Insurance and Billing

We accept most insurance plans including:

  • Aetna

  • Blue Cross Blue Shield

  • Boston Medical Center HealthNet Plan (BMCHP)

  • Tricare

  • Cigna

  • Coventry Health Care

  • Fallon Community Health Plan

  • Harvard Pilgrim Health Care

  • *MassHealth

  • Medicare

  • MultiPlan/Private Healthcare Systems (PHCS)

  • Neighborhood Health Plan (NHP)

  • Tufts Health Plan

  • Tufts Health Public Plans

  • UniCare

  • United Healthcare Insurance 

*We do not accept any of MassHealth’s Accountable Care Organizations (ACO plans), although you may contact MassHealth and request to change your child’s health plan to one that we do participate in.  

> MassHealth PCC plan 

> Tufts Health Together (MCO) & 

> BMCHP (MCO)

 

Please be sure to bring your child’s insurance card with you each time you visit the office.

Patients with Health Insurance

Insurance is an arrangement between an individual and an insurance company (and sometimes an employer) to help pay the cost of medical care. Each plan has individual limitations as to what it specifically covers. Due to variations in deductible and co-payment requirements, insurance rarely covers the entire bill. Because of the many different insurance plans and coverage types available, it is impossible for Beaver Brook Pediatrics to be familiar with each insurance arrangement. As a courtesy, Beaver Brook Pediatrics will present a bill for services rendered to your child’s health insurance carrier, but it is ultimately the parent/guardian’s responsibility to ensure all services are paid in full.

 

It is the responsibility of the parent/guardian to know and understand the details of their child’s health insurance coverage. Not all services may be covered by your child’s health insurance plan. Therefore, the obligation to understand what services are covered remains the responsibility of the parent/guardian.

 

Co-payments and any prior patient balance will be collected at the time of service.

 

Due to filing limitations with many insurance carriers, it is the parent/guardians responsibility to inform Beaver Brook Pediatrics of their child’s health insurance coverage at the time of each visit. Parents/Guardians who do not present their child’s insurance card at the time of the visit may be required to pay for the service. You may be required to sign a non-covered services waiver so that we can bill you directly.

Services Rendered

Although your child may be scheduled for a particular type of visit, the provider of service may deem it in the best interest of your child to address other matters of concern which were not originally planned at the time the appointment was scheduled. This may result in another charge billed to your insurance carrier and possibly an insurance/patient cost sharing (deductibles, co-payments and/or co-insurance). This is a widely acceptable industry standard of care. If you have any questions regarding services rendered, please feel free to contact our office.

Primary Care Physician Selection

Your insurance plan may require your notification of the Primary Care Physician (PCP) you have selected to manage your child’s healthcare. If this notification is not on file with your insurance plan, services may be denied leaving the entire balance your responsibility. Please notify your insurance carrier promptly of the PCP you have selected for your child.

Contact Us

 

Beaver Brook Pediatrics

465 Waverly Oaks Road

Suite 100

Waltham, MA 02452

 

(781) 891-3706 - office number

(781) 891-3564 - fax number

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Hours

Office Hours:

Monday through Friday, 9:30 AM - 5:00 PM

Extended Hours:

Evening well visits are available by appointment.
Weekends and Holidays:

Urgent visit appointments are available. Please call between 7am - 10am and the on-call doctor will help determine if your child needs to be seen urgently.

 

© 2015 Beaver Brook Pediatrics.

 

All rights reserved.