Our pediatricians in Tomball, Gleannloch Farms, and Cypress areas accept various insurances. Here is important information in regard to how we work with you and your insurance provider and a list of the major insurance companies contracted with our practice. Questions to our billing department can be emailed to billing@pedsofnwh.com.
PARTICIPATING INSURANCES
Please contact our office if your insurance is not included on this list, as its absence does not necessarily indicate our non-participation with the insurance company.
- 90 Degrees Benefits
- Aetna
- Allegiance
- Boon Chapman
- Blue Cross/Blue Shield
- Cigna/Great West
- Community Health Choice Marketplace (CHC)
- Freedom Life (US Health Group)
- Humana
- Memorial Hermann Health Plans
- Plans utilizing Multiplan/PHCS Network
- Texas Children's Health Plan Star and CHIP
- Tricare/TriWest
- United Healthcare
- United Healthcare CHIP
- United Medical Resources (UMR)
** Self Pay Patients: If you are uninsured, we offer a discounted rate for services. Payment is required in-full at the time of service
Filing Your Claim
- If you have provided accurate and current insurance information, we will file claims to your insurance company for each visit. Your insurance company will respond to our claim and indicate how much is to be collected from you and how much is to be covered by them.
- Please allow approximately eight weeks the billing process to complete.
Balances & Statements
- Upon receiving the response to your claim from your insurance company, a statement will be sent to you electronically with any additional patient share that may be due.
- If you disagree with the way a claim was processed by your insurance company, contact your insurance company directly.
- Any questions regarding billing or statements should be sent to our billing department through your portal or by emailing billing@pedsofnwh.com
What We Collect
We will make every attempt to verify and confirm your benefits before your visit in order to quote and collect accordingly. Please be aware, this service is an estimate and a courtesy. It is ultimately the parent’s responsibility to be aware of their own benefits.
- All balances and copayments or estimated deductible amounts will be collected prior to your visit with the physician.
- Patients with no insurance or whose insurance is through a non-participating company will be required to meet their financial responsibility in full prior to services being rendered.
- If you benefits fall under…
- Your Copayment: Copayments are required in-full at the time of service. If you are unable to provide your copayment, you may be asked to reschedule.
- Your Deductible: Before being seen, we will require the estimated patient share for the office visit only. If your child receives any diagnostic testing during an office visit (strep test, urine screening, etc), these services will be billed to your insurance separately, and any remaining balance will be your responsibility.
Making Your Payment
- We accept payment by cash, check, Visa or Mastercard.
- Visa and Mastercard payments may also be made by phone or online by selecting the 'Make a Payment' button on our homepage.
Please review our detailed Financial Policy for additional information.