Billing & Insurance
North Seattle Pediatrics will bill the insurance you provide to us at the time of your service. We will ask to see your insurance card at every visit to ensure that we have the most up to date information in your child’s account.
All copays are due at time of service and as part of the contract between you and your insurance carrier, we are unable to waive these for any reason.
It is ultimately your responsibility to understand your insurance benefits. Our billing staff will be happy to assist you with questions.
Accepted Insurance Plans
Many of the insurance plans that we are contracted with have network specific plans which we may not be a part of. We strongly suggest that you contact your insurance plan prior to scheduling an appointment to verify that your doctor is in network in order to incur the lowest possible cost to your family.
Commercial Plans
- Typically provided through an employer.
- AetnaPreferred providers for all plans except the Whole Health Network
- Asuris NW Health
- Blue Cross/Blue Shield
- BoeingPPO/Traditional or UW Medicine ACN only
- Cigna Healthcare
- EBMS
- First Choice Healthcare
- Healthcare Management Administrators
- HealthNet/Tricare
- Lifewise Health Plan of Washington
- PremeraPreferred providers for all plans except the Personal Care Partner plans
- RegencePreferred providers for all plans except the Accountable Care Networks
- Regence UMPPreferred providers except for PSHVN (Puget Sound High Value Network)
- Regence Group Administrators
- United HealthcarePreferred providers except for Navigate plans
- PHCS/Multiplan
- KaiserThrough the First Choice Network only
Exchange Plans 2025
- www.wahealthplanfinder.org
- Molina Marketplace
- Coordinated Care Ambetter (NOT Cascade Select)
- Bridgespan
- Lifewise
- Regence
- Premera
- United Healthcare
- We are out-of-network for all other plans purchased on the exchange.
Apple Health (no longer accepting new patients 10/01/23)
- State of Washington Medicaid.
- Amerigroup
- Coordinated Care
- Molina Healthcare
- United Healthcare
Private Pay
We require a deposit at time of service ($100 for office visits/$150 for well care), we will apply our 20% private pay discount and bill you for the remainder. We are always happy to set up a payment plan if you are unable to pay your entire bill.
Well Child Care
Our practice follows the Bright Futures Preventive Care guidelines established by the American Academy of Pediatrics. These guidelines recommend periodic health and wellness screenings, examples include vision and hearing screening, developmental screening, autism screening, adolescent depression screening, and maternal post-partum depression screening. Please note that some of these screenings may not be covered by your insurance plan.
If there is a symptom or concern raised at a well visit that requires evaluation and management outside the scope of a typical well appointment, there will be additional charges billed to your insurance.
Please contact our billing office if you need any further assistance.