T (508) 947-0630
F (508) 947-0639
Insurance
Find out what insurance we accept.
Referrals
Learn about our insurance referral process.
Privacy Policy
Read about our privacy practices.
Insurance
A current insurance card must be presented at each visit. Co-payments must be paid at the time of the visit or a fee may be charged for non payment. Because of the volume of requests and the need for physician consultation, requests for referrals to consultants must be received at least several days in advance of the consultation. Requests for referrals may not be approved if adequate notice is not given.
Our practice participates in health plans with the following insurance companies. This listing and/or these plans may change without notice.
Commonly Accepted Insurances
- Aetna
- Blue Cross/Blue Shield of Massachusetts
- Cigna Healthcare of Mass
- Harvard Pilgrim Health Care (Point 32)
- Mass Health– ONLY ACCEPTING Mass General Brigham Health Plan ACO if you are unsure of your coverage plan , please contact our office for further assistance
- Private Healthcare Systems
- Tufts Health Plan (Point 32) –Some plans are not contracted
- Unicare –Some plans are not contracted
- United Health Care of New England
We are NOT Contracted With:
Please be sure to verify with the insurance company you have selected (NOT OUR OFFICE) that Middleboro Pediatrics participates with your health insurance plan.
WE ARE NOT CONTRACTED WITH:
- Fallon -Direct
- BMC Healthnet
- Tufts -Spirit
- Tufts -Direct
- MassHealth – See accepted insurances
- Blue Cross/Blue Shield – HMO Blue Select
Referrals
Please call our office to request your insurance referral from our Referral Coordinator. Please allow 48 hours for this to be completed.
It is the patient’s/parent’s responsibility to contact our office PRIOR to their appointment with their specialist.
Office and Privacy Policies
Please make sure to read and fill out our Payment Policy Form.
Our practice is committed to providing you with the best care possible. Letting you know in advance of our office policies allows for good communication and a better physician-patient relationship. Please read carefully and if you have any questions, please do not hesitate to contact our office manager.
POLICY ON VACCINE REFUSAL
We are strong supporters of vaccination (also known as immunization). Vaccination is one of the most important measures to prevent serious illness in children and adults. We follow the schedule for routine vaccination as recommended by both the American Academy of Pediatrics (AAP) and the Center for Disease Control Advisory Committee on Immunization Practices (CDC ACIP).
When a family is considering joining Middleboro Pediatrics and they are also considering refusing any or all vaccines, we require a “Meet and Greet” appointment to be scheduled prior to the child’s first visit. This appointment will be between one of the physicians and either one or preferably both parents or guardians. This will enable us to address any concerns you may have and to clarify our policies on vaccine refusal. We want to make sure we are a good fit for you and your family.
During an office visit when a vaccine is recommended, if the parent or patient has any questions about the recommended vaccine(s), we are happy to address any and all concerns. We also provide written information as supplied by the CDC. If a vaccine is refused, our policy requires the parent or guardian (or patient if over 18 years of age) to sign the standard Vaccine Refusal Form as provided by the AAP. This form documents our discussion including the risks of not vaccinating and clarifies which vaccines were recommended and refused. This form cannot be altered in any way. If the parent or guardian refuses to sign the Vaccine Refusal Form, that could lead to termination from our practice.
Vaccines prevent disease and save lives. We are committed to ensuring the health and safety of our patients. We sincerely hope that when a parent or patient is well informed about the advantages of vaccination, no vaccine would be refused.
Sincerely,
Middleboro Pediatrics
APPOINTMENTS
We value the time we have set aside to see and treat your child. If you are unable to keep your scheduled appointment, cancellation at least 24 hours prior to the appointment is required. This will allow us to reschedule your appointment and utilize that time to provide care to another patient. We reserve the right to charge $25.00 for missed appointments. After three missed appointments by a family within one year, you will be at risk of being discharged from the practice due to failure to comply with a medical care plan.
If you are greater than 10 minutes late for your appointment, we will do our best to accommodate you. However, it may be necessary to reschedule your appointment due to time constraints.
We strive to minimize your wait time, however, unexpected situations do arise for patients. We appreciate your understanding.
FINANCIAL
In accordance with your insurance plan, co-payments are required at time of service. We accept cash, check and most major credit cards. A $5.00 service fee will be charged in addition to your co-payment if it is not paid at the time of your visit. You are responsible for all deductibles and coinsurances.
Self-pay patients are expected to pay for services in full at time of visit.
A $5.00 fee will be charged for any checks returned for insufficient funds, plus any bank fees incurred.
Balances are due within 30 days. A request for payment letter will be sent for balances more than 60 days. A final request for payment letter will be sent for any balances outstanding longer than 90 days. If your account is forwarded to our collection agency, we will continue to see you on an emergency basis only for the next 30 days while you arrange for another physician to assume your care.
If special circumstances make immediate payment impossible, alternative payment arrangements may be discussed with our office manager.
Should your account balance become uncollectible due to bankruptcy, we will continue to see your child on an emergency basis only for 30 days, giving you time to find a new source of medical care.
FORMS & FEES
Your child’s school form is provided at no cost. Please keep the original form. You may photocopy it as needed for additional activities such as camp and sports. This form is good for one year from your child’s last physical. Patients with online portal access can also access forms as needed.
If transferring to another physician a single copy of your complete medical record is provided at no cost. A signed medical records release authorization form must be received before forwarding a copy of your medical record.
Any additional copies of forms are subject to $0.50 per page for the first 100 pages and $0.25 for each additional page in excess of 100 pages.
There is a base fee of $15.00 for those records requested by any agency or attorney for the cost of labor, supplies and postage.
Please allow 5-7 business days for the completion of all forms and transfer of medical records.
PRIVACY POLICY
Please click the link below to download our privacy policy in PDF format.
COOKIE POLICY
This Cookie Policy describes how Middleboro Pediatrics (“we”, “our”, “us”) uses Cookies and similar technologies.
1. Cookies
a. Cookies are small pieces of data that are stored on your computer, mobile phone, or other device when you first visit a page. We use cookies, locally shared objects (sometimes called “flash cookies”), mobile identifiers and similar technologies (“Cookies”), to enhance your user experience.
2. What types of Cookies do we use?
a. We use “third-party cookies”. Third-party cookies are used by us and third parties to in order to display specific fonts and allow you to use our map on the contact page.
3. What are Cookies used for?
a. Cookies transmit information such as your browser type, search preferences, and the date and time of your use.
We do not keep or sell any information from this site.
FORMS & POLICIES
HOURS & APPOINTMENTS
SPECIAL NOTE: HOURS MAY BE SUBJECT TO CHANGE
Mon: 8:30 am - 7:00 pm
Tues., Wed., Thurs.: 8:30 am - 7:00 pm
F: 8:30 am - 5:00 pm
Sat: temporarily closed on Saturdays
Sundays & Holidays: Urgent Care by Arrangement