Nebraska Home Pediatrics & Parents is considered in-network with most of the 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.
Self Pay Prices
Clinic Sick Visits:
- New patient $175+
- Established patients $125+
- New patient $150+
- Established patients $100+
- 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
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 their well child visits with in-network providers.
Coverage for sick visits will vary depending on your insurance payer and your specific plan. With the home calls for sick kids through Nebraska Home Pediatrics & Parents, we have seen the home visits covered three different ways.
Insurance Coverage Scenarios
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 Nebraska Home Pediatrics & Parents for their sick visit needs plus the child or children are not exposed to additional illnesses at the office.
The family has an insurance plan that is a high-deductible healthcare plan. Usually this means that the families pays 100% out-of-pocket for all sick visits until their high deductible is met. When the family with a high-deductible healthcare plan use Nebraska Home Pediatrics & Parents for their sick visit needs and have a provider come to their home, the family will pay LESS than what they pay at the office because the fees with Nebraska Home Pediatrics & Parents is less than the fees.
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 plan does not view a house call as a co-pay visit and therefore passes the fee on to the family. Some families will still choose this option compared to going to the office because the parent knows that they are saving time and gas money.