan.

If you have a policy that requires you to choose a Primary Care Provider (PCP) please make sure a Physician from our office is listed as your PCP before coming in for your appointment. If we are not listed as your PCP, and a PCP is required, it will cause a delay in claim processing, and the potential for you to receive a bill for the full cost of the service.

If you need financial assistance with your bills, or are not covered by insurance, please contact our Billing Coordinator, Marissa Gurney. She can help you establish a payment plan, and provide guidance as needed in regards to health insurance/medical bills. Marissa can be reached at 617-845-0586, or emailed: mgurney@gotomvpeds.com.

Please check with us prior to your first appointment to make sure we are contracted with your insurance carrier. If you are unsure if your insurance will be accepted here please contact your insurer to verify with them that we are in-network; as we are not aware of all plans/policies that don’t include us in their network.

Some companies that we are NOT currently contracted with are:

Tufts Public Plans (Network Health), Tufts Direct, Tufts Spirit, Boston Medical Center Health Plan (BMC Healthnet), Harvard Pilgrim BIDMC Select, Fallon (Please call your plan; we are contracted with some Fallon Plans, but not all), Celticare, Health New England, Minuteman Health, Coventry, Guardian Health, HMO Blue Select.

*This list is subject to change; please contact your plan directly to verify coverage.