781.344.3791
fax: 781.341.3614
907 Sumner St., Suite M-102, Stoughton, MA 02072

Insurance Information

Tri-County Pediatrics accepts most major insurance including:

  • Blue Cross Blue Shield
  • Tufts Health Plan
  • Harvard Pilgrim Health Plan
  • United Health Care
  • Aetna
  • Cigna
  • Fallon Community Health Plan
  • Private Health Care Systems
  • MassHealth-PCC Plan only
  • Children's Medical Security Plan

Please check with your insurance company to verify that your child's physician is listed as a provider for your specific policy with any of these carriers.

 

Please be aware that it is your responsibility to know the details of your insurance coverage including co-pays, deductibles, and coinsurance.

Co-pays are payable at the time of the visit regardless of who brings the patient in to the office.  In the case of divorced or separated parents, we do not bill co-pays.   A receipt for payment may be obtained for your records at each visit.

Deductibles are expected to be paid within 30 days of billing.  Well Child Exams, School/Camp/Sports Forms will not be completed if the account has a balance over 60 days old.  We realize that payment of medical bills can represent a hardship for many of our families.  Please contact our billing department to set up a budget plan at 781-344-3791 if you are unable to meet your financial obligation at the the time of your child's office visit.

Tri-County Pediatrics does not bill auto insurance companies in the case of an auto accident.  Massachusetts is a no-fault automobile insurance state.  The automobile insurance company rather than the health insurance company has primary responsibility for payment for the evaluation and treatment of injuries received in an automobile accident.  If your child is seen as a result of an auto accident, the visit must be paid in full at the time of the visit.  You will then be given a statement that can be submitted by you to your auto insurance carrier.

If you child is injured at work, please contact his or her employer to obtain information as to where your child should seek medical care.  Tri-County Pediatrics is not credentialed to provide workman's compensation care.

What's New?
Call today to book your child's yearly well exam. If your child needs any forms filled out for sports, camp or college, our physicians can only do so if your child has had a well visit within the past twelve months.
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