Insurance

Office Hours

Monday

8:30am-5:30pm

Tuesday

8:30am-5:30pm

Wednesday

8:30am-5:30pm

Thursday

8:30am-5:30pm

Friday

8:30am-5:00pm

Saturday

8:30am-11:00am

Insurance Overview

Insurance Cards – Please bring your most current insurance card to your child’s appointment, as this information needs to be kept updated to provide you with the most efficient billing service. Your current insurance card will indicate your co-pay, if any.
Copays – We are required to collect all copays at the time of service and, by law, are unable to write-off a copay.
Insurance Coverage – We participate with most Preferred Provider plans (see list below), but the insurance market changes frequently. We strongly encourage you to contact your insurance company to confirm that Richmond Pediatrics is covered by your plan.
Well Child Checks
Please keep in mind that different insurance plans have different criteria as far as covering patient physicals. Some cover one per calendar year, while others cover one per benefit year, which doesn’t always coincide with a typical calendar year. We recommend that you contact your insurance company to find out what your specific benefit is.

PARTICIPATING INSURANCE PLANS*

Please be advised that this is simply a list of insurances that we are contracted with. Many insurances have plans that are network specific, and we may not be part of that network. We strongly suggest that you verify with your insurance carrier that we are part of that particular network before scheduling an appointment. If you have a plan that's not listed here, we also recommend contacting your insurance carrier. Please reference TaxID 91-1045617 when calling your insurance carrier.

**ATTENTION ALL UNITED HEALTHCARE PATIENTS - COMMERCIAL & MEDICAID**
Please be aware that certain United Healthcare plans are being switched to a Managed Care plan, which means that our clinic would no longer be in network.
Some of these networks include but aren't limited to:
International Community Service
NPN (Northwest Physicians Network)

Commercial

Aetna*
Asuris NW Health
Cigna Healthcare (Including Great West, Healthcomp)
EBMS
First Choice Network
Kaiser Permanente — PPO Plans Only
- Please note: if you have the Kaiser Core or SoundChoice HMO plans we are NOT considered in network. You must be seen at a Kaiser Permanente clinic to be considered in network for their HMO plans.
Healthcare Management Administrators
MODA ODS Plus
Molina Healthcare (Gold/Silver/Bronze)
United Healthcare Tricare
United Healthcare (Includes All Savers, Integrated Services, Medica, Student Resource and UMR plans)
- NPN (Northwest Physicians Network): We do not accept this plan.
Workers Compensation (Please have all paperwork, claim number, and claim manager information at time of service.)

PHCS/Multiplan
Lifewise (Non-exchange plans only)
Premera Blue Cross*
Providence Health Plan
Regence Blueshield — PPO Only
- Bridgespan UW Medicine, a Regence Plan, is not accepted here. Please contact a UW clinic
Regence Group Administrators
Regence UMP

Medicaid

Coordinated Care
DSHS
Molina Healthy Options
United Healthcare, Healthy Options plan only

(Please note that while we do accept Medicaid plans, we do not accept Community Health Plan of Washington or Amerigroup)

Exchange Plans

We accept the following plans from the Washington Health Exchange

Ambetter
Lifewise
Molina
Premera
Regence
United Healthcare

-Aetna: Hearing Tests

Please note that the majority of Aetna plans do not cover Hearing tests as part of a well child check. We strongly urge you to contact your specific plan to verify your child’s preventive benefits. (Reference code 92552)

Premera EPO Plans:

Questions?

Please contact us at 206-546-2421 extension 122 for billing questions.
Please contact your insurance provider directly with questions about coverage.

Tip for New Parents:

We recommend adding your newborn baby to your health plan within the first week of the baby being born to avoid claims being denied.