Office Policies

Western Michigan Pediatrics, PC offers nursing triage services daily until 5:00pm. After hours phone triage is provided by a nurse answering service. There is a $25 charge for after hour calls. If you have a life-threatening emergency, please call 911 or take your child to the nearest emergency department.

We understand that there may be times when you need to reschedule an appointment. We ask that you contact our office 24 hours in advance to avoid a same date cancellation or No-Show fee. A $50 charge for a missed Well Child Exam or Nutritionist appointment or a $25 charge for all other appointment types will be applied to your account. All No-Show fees are payable prior to the next appointment. After three No Show’s per family in a calendar year, you may be discharged from the practice.

Copays are due at the time of service. It is your responsibility to know your copay amount. If the copay is not paid at the time of service; a $10 statement fee will be applied to the account.

The health and wellness of our patients is of utmost importance to our office. Our goal as your child’s physician in the Patient Centered Medical Home relationship is to provide the best possible medical care. It is therefore necessary for you to know what benefits your insurance plan covers.

Insurance Cards & Payment Information

• Please provide us with your child’s current insurance information at each visit.
• If your insurance requires you to see a designated Primary Care Physician (PCP), please ensure that we are listed as the PCP prior to your appointment.
• We will submit claims to your insurance as a courtesy. However, any charges not covered by your insurance plan will be your responsibility.
• For patients with high deductible plans, payment is required within 30 days of the visit.
• If our physicians do not participate with your insurance plan or you do not have health insurance, payment in full is due at the time of service.
• We accept cash, check or credit card (MasterCard, Visa, American Express, Discover)
• You are responsible for all co-payments, deductible, and co-insurance.

• Copays are due at the time of services. It is your responsibility to know your copay amount. If the copay is not paid at the time of service, a $10 statement fee will be applied to the account.

• Patient Statements

• Outstanding balances are due within 30 days. If you are unable to pay the balance in full, please contact our billing department to discuss payment options.
• Accounts past 90 days will be sent to collections and further elective medical care will be denied.
• A $30 fee will be charged for any checks returned in addition to any bank fees incurred.

Patients arriving more than 10 minutes late for an appointment may be asked to reschedule.

The following list of medical records is available through the patient portal and provided complimentary:

• Allergies
• Immunization List
• Medication list
• Problem list Last well visit encounter
• Vitals/growth chart

Additional record request would include an administrative fee for processing.

We highly encourage you to request medication refills through our patient portal. Please allow 2 full business days to process your child’s medication refill.

Medications prescribed for chronic conditions such as, ADHD, anxiety/depression, along with other controlled substances require a pharm management visits every 6 months.

Western Michigan Pediatrics, P. C., is dedicated to providing excellent patient care. Appointments that are missed hinder our ability to provide the highest quality of care possible.

If a patient is unable to keep an appointment, they are asked to contact the office, 24 hours prior to the appointment time. If an appointment is not kept, or not cancelled, it will be considered a “NO SHOW”.

You will be charged a fee of $50 for a missed Well Child Exam Appointment or Nutritionist Appointment, and a fee of $25 for all other types of appointments.

As a courtesy, our office will attempt to contact the patient/parent of their appointment the day prior. However, if we are unable to make contact, it is still the obligation of the patient/parent to keep or cancel the appointment.

We participate with the following insurances:

• Aetna
• BCBS of Michigan
• Blue Care Network
• Cigna
• Multiplan
• PHCS
• Physicians Care
• Priority Health
• Priority Health Medicaid
• United Healthcare

If you do not see your insurance company listed, please contact your insurance carrier to verify Western Michigan Pediatrics is in their network. You may also call our office for questions.