Insurance Billing Information

7/16/14 Need help with health insurance options? Go to www.healthcare.gov

What is CHIP? CHIP is short for Children’s Health Insurance Program (https://www.chipcoverspakids.com)Uninsured children in Pennsylvania who are not eligible for Medical Assistance have access to affordable health-care through this program.

In order to quality for CHIP, children can not be covered under any other insurance plan. Children can qualify for CHIP regardless of the family’s income. Premiums and co-pays depend on income, but every child in Pennsylvania, 19 years of age and younger , can be covered by either Medical Assistance or CHIP.

CHIP is there for your kids with quality, comprehensive health insurance coverage for routine doctor visits, prescriptions, dental, eye care and much more, including:

• Immunizations
• Routine Check-ups & Well Visits
• Prescription Drugs
• Dental, Vision, Hearing Services
• Emergency Care
• Mental Health Benefits
• Hospitalization
• Durable Medical Equipment
• Substance Abuse Treatment
• Partial Hospitalization for Mental Health Services
• Rehabilitation Therapies
• Home Health Care
• Maternity Care
• Hospice and Palliative Services
• Medically Necessary Orthodontia
• Autism Spectrum Disorder and Related Services

COMPASS is an online application for Pennsylvanians to apply for many health and human service programs. https://www.compass.state.pa.us

CHIP applications and further information can be found at www.chipcoverspakids.com/

7/2/08 - Sewickley Valley Pediatric & Adolescent Medicine follows the recommendations of the American Academy of Pediatrics (AAP) in the treatment of our patients. Since there are several hundred different insurance carriers and plans available, Sewickley Valley Pediatrics does not, and cannot guarantee which treatment and/or procedures will be covered under your individual plan. Fees not paid by your insurance company will become “patient responsibility.”

7/2/08 - The M-Chat questionnaire is a screening tool used to assist our physicians in assessing and reporting the development of your child, specifically for the diagnosis of Autism. The physicians of Sewickley Valley Pediatric & Adolescent Medicine adhere to the recommendations of the AAP. The AAP recommends autistic developmental testing at 18month, 2 year and 2 1/2 year physical. This testing is billed as CPT Code 96110 which is defined by the American Medical Association as “Developmental testing; limited (e.g. Developmental Screening Test II, Early Language Milestone Screen), with interpretation and report.” Our charge for this service is $28.00 per screening. This developmental test may or may not be covered by your insurance plan. As stated in our financial policy ~ you recognize and accept responsibility for services rendered regardless of insurance coverage. This includes, but is not limited to co-insurance, co-payment, deductible, and non-covered services.

Sewickley Valley Pediatrics