Paying for care at KidMed can be done by private insurance, an out-of-network provider, Medicaid, or self-pay.
We are a participating provider for the following insurance companies:
- Aetna
- Anthem BCBS (most plans)
- Cigna
- Humana
- Optima Health
- Tricare (all plans)
- United Healthcare
- PHCS/Multi Plan/In Total Health
Virginia Medicaid including:
- Aetna Better Health
- Anthem HealthKeepers Plus
- Molina
- Optima Medicaid
- Traditional Medicaid
- UHC Community
- Virginia Premier
Self-Pay and Out-of-Network Provider
For patients with insurance not listed above, we will care for you or your child as an out-of-network provider. Please call the location you’re visiting and speak with our Patient Registration team for details.
KidMed offers payment plans for balances that are 30 days or older. If your balance is in collections, we can offer you a payment plan, but we can only provide services once the balance is paid in full. Of course, we make exceptions for genuinely urgent illnesses and injuries. The health and safety of your child is our top priority.
Payment
KidMed’s services are a fraction of the cost of an emergency room visit.
We collect copayments, deductibles, and payments not covered by your insurance. As a provider of urgent care services and after-hours pediatric care (as opposed to primary care services), your insurance may require your deductible to be applied towards your bill.
$30 After-Hours Fee (after 5pm weekdays, on weekends, or on state or federal holidays)
KidMed charges an after-hours fee of $30 in addition to the standard visit co-pay. This fee helps us to cover the additional costs we incur to attract the caring, skilled professionals who will provide patients with the convenience of after-hours services:
- After 5:00 PM on weekdays
- On Saturday or Sunday
- On a federal or state holiday
The small additional cost to be seen by a pediatric-trained medical provider for after-hours care is substantially less than a visit to a hospital emergency room.
Billing Questions
If you have questions about your bill, please dial 510-675-8687 to speak with a representative at Coronis, KidMed’s billing specialist.
Need further assistance? Contact KidMed using the Contact Us form or email us at [email protected].
Balance Billing Protections
KidMed is considered an Urgent Care, which is an office-based practice.
We do not meet the definition of an independent, freestanding emergency department. KidMed does not bill a facility fee as a hospital or free-standing Emergency Department does. However, we do bill for diagnostic and therapy services. At our facility, if your child has an X-ray taken, you will be charged for the X-ray, but you will not be charged for the physician’s interpretation of the X-ray. This is the same for the other diagnostic and therapeutic services that are performed at KidMed. You are being charged only for one provider visit plus any diagnostic or therapeutic services. Please contact us if you have any further questions.
Visit www.cms.gov/nosurprises for more information about your rights under federal law.
