Patient Service Plan & Yearly Administrative Fee

All active patients that are up to date with their yearly administrative fee are qualified to enroll in the Patient Service Plan (PSP)**. This is a comprehensive plan that combines all of the administrative needs of today's pediatric patient and their family.

 

There are many administrative costs and services we provide and/or are requested/required by other institutions, that are not covered by insurers. This consolidated plan allows our staff to provide consistent, efficient and timely attention to all families as well as combine all of our previous additional charges into one yearly fee. (SEE LIST ON RIGHT or BELOW for full description of services)

 

To compliment the PSP, we recommend keeping your credit on file with our off-site credit card clearing house - PayTrace.  Having a credit card on file allows you to utilize our Express Check In and Check Out services, as well as having your account settled when your insurance company remits the explanation of benefits and payment to us. Having a credit card on file thus extends the time you have to pay. Remember, it is your insurance company that requires you to pay your co-pay,  any deductible and/or co-insurance AT THE TIME OF THE SERVICE/VISIT. If you do not place a credit card on file or do not own a credit card then you MUST check-out and settle any deductible/co-insurance charges at the end of each visit.

 

To pay the mandatory yearly fee GO HERE. Payment is due immediately and will be renewable yearly on the anniversary month of your payment. Late payments will be charged an additional fee every month overdue. Health Savings Plan monies can be used for this fee. If this fee imposes a financial burden to your family, please contact Mary Stanton, 203-229-2000 Ext 2085 or mstanton@tcfap.com

 

Our current Financial Policy (Click to review) to reflect this mandatory payment and you will be asked to sign the policy at your next visit to the office or upon joining the practice.

 

We take pride in the quality of care we provide all our families and want to be able to continue to do so in the face of ongoing reductions in payments and increases in administrative fees and government regulations.  As always, we thank you for partnering with us and allowing us the privilege of caring for your children and family.

 

**If you have Husky/Medicaid, the enrollment process is different, please contact Mary Stanton, 203-229-2085 or mstanton@tcfap.com.

WHAT is the YEARLY ADMINISTRATIVE FEE:

 

At The Center for Advanced Pediatrics, we are committed to providing the best possible care to our patients and families. Many changes have taken place in the health insurance industry in recent years. Services once covered in full are now partially covered with lower payments, covered only under certain circumstances, or in some cases not covered at all. We want to provide the highest quality medical care that is based on our families’ needs, but unfortunately this means providing services that are not covered by insurance companies. We have decided to charge an annual administrative fee to all our families in order that we may continue to provide comprehensive, exceptional care. This fee includes non-covered and non-reimbursable services inlcuding but not limited to those listed to the right.

 

The Administrative Fee applies to all families at The Center for Advanced Pediatrics.

 

Our goal is to provide comprehensive, high quality medical care to your family.

We are honored to be your family’s medical home!

Please feel free to contact portal@tcfap.com with any questions or concerns.

 

We are aware that health insurance is expensive. By charging a single annual fee and not charging you for individual services (ie each telephone call or e-mail, a “same day” appointment surcharge, access to the portal, etc) your out of pocket expenses will actually be lower. However, if you are experiencing financial hardship, we will work with you so that you can remain in our practice.

 

 

  • On call service with access to a nurses and physicians 24 hours a day, 7 days a week including all holidays. This will minimize unnecessary visits to the emergency department or urgent care centers where they do not know your children or their medical information. This can save you hundreds of dollars on unnecessary high co-payments and facility fees.
  • Completing forms for child care centers, schools, sports and camps within 3 days and uploaded to a portal for easy and convenient access when you need them.
  • Ability to e-mail our office staff for appointment requests, for questions about insurance and billing, to send in school and camp forms and have us send them back to you.
  • Providing “same day” sick appointments.
  • To be open 365 days a year.
  • Access to our web-based secure patient portal system, including access to your child’s immunization record and summaries of their visits. This is also an efficient way to communicate with your doctor when you have non-emergent concerns or with the nursing staff for lab results and other medical information.
  • Access to developmental screening tools so you may fill them out and think about them before your arrival for your child’s visit.
  • Access to the AAP Education Library and other resources through our website.
  • E-prescribing to your pharmacy new and refilling old prescriptions when appropriate so it may be ready when you arrive there.
  • Documenting with an electronic health record system that is designed specifically for the practice of pediatrics.
  • Coordinating care with other pediatric specialists and therapists.
  • Conducting patient visits by board-certified pediatricians.
  • Submitting insurance claims on behalf of all patients that are out-of-network.
  • Sending copies of medical records to specialists and/or other providers at your written request.
  • Filling out letters for airlines, work, school, pre-authorizations.
  • Providing access to specialty services all in one place and avoiding waiting lists and often weeks/months to get appointments at other referral centers.
  • Get appointments at other referral centers.
  • Unlimited forms for day care/ school/ camp and sports.  Forms will be posted to your child(s) portal account and can be printed at home. Our office will also mail or fax any form as long as it is HIPAA compliant.
  • Unlimited after hours calls.
  • Unlimited Email access to BOTH the office staff and your physician/clinician.
  • Online scheduling of future appointments (same day sick visits will still be handled by phoning our office).
  • Unlimited immediate access to your child’s medical record via the web.  The portal allows access to printable immunization records, vitals/growth and more. This can be very useful if you are visiting another physician or in an out of town situation and need immediate access to medical records.
  • Unlimited letters requested by your insurance company, airlines or special circumstances.
  • Hours 365 days a year, including ALL holidays.
  • Long office hours (some nights until 8-9 pm and all weekends) for working parents and caregivers.
  • After hours and weekend well visits. (You do not have to miss work to take your child to their yearly physical and teens do not have to miss school.)
  • Personal confirmation of upcoming appointments. (NOT A MACHINE)
  • Online pre-visit forms and surveys (such as lengthy autism screenings, developmental surveys, teen screenings, etc.) that can be completed at home, thus decreasing the time you and your child are in the office.
  • Online billing services such as paying bills.
  • The ability to quickly adapt to future improvements in healthcare technology.

 

 

Administrative Services and PSP benefits provided to our patients:

Portal Help/PSP Help

portalsupport@tcfap.com

 203-229-2000 Ext 2085

Administrative Services and PSP benefits provided to our patients:

  • On call service with access to a nurses and physicians 24 hours a day, 7 days a week including all holidays. This will minimize unnecessary visits to the emergency department or urgent care centers where they do not know your children or their medical information. This can save you hundreds of dollars on unnecessary high co-payments and facility fees.
  • Completing forms for child care centers, schools, sports and camps within 3 days and uploaded to a portal for easy and convenient access when you need them.
  • Ability to e-mail our office staff for appointment requests, for questions about insurance and billing, to send in school and camp forms and have us send them back to you.
  • Providing “same day” sick appointments.
  • To be open 365 days a year.
  • Access to our web-based secure patient portal system, including access to your child’s immunization record and summaries of their visits. This is also an efficient way to communicate with your doctor when you have non-emergent concerns or with the nursing staff for lab results and other medical information.
  • Access to developmental screening tools so you may fill them out and think about them before your arrival for your child’s visit.
  • Access to the AAP Education Library and other resources through our website.
  • E-prescribing to your pharmacy new and refilling old prescriptions when appropriate so it may be ready when you arrive there.
  • Documenting with an electronic health record system that is designed specifically for the practice of pediatrics.
  • Coordinating care with other pediatric specialists and therapists.
  • Conducting patient visits by board-certified pediatricians.
  • Submitting insurance claims on behalf of all patients that are out-of-network.
  • Sending copies of medical records to specialists and/or other providers at your written request.
  • Filling out letters for airlines, work, school, pre-authorizations.
  • Providing access to specialty services all in one place and avoiding waiting lists and often weeks/months to get appointments at other referral centers.
  • Get appointments at other referral centers.
  • Unlimited forms for day care/ school/ camp and sports.  Forms will be posted to your child(s) portal account and can be printed at home. Our office will also mail or fax any form as long as it is HIPAA compliant.
  • Unlimited after hours calls.
  • Unlimited Email access to BOTH the office staff and your physician/clinician.
  • Online scheduling of future appointments (same day sick visits will still be handled by phoning our office).
  • Unlimited immediate access to your child’s medical record via the web.  The portal allows access to printable immunization records, vitals/growth and more. This can be very useful if you are visiting another physician or in an out of town situation and need immediate access to medical records.
  • Unlimited letters requested by your insurance company, airlines or special circumstances.
  • Hours 365 days a year, including ALL holidays.
  • Long office hours (some nights until 8-9 pm and all weekends) for working parents and caregivers.
  • After hours and weekend well visits. (You do not have to miss work to take your child to their yearly physical and teens do not have to miss school.)
  • Personal confirmation of upcoming appointments. (NOT A MACHINE)
  • Online pre-visit forms and surveys (such as lengthy autism screenings, developmental surveys, teen screenings, etc.) that can be completed at home, thus decreasing the time you and your child are in the office.
  • Online billing services such as paying bills.
  • The ability to quickly adapt to future improvements in healthcare technology.

 

 

We are in your Neighborhood!

Serving the communities of Norwalk, Wilton, Westport, New Canaan, Ridgefield, Redding, Danbury, Weston, Darien, Stamford and Greenwich.

Norwalk

40 Cross Street

Norwalk, CT 06851

203.229.2000

Darien

85 Old Kings Hwy N.

Darien, CT 06820

203.656.1833

Ridgefield

901 Ethan Allen Hwy

Ridgefield, CT 06877

203.431.8400

© 2017 The Center For Advanced Pediatrics. All Rights Reserved.