Insurance Accepted at Our Nebraska Pediatric & Primary Care Clinic

Nebraska Home Pediatrics & Parents is considered in-network with most major insurance carriers.

Similar to other medical clinics, Nebraska Home Pediatrics & Parents will bill your insurance company based on the level of service provided at the visit.

  • A current valid driver’s license or identification card is required on file.
  • A current copy of the insurance card is required on file in order to be submitted to your insurance.
  • Payments will be received via the patient portal after insurance processes the claim. You can pay for any account balances at the front desk as well.

In-Network Insurance Plans

**This list is not fully inclusive. Please contact your insurance carrier to confirm network coverage.**

  • Aetna*
  • Blue Cross Blue Shield*
  • Cigna
  • Coventry
  • Midlands Choice
  • Nebraska Medicaid
  • Nebraska Total Care
  • Tricare Prime and Select
  • UMR
  • United Healthcare
  • United Health Care Community Plan
  • WellCare of Nebraska
  • Healthy Blue

*Most plans with these insurance companies are in-network, but there are a small handful considered out-of-network. Please contact your insurance carrier to confirm network coverage.

Don’t see your insurance provider?

Call them and ask if Nebraska Home Pediatrics & Parents is considered an in-network provider.

Self Pay Prices

Clinic Sick Visits

  • New patient $175+
  • Established patients $125+

Home Visits

  • New patient $150+
  • Established patients $100+

Testing

  • Strep PCR: $50
  • COVID/Flu/RSV PCR: $125
  • Drive-thru station Add-on $25
  • Urinalysis $25

Well Child Visits

  • New patient: $150
  • Established patients: $125
  • Vaccine administration fee: $10 per vaccine

Adult Well Visits

  • New patient: $150
  • Established patients: $125
  • Vaccine administration fee: $10 per vaccine

Pre-Op Physical

  • New patient: $150

IV Hydration

  • IV fluid self-pay $100

Medications: Contact the clinic at (402) 917-6944 for information about pricing.

Health insurance can be confusing and frustrating. In-network versus out-of-network. PPO versus HMO. Co-Pay versus High Deductible Healthcare Plan. It is important to have a solid comprehension of your insurance plan and coverage.

Under The Affordable Care Act, insurance plans must provide coverage for preventative/wellness visits. Many times this includes regular well baby and well child visits, from birth to 21 years, and routine immunizations. This is why there is no cost to the parent when they bring their child in for well child visits with in-network providers.

Coverage for sick visits will vary depending on your insurance provider and your specific plan. At Nebraska Home Pediatrics & Parents, we have seen the home visits for sick kids covered three different ways.

Insurance Coverage Scenarios

Scenario #1

The family has an insurance plan with a co-pay. When they take their child to an office for a sick visit the front desk collects the co-pay and the family owes nothing more after the office visit. This co-pay is the same when a Nebraska Home Pediatrics & Parents provider comes to the home for a house call. The family saves time and gas money when calling for their sick visit needs, plus the child or children are not exposed to additional illnesses at the office.

Scenario #2

The family has an insurance plan with a co-pay. When they take their child to an office for a sick visit the front desk collects the co-pay and the family owes nothing more after the office visit. Although this plan has a co-pay for an office visit, the insurance provider may require the family to pay out-of-pocket for the home visit.

Scenario #3

The family has an insurance plan that is a high-deductible healthcare plan. Usually this means the families pay 100% out-of-pocket for all sick visits until their high deductible is met. When this family  uses Nebraska Home Pediatrics & Parents for their sick visit needs, and has a provider come to their home, the family will pay LESS than what they pay at the office.

Call your insurance provider now and ask them how they process and cover CPT codes 99341-99350. If you have additional questions, please don’t hesitate to call Nebraska Home Pediatrics & Parents at (402) 917-6944. We are here to help and to keep your kids healthy!