Insurance & Billing

Shelby Pediatric Associates participates with many insurance plans.  It is the patient’s responsibility to provide the most current insurance and know your insurance policy before services are rendered in our office.  If you have a new insurance plan and do not have your card at the time of visit, we will not be able to bill the insurance plan carrier.  Payment will be required at the time of service.  If we receive your insurance card within the filing limits of your insurance, we will submit the claim to the insurance carrier for possible reimbursement.  If a service is rendered and believed to be covered, the billing department will submit the service to the appropriate insurance plan.  Co-payments are due at the time of service.  You are responsible for any co-insurance, deductibles and/or covered services not paid by your insurance.  Payment will be required upon receipt of statement.  Accounts that do not reflect payment for a prior balance after three statements will be sent to an outside collection agency.   

Please call the office to confirm updated insurance participation.

All HMO policies will require a primary care physician (pcp) from our practice to be assigned to the insurance policy.

*Note- if the correct PCP assignment is not selected and backdated to the date of birth/start of policy, patients will be responsible for all financial charges.

We accept a wide range of insurance plans which include but are not limited to:

• Blue Cross Blue Shield of Michigan
• Blue Care Network
• Health Alliance Plan (HAP)
• Aetna
• Cigna
• Priority Health

Patients Without Insurance Coverage:

We do understand that sometimes patients are without insurance coverage.  For these situations, we do have a self pay/time of service fee schedule.  These fees are only applied to patients that are truly without insurance & all balances must be paid in full prior to the services being performed.  For more information, please call the office.