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The Hirsch Pediatrics FAQ's and Policies...
Billing
and Insurance
Are
there additional fees for school/camp forms, prescription refills,
or copies of my child’s records?
No. There are
no additional fees for standard office services such
as completing school/camp forms, prescription refills, or copies
of your child's records if requested by a parent or other medical
office.
There will, however, be a fee for copies of your child's records
if the request is from an outside agency, organization, or law
firm, as well as for an excessive amount of records requested
by a parent. In these instances, the guidelines and fees for copying
the records are dictated by Maryland law and the federal HIPAA
act of 1996, not by Hirsch Pediatrics. Please call the office
for additional details.
What
insurances does Hirsch Pediatrics accept?
In-network care
We participate with the
following insurances listed below. Please call our office if your
insurance is not listed under the in- or out-of-network section.
Adventist
Health
Aetna
BlueCross BlueShield
CareFirst
Cigna/Great West
Coventry
Tricare Standard PPO
Note: If your
insurance plan requires you to designate a primary care physician
("PCP"), you must select our office prior to your first
visit. If Dr. Hirsch is not designated as the PCP prior to the
first visit, you may incur extra costs if the insurance company
requires us to process the claim as an out-of-network visit.
Out-of-network
care
Please note that Hirsch
Pediatrics does NOT participate United Healthcare
(and all of its subsidiaries), Multiplan/PHCS, and Medicaid plans.
The complete list of insurances that are out-of-network:
Alliance
Beech Street
Johns Hopkins
MAMSI
MDIPA
Medicaid
Multiplan
OneNet PPO
Optimum Choice
PHCS
Unicare/NCPPO
United HealthCare
In using your out-of-network
benefits, we will collect the entire appointment charge from you
at the end of the appointment. We will provide you with the necessary
documentation to submit a claim to your insurance company for
reimbursement. Your insurance company should send all reimbursements
for out-of-network care directly to you.
Note for
families with United and Multiplan insurance: Please
notify us immediately if your insurance inappropriately processes
an out-of-network claim as an in-network claim. This common insurance
mistake typically benefits the insurance company at the expense
of the family, and we will try to assist you in correcting this
mistake as soon as possible.
If you would like more
detailed information on the expected out-of-network costs for
your family, please call or e-mail our office.
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