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INSURANCE

Insurance

We currently accept the following insurance providers:

  • Amerigroup (BCBS Medicaid)
  • Blue Cross Blue Shield (both WNY and out-of-area plans) 
  • CHAMPVA 
  • Emblem Health/GHI
  • The Empire Plan - NYSHIP
  • Excellus Blue Cross Blue Shield
  • Fidelis 
  • Independent Health
  • Lifetime Benefit Solutions (formerly EBS-RMSCO) 
  • MagnaCare
  • Medicaid NY 
  • Molina
  • MVP
  • POMCO 
  • Tricare 
  • United Health Care 
  • Univera 
  • WellCare 
If you do not see your insurance provider in this list, please contact either us or your benefits provider to determine your child’s services at Pediatric Urgent Care of Rochester. We would also be happy to assist however we can, so you’re welcome to call our office as well. 
a baby wrapped in a blue blanket is laughing

Out-Of-Network and Self-Pay

In Network

Any co-payment is due at the time of evaluation as determined by your insurance company. A deposit of $150 is required for deductible plans, if the deducible has been met and can be verified by the insurance company the co-payment would be due at the time of service.

Out-of-Network

For out-of-network plans, we require a $150 deposit at your time of service. We will bill your insurance company as a courtesy. If payment is made to us directly from your insurance company, you will be refunded in a timely manner. You may be responsible for any remaining balance.

Self-Pay

Patients with Out-of-State Medicaid, no insurance coverage or no proof of insurance are considered self-pay patients. We require $150 at the time of service. You may be subject to additional fees based upon a medical professionals evaluation and any necessary services performed. These services can be discussed with the medical professionals ahead of time so that you can make the best decision for your child.
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