Notice to our Cigna® families
Effective October 1, 2025 Cigna® is planning on unilaterally affecting the access to care you or your children may have.
Please read this letter to our patients who receive insurance benefits either directly through Cigna® or a Cigna® leased network.
Please read this letter to our patients who receive insurance benefits either directly through Cigna® or a Cigna® leased network.
We Accept Most Health Insurance
Many of the services provided in our office are covered and paid for by your insurance company. As a courtesy to our patients we will send claims to your in-network insurer for processing. All services are rendered to our patients -- not their insurance companies -- therefore all charges are the financial responsibility of the insured, not the insurance company regardless of your insurance coverage.
We expect your insurance to process and pay claims within thirty days of receipt and, if this has not occurred, we may ask for your assistance to rectify any delays in processing or payment.
As per our contractual agreement with your insurer, payment of insurance co-payments as detailed by your insurance plan benefits is required at the time of your visit. Failure to pay your co-payment will incur a $10 surcharge on your account.
Upon receipt of an Explanation of Benefits (EOB) by our office, co-insurance, deductibles and any responsible party balances will be due immediately (see Payment & Credit Card Policies). You will not be billed for contractual allowances.
We expect your insurance to process and pay claims within thirty days of receipt and, if this has not occurred, we may ask for your assistance to rectify any delays in processing or payment.
As per our contractual agreement with your insurer, payment of insurance co-payments as detailed by your insurance plan benefits is required at the time of your visit. Failure to pay your co-payment will incur a $10 surcharge on your account.
Upon receipt of an Explanation of Benefits (EOB) by our office, co-insurance, deductibles and any responsible party balances will be due immediately (see Payment & Credit Card Policies). You will not be billed for contractual allowances.
At present, we have participation contracts* with the following insurance companies:
Individual ACA Plans
ABC Pediatrics participates in the following networks
ABC Pediatrics does NOT participate in the following network
ABC Pediatrics participates in the following networks: Premier and Preferred
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*It is the absolute responsibility of the insured (member) or the parent using the insurance policy to
know their own coverage benefits and eligibility in addition to whether our office is a participant in their specific plan.
know their own coverage benefits and eligibility in addition to whether our office is a participant in their specific plan.
Please refer to your insurance plan guide, website or call your insurance plan customer service agent regarding questions you may have pertaining to plan participation, benefits and eligibility.
Effective August 1, 2025, ABC Pediatrics will no longer accept insurance assignment for MotivHealth®, 90 Degree Benefits or Health West Administrators (HWA). For more information regarding this policy change, please call our office and ask for our billing manager. See an example of the letter we have sent to existing families with MotivHealth®. You will be required to complete the following form in our office.
