Insurance & Fees

Paradise Pediatrics is dedicated to providing you with the highest quality, cost effective medical care.

Insurance & Fees

The following is the list of insurances with which we participate. This will be updated from time to time as needed:

Advent Health ACO
Aetna
Aetna Better Health
AvMed
Centene
Champ VA
CIGNA
Coventry/First Health
Disney Cruise Lines
Florida Blue
Humana Military Certified
Humana Military Prime
Medicaid
MultiPlan/PHCS
Oscar
Prime Health Services
Provider Networks of America
Railroad Medicare
Sarasota Memorial Hospital PHO
Simply Health Care Plans
United HealthCare

*Medicaid participation is optional and varies amongst Privia Medical Group providers – please verify participation prior to your visit.

Note: You should always check with your Privia Medical Group provider to verify plan and product coverage as this is not an exhaustive list, and plans change frequently.

Payment Options

We accept cash, Visa, Mastercard, Discover, American Express, and personal checks.

Card-on-File

We encourage patients to keep a credit card on file to make the checkout process easier, faster, and more efficient. You will no longer receive statements from us, but you will continue to receive your Explanation of Benefits (EOB) from your insurance carrier once your claim has been processed, detailing the charges and payments made on your behalf.

At check-in we will:

  • scan the credit card of your choice, including your Flexible Spending Account (FSA) or Health Savings Account (HSA) card

After your insurance has paid their portion, we will:

  • notify you via email of the balance owed
  • charge the balance owed to your card on file
  • email a receipt for the charge

Your credit card information will always be fully protected by our off-site, card-processing partner Elavon, and not on our computers, as required by industry standards (Payment Card Industry Data Security Standard – PCI-DSS).

Fees

No Shows
Missed Appointment $75
Missed Physical $100
Late Cancellation $75
Missed Procedure $200

Additional Resources

Avoiding Surprises in Your Medical Bills

Avoiding Surprises in Your Medical Bills (Spanish)

Understanding Healthcare Prices: A Consumer Guide

Understanding Healthcare Prices: A Consumer Guide (Spanish)

Planning For a Medical Procedure