Columbus Pediatrics

Columbus Pediatrics is committed to providing you with the best possible care and glad to discuss our financial policy with you at any time. Your clear understanding of our Financial Policy is important to our professional relationship. The responsible party is the designated person to see that the entire bill is paid in full. Please feel free to contact us at (812) 376-9219 for any assistance you may need.

Payment options are checks, cash, Visa, MasterCard, Discover, American Express and debit cards.

Generally, you should receive a statement every thirty (30) days unless the visit is pending with your insurance company. After forty-five (45) days, if there is no response or payment from your insurance company, the balance becomes your responsibility.

Fees

The fee schedule has been designed to represent the usual and customary charges. It reflects time spent, supplies needed and the complexity of the problem and/or procedure. This may not always agree with your insurance company's global, usual and customary determinations.

The person with whom the child/children resides with will be listed as guarantor. If someone other than the guarantor carries insurance, the insurance information will reflect this. We expect payment from the person who brings the child in for services, and we do not get involved with billing other persons or waiting for the conclusion of court cases. Our system cannot accommodate two party billing.

We realize you may have financial problems, at times, making immediate payment difficult. Please feel free to discuss this with us. While we are concerned about our collections and expense, your child’s medical care is our priority. We always try to honor a faithful relationship.

Past due amounts that are greater than 90 days over due are subject to being turned over to a collection agency. You are strongly encouraged to pay all past due amounts promptly or set up a payment plan with us.

There is a $20.00 charge for returned checks. If two checks are returned, you will no longer be able to write a check in our office. Subsequently, payments must then be made either by cash, credit card, money order, or certified check.

We participate in: Anthem, Indiana Medicaid, SIHO, Encore, Sagamore, PHCS, IHN, Aetna, Cigna, United Healthcare and Humana. A current card must be presented at every visit in order for us to file your claim. Co-pays and deductibles are due at time of service.

You must also present your insurance card for non-contracted insurances that you wish us to file on your behalf. Payment responsibility remains yours. If your insurance does not satisfy the claim within 30 days, the balance is then due from you.

A Release for Medical Record Transfer Form must be completed in order to have your child’s medical record copied and forwarded to another health care provider.

A release for medical record transfer form must be completed in order to have your child’s medical record copied and forwarded to another health care provider. Please be specific on the contents of the record you need. The coping of records is a service provided for you. The state of Indiana Law (IC 27-15-13-2 Sec 3) establishes the fees allowed to copy these records. These fees are your responsibility to pay. Insurance does not cover this service.

We firmly believe:

• in the effectiveness of vaccines to prevent serious illness and to save lives.
• in the safety of our vaccines.
• that all children and young adults should receive all of the recommended vaccines according to the schedule published by the Centers for Disease Control and the American Academy of Pediatrics.
• based on all available literature, evidence and current studies, that vaccines do not cause autism or other developmental disabilities.  
• that thimerosal, a preservative that has been in vaccines for decades and remains in some vaccines, does not cause autism or other developmental disabilities.
• that vaccination of children and young adults may be the single most important health-promoting intervention we perform as health care providers, and that you can perform as parents/caregivers.  The recommended vaccines and their schedule given are the results of years and years of scientific study and data gathering on millions of children by thousands of our brightest scientists and physicians.

These things being said, we recognize that there has always been and will likely always be controversy surrounding vaccination.  Indeed, Benjamin Franklin, persuaded by his brother, was opposed to smallpox vaccine until scientific data convinced him otherwise.  Tragically, he had delayed inoculating his favorite son Franky, who contracted smallpox and died at the age of 4, leaving Ben with a lifetime of guilt and remorse.  Quoting Mr. Franklin’s autobiography:

“In 1736, I lost one of my sons, a fine boy of four years old, by the smallpox…I long regretted bitterly, and till regret that I had not given it to him by inoculation.  This I mention for the sake of parents who omit that operation, on the supposition that they should never forgive themselves if a child died under it, my example showing that the regret may be the same either way, and that, therefore, the safer should be chosen.”

Over the past several years, many people in the United States and Europe have chosen not to vaccinate their children with the MMR vaccine after publication of an unfounded suspicion (later retracted) that the vaccine caused autism.  As a result of under immunization, there have been outbreaks of measles and mumps resulting in several deaths from complications of the vaccine preventable diseases in the United States and Europe over the past several years.  Most recent of note was an outbreak of Mumps in Bloomington, IN.

Furthermore, by not vaccinating your child you are taking advantage of thousands of others who do vaccinate their children, which decreases the likelihood that your child will contract one of these diseases.

We are making you aware of these facts not to scare you or coerce you, but to emphasize the importance of vaccinating your child.  We recognize that the choice may be a very emotional one for some parents.  We will do everything we can to convince you that vaccinating according to the schedule is the right thing to do. 

However, should you have doubts, please discuss these with your health care provider in advance of your visit.  In some case, we may alter the schedule to accommodate parental concerns or reservations.  Please be advised, however, that delaying or “breaking up the vaccines” to give one or two at a time over two or more visits goes against expert recommendations, and can put your child at risk for serious illness (or even death) and goes against our medical advice as providers at Columbus Pediatrics. Such additional visits will require additional co-pays on your part.  Furthermore, please realize that you will be required to sign a “refusal to Vaccinate” acknowledgment in the event of lengthy delays.

Finally, if you should absolutely refuse to vaccinate your child despite all our efforts, we will ask you to find another health care provider who shares your views.  We do not keep a list of such providers nor would we recommend any such physician.  Please recognize that by not vaccinating you are putting your child at unnecessary risk for life-threatening illness, disability, and even death.

As medical professionals, we feel very strongly that vaccinating children on schedule with currently available vaccines is absolutely the right thing to do for all children and young adults.  Thank you for your time in reading this policy, and please feel free to discuss any questions or concerns you may have about vaccines with any one of us.

This is the belief of all our physicians and medical staff.

Appointments unable to be kept are requested to be cancelled within 24 hours. 

Three missed appointments without cancelling in a rolling 12 month calendar will result in termination of medical services from the practice for all family members. A patient who checks in more than 10 minutes late to their scheduled appointment or misses their appointment without notifying the practice will be considered no-show.