(781) 772-1527
Fax : (781) 772-1497 

Office Policies

Privacy Policy

The Health Information Portability and Accountability Act (better known as HIPAA) protect’s information about your child's health and medical record. At Pediatric Health Care at Newton Wellesley your privacy is our priority. You and your child will be able to discuss your child's health with a physician behind closed doors. We try to keep hallways clear in order to facilitate the privacy of conversations. 

Due to HIPAA laws, we are unable to fax or mail to any third party; we can only mail them to your home or they can be picked up at either office.

Paperwork with medical information cannot be faxed from our office. Completed forms with health information must be mailed to you (not faxed) or picked up in person. Email must be communicated through a secure server. We are currently using Patient Gateway for such communication.

If you have any questions or concerns about privacy, please contact our main number at 781-772-1527

Privacy for Minors

Trust is an essential aspect of medical care and we at Pediatric Health Care at Newton Wellesley seek trust in all of our health care encounters. Parents and their children are both entitled to this trust. One way that physicians maintain trust is by keeping communications with patients and their families confidential.

Under Mass law, however, adolescents who are 12-17 years of age have special statutory rights that entitle them to confidential communications with their physicians. This means that they can discuss things with physicians they do not wish to tell their parents or other adults, and the physician is required to keep those things confidential. The only exception to this right of confidentiality is when the physician determines that the adolescent is in danger of hurting himself or herself, hurting other people, or being hurt by someone else.

Payments

Payment for services is expected at the time of your child's visit. This includes co-pays, deductibles and payment in full when we are not contracted with your insurance carrier. We accept cash, check and credit card (Visa and MasterCard). The accompanying parent or other adult is responsible for full payment and providing current insurance information. You may elect to keep credit card information on file to speed the check-out process. 

Insurance

We bill participating insurance companies as a courtesy to you. You are expected to pay your deductible or co-payment at the time of service. You are expected to pay for all services not paid by your insurance carrier within 10 days of receipt of notification from our office by letter or billing statement. If we have not received payment from your insurance company within 60 days of the date of service, you will be expected to pay the balance in full. You are responsible for all charges. 

Accepted insurances include:

BlueCross BlueShield, United Healthcare, Fallon, Harvard Pilgrim, Aetna, Tufts (Tufts Public Plan, Tufts Health Plan), Unicare, Health Net, Cigna, Tricare, Network Health, Oxford, and Neighborhood Health among many others

We do accept Mass Health, but currently our panel is full, check back for availability.

If you have questions or need assistance, please contact our Business Office at 781-772-1527 (Hours: 9:00am-5:00, Monday thru Thursday).

Managed Care 

If you are enrolled in a managed care insurance plan you must receive an authorization or referral from our office before seeing a specialist. NO retroactive referral will be given. You should allow 5 to 7 business days for the processing of authorizations/referrals. You will be notified by mail when the authorization has been approved. In general, we will not agree to a referral for a problem we have not been consulted about first.

If you have questions or need assistance with an authorization or referral, please contact our Main number at 781-772-1527.

Medical Records

A records release form must be completed or a signed note from the parent, with your name, complete address, the names of each patient whose records are to be released and the Practice name and complete address to whom the records are to be released. 

Camp and School Forms

A completed generic camp/school form is provided at every well visit for children 4 years and older. This form can be used for all school and camp applications. 

No Show Policy

Pediatric Health Care wants you to feel like family.  We are committed to giving the best possible service, which includes time with your provider.  

Please plan on arriving 10 minutes BEFORE you scheduled appointment so our staff may check you in and prepare your chart.

If you are unable to keep your regularly scheduled appointment, please call 24 hours prior to cancel or reschedule.  Please be advised of the following no show fees for cancelation less than 24 hours prior or not showing for appointment:

Well visit ~ $50

Medication Follow up ~ $50

Travel Visit ~ $50

Developmental Visit ~ $200

Sick Visit ~ $50