Insurance Plans

***Right now ASCEND Pediatrics does not participate in ANY of the new Healthcare Exchange plans.***

Insurance and Payment

Please bring your most current insurance cards to every appointment. If your insurance plan requires a referral, you must obtain this referral from your primary care physician/pediatrician before your appointment. We will file insurance claims for you, however copays, coinsurance, and deductibles are due in full at the time of service.  Additionally, if our services are not covered by your insurance, payment in full is expected at the time of the visit. For your convenience, we accept MasterCard, Visa, Discover, personal checks and cash.
You can also pay your bill by using the secure payment portal located on our homepage.

Please note that even though we are providers for the below listed insurance plans, we cannot guarantee that your plan will cover the services provided. Per your insurance plan contract, any “non covered” services or diagnoses become the financial responsibility of the insured.

Insurance co-payments, co-insurance, and deductibles which have not been met must be paid at the time of service.

Patients should address questions regarding coverage or out of pocket payments with their insurance carrier prior to the date of service.

Patients are required to update their demographic data and provide proof of coverage at the time of each visit. This allows us to file a claim for services rendered on your behalf.

Insurance plans:

We participate with the following insurance plans. If we do not participate with your insurance plan, and you chose to receive services, you will be responsible for payment in full at the time of your visit.

It’s not possible to list all of the plans with which we participate. If you participate in an employer-based commercial insurance plan not listed on our website, please call our office to find out if we are “in network” with your plan.

We do not participate in any of the Medicaid plans including: Peachcare/ Peachstate/ Amerigroup; Wellcare.
Note for our patients covered under commercial insurance plans with Medicaid as a secondary carrier:
As of August 1st, 2015 Patients who have any Medicaid plan as a secondary insurance coverage will not be given coverage for any prescription written by a non-participating provider. Your commercial insurance prescription benefit is not impacted by this new rule from CMS, but your Medicaid prescription plan will no longer provide additional benefit coverage.

The following plans require a referral prior to your appointment. If a referral is not presented to our office at the time of service, you will be responsible for payment in full. It is the patient’s responsibility to obtain a referral from your primary care physician if your insurance requires it:
We encourage our patients to check with their referring physician to make sure the referral has been sent to our office.

  • AetnaHMO (Select Choice)
  • AetnaPOS (Managed Choice)
  • AetnaUSHealthcare HMO
  • BlueChoice HMO/POS
  • Cigna HMO
  • CoventryHMO
  • Healthsource HMO/POS
  • Humana Choicecare HMO/POS
  • Kaiser HMO/POS
  • Prucare HMO

The following plans do not require a referral, but an in-network physician must refer the patient in order for the visit to be considered in-network by your insurance plan.

  • AetnaPPO (Open Choice)
  • BCBS Indemnity
  • BlueChoice PPO
  • Cigna PPO
  • Healthsource PPO (Cigna)
  • Humana Choicecare PPO
  • NPPN
  • Private Healthcare Systems (PHCS)
  • Provident Cigna
  • Prucare of Atlanta(Aetna)
  • Southcare
  • State Merit High Option
  • Three Rivers Provider Network (TRPN
  • United Healthcare of GA PPO
  • Unicare PPO
  • University System of GA High Option

  Quotient Tests must be paid at the time of service. Quotient Tests are not currently covered under any commercial insurance plan.