Insurance & Financial Information
At Your Appointment
A valid insurance card is required to be presented at the time of each visit, along with the appropriate payment. After the time of service, GPAM will send a claim form to your insurance carrier. GPAM files a claim to your insurance carrier as a courtesy. It is up to the patient to know their own insurance coverage. Ultimately, it is the patient's responsibility for any balances owed to Gwinnett Pediatrics and Adolescent Medicine. Your copay and/or deductible is due at the time of service. A billing fee of $25.00 may be charged if not paid on the date of the visit.
Insurance Plans Accepted
We have listed below a list of insurance companies in which Gwinnett Pediatrics maintains a billing relationship. While we attempt to keep this list current, it is subject to change without notice and is provided for general informational purposes only. The ability to bill a given insurance company for services will be assessed at the time of the office visit. Although a company is included on this list, it does not guarantee that your insurance company will pay for some/all of your services, nor does it obligate GPAM to accept deferred billing for any of the insurers listed.
If your insurance company is not listed, we may not have an agreement with them. In such cases, the account will be entered as a "self-pay", with payment due from the patient and expected at the time of service.
Our office accepts most insurance plans listed below, but some exclusions apply. Patients should verify with their insurance provider to confirm if their specific plan is in-network with our practice.
- Aetna
- Anthem/Blue Cross Blue Shield Plans except Blue Value Individual Plans.
- BCBC HMO Plan Only if one of our providers is listed as the PCP.
- Cigna
- Humana
- Kaiser (PPO ONLY)
- Multiplan
- PHCS (PPO/POS)
- United Healthcare
- Tricare Standard Only (Not Prime)
- Medicaid (Straight Medicaid)
- Peachcare Established patients only (no new patients)
- Peachstate Established patients only (no new patients)
If your insurance is not listed above please contact your insurance provider to confirm if we are in your network. You can provide our tax ID number 581480658.
If you did not find the information you were looking for please contact our billing office at 770-995-0823 option 6.
We are not in network with Amerigroup, Ambetter, or CareSource.
We are currently not accepting any NEW patients on state health plans such as Peachstate or Peachcare.
Helpful Insurance & Financial Information
If you need assistance with your billing statement or if you would like to discuss any part of your bill, please contact our Billing Office at 770-995-0823 x 6