West Bloomfield Pediatrics

Immunizations:

We are not accepting new families that do not immunize.

Vaccines save lives! We strongly recommend immunizations.   We follow CDC and AAP guidelines and do not recommend any delays or omissions in immunizations. However, should you have any doubts please discuss these with our health care provide in ADVANCE of your visit.

Please refer to the Vaccination Policies for further information.

Calls During Office Hours:

We encourage you to call the office with your questions. Our billing department is available from 9:00 am to 5:00 pm. For non urgent medical related questions, call us during business hours. The best way to get non urgent questions answered is via the portal where you can message the docs directly.  When you leave a message during office hours, we will do our best to get back with you as quickly as possible, but the portal is the best way to communicate with us.

Communication Via the Patient Portal:

Our Athena Patient Portal is a HIPPA compliant convenient method of messaging our staff. Seeing as our physicians and nurses spend a large part of their work day caring for patients, in the office,  we encourage all non-urgent medical questions be sent through the patient portal. All prescription requests are required to be sent through the patient portal. Sending messages/questions through the patient portal does not mean you cannot speak to a doctor or nurse. The portal merely provides an improved method of relaying messages between patients and clinical staff. The portal is HIPPA compliant, questions/messages/comments go directly into a patient’s chart, they come first hand from the person sending the message, and can be viewed by all clinicians in the office, insuring a more timely response in the event that one clinician is not in the day the message was sent. The portal can also be used to send messages to the billing staff, pay outstanding balances, and to schedule and view upcoming appointments.

Prescriptions:

It is our policy that no new medications, including antibiotics, are prescribed without first being examined by one of our physicians.  For chronic conditions, we will be more than happy to refill your prescription, provided that we have been following your child for this condition.  All lab results and prescription requests will only be addressed via the Athena portal as of 11/1/17.

Copayment and Deductibles:

Many insurance plans require you to pay a copayment and/or meet a yearly deductible. Copayments and yearly deductibles constitute a contractual obligation between you and your health plan provider. If the copayment obligation is not met, your health plan provider has the right to deny any and all charges, which could leave you responsible for all services rendered during your visit. Copayments are due at the time of service. We accept cash, checks, Visa, Mastercard, Discover and American Express.

Late Policy:

If you are more than 15 minutes late for your scheduled well visit, we have to reschedule. Ill children will be worked into the schedule, with prompt patients given priority.

Our practice participates in health plans with the following insurance companies.

Participation in these plans may change without notice.

Aetna
Alliance Health & Life
Blue Care Network
Blue Choice
Blue Cross Blue Shield
Blue Cross Community Blue
BCBS Blue Preferred
BCBS Mi-Child
Cigna PPO
Cofinity- Formerly PPOM
DMC Care
Health Alliance Plan (HAP)
Harrington Benefit Services
McLaren Health Plan (Private Only)
Medicaid
Meridian
Molina
Priority Health
Private Health Care Systems (PHCS)
St. Johns Smart Health
Teamsters
TriCare-Champus
United Healthcare Systems
UMR

Additional Instructions:

Please make sure your insurance allows you to go to the proper ER, imaging center or lab. If you use the incorrect facility, you may be held financially responsible for any charges incurred.

No Insurance? Your kids are most likely eligible!

Click here for Insurekids

Click here for government resources

Click here for a private market resources

No-Show Policy:

Quality care for our patients is our priority. Please take a few minutes to review our no-show policy. If you have any questions please let us know.

Definition of a “No-Show” Appointment
W.B. Pediatrics defines a “No-show” appointment as any scheduled appointment in which the patient
either:

Impact of a “No-show” Appointment
“No-show” appointments have a significant negative impact on our practice and the healthcare we provide to our patients. When a patient “no-shows” a scheduled appointment it:

How to Avoid Getting a “No-show”

  1. Confirm your appointment
    W.B. Pediatrics will contact you at minimum, two business days before your scheduled appointment to confirm your visit. **Please remember confirmation calls are a courtesy, ultimately it is your responsibility to know your appointment date and time**
  2. Arrive 5-10 minutes early
    When you schedule an office visit with us, we expect you to arrive at our practice 5-10 minutes prior to your scheduled visit. This allows time for you and our staff to address any insurance or billing questions and/or to complete any necessary paperwork before the scheduled visit.
  3. Give 24 hours’ notice to cancel appointment
    When you need to cancel or rebook a scheduled visit, we expect you to contact our office no later than 24 hours before the scheduled visit. This allows us a reasonable amount of time to determine the most appropriate way to reschedule your child’s care as well as giving us the opportunity to rebook the now vacant appointment slot with another patient. If it is less than 24 hours before your appointment and you are unable to show, please give us the courtesy of a phone call.

Consequences of “No-show” Appointments
If applicable, there will be a $25.00 charge for all “No-show” appointments. If you miss 3 or more appointments within a year you may be dismissed from the clinic. Patient dismissal is at the discretion of your medical provider. Once dismissed, only emergency medical treatment will be offered within the first 30 days of dismissal.