Office Policies

Financial Policy Update

Please see our updated FINANCIAL POLICY.

Medicaid and No Insurance Coverage

RVA Pediatrics does not participate with Medicaid. If you hold one of these policies, then prescriptions, tests, and medications cannot be ordered for your child. Due to these reasons, our providers cannot care for your child. If you have Medicaid as a secondary, we will bill your commercial insurance policy only. If you are uninsured or are covered by one of the aforementioned policies, and you are still seen by a provider, you will be billed for the entire balance of your visit. 

Newborn Insurance Policies

Most insurance companies allow 30 days to add your newborn to your plan. Please do so promptly. Newborn bills will be held and sent to the insurance company once it can be verified that the newborn has coverage. If coverage cannot be verified within 6 weeks, the charge for newborn services will be released to you. 

Fees Not Billed to Insurance

If you miss a scheduled well-checkup visit without giving at least a 24-hour notice, you may be required to pay a $50 fee billed to your account, at your provider's discretion. If you have been seen by an outside provider for a well-checkup within the past year, you will be charged a $50 fee for establishing care at our practice. For all forms (school, medication, camp, FMLA, etc.) that are filled out by a provider outside of an office visit, you will be required to pay a $15 fee. RVA Pediatrics makes every effort to scan completed forms to the patient’s chart, but it is the caregiver’s responsibility to keep record of the form. Providers can offer sports physicals for patients who have completed a well-checkup visit within a calendar year. For all sports’ physicals there is a $50 fee to be paid at the time of visit.

Sick vs. Well-Checkup Visits

Your insurance company may cover well-checkup and sick visits differently. If, during a well checkup, your child is sick or has an issue that is not related to the normal growth and development of your child, and they need treatment, your provider may bill the insurance for both services. This means that you may be charged a co-pay, co-insurance, or deductible for the well-checkup visit AND be charged for a sick visit.

Prescriptions and At Home Test Results

To continue providing high-quality care, we will require either an in-person visit or telehealth visit for prescription requests, treatment of an at home test, and other medical concerns that require clinical evaluation. 

Payment

Co-pay payments are due at the time of visit, regardless of the caregiver accompanying the child. For all deductible plans, you will be required to pay $75 at the time of visit. For all uninsured or ‘self-pay’ individuals, you will be required to pay for your visit in full at the time of service. From the time a claim has been processed, you are responsible for any deductibles, co-insurance, co-pays, or other figures not paid for by your insurance company within 30 days. Balances not paid within 90 days are subject to collections. For help with payment plans, please contact our back office at (804) 754-7422.

After-Hours

If it is necessary to call after regular office hours, you can reach our after-hours answering service by dialing the regular office number. After a brief message, your call will be directed to our nurse-on-call service. Your message will be relayed to a triage nurse, who will be happy to answer your questions and address your concerns.

~ One of our doctors is always on-call and available, if necessary.

Emergencies

During the first two months of life, you should call us for:

Other examples of emergencies:

Emergency Phone Numbers

After-Hours Service:

Please Call Your Child/Chilrden's Office Number: 

Immunization Policy

~ Our office firmly believes in the effectiveness of vaccines to prevent illness and to save lives. We firmly believe in the safety of vaccines.

~ Our practice has reviewed and will continue to review the available literature, evidence-based research, and current studies regarding vaccines. As a result, we firmly believe that vaccines are fundamentally safe and effective, and they DO NOT cause Autism or other developmental delays.

~ Our practice understands that you want what is best for your child and so do we. We know that, in light of the recent measles virus outbreak, there has been much conflicting information on immunization and vaccine safety. We can help you get the reliable information you need to make an informed decision.

~ Our practice firmly believes that vaccinating children and young adults is among the most important health-promoting interventions we perform as healthcare providers and that you can perform as parents. Broad-based vaccination has contributed extensively to disease prevention and is a fundamental part of pediatric care.

~ We have many children coming in and out of our office daily, some of whom are too young to be vaccinated and are therefore vulnerable to severe, potentially life-threatening infection. It is our duty to protect each of our patients to the best of our ability from any infection that could be contracted in our office.

~ To accomplish this goal together, our practice follows the guidelines and schedules for immunizations established by the American Academy of Pediatrics. All patients must obtain the required immunizations unless there is a medical contraindication. We do not recognize any “alternative” immunization schedules, nor do we make exceptions for religiously-based beliefs about vaccinations.

~ While we understand that parental choice may play a role in the vaccination of children, we request that you abide by our policy. If this is not an acceptable choice for you, we respectfully request that you seek out another pediatric group for your children’s care.

Thank you for your understanding and cooperation.