Non-covered Services Policy

Non-covered Services Policy at Wellness Pediatrics in Fairfax

(EFFECTIVE JANUARY 1, 2020)

Many services we provide are non-covered services, meaning that they are not paid by any insurance company. These are allowable services in a medical practice, but insurance companies do not pay for them. Consequently, we have decided to charge a single annual fee so that all patients can have ready access to a complete range of services they need. This fee covers services such as:

• Completing medical clearance forms for childcare centers, schools, sports, camps, employers, and preparing letters of medical necessity, without a limit to the number of forms
• Completing refill requests without an office visit (does not apply to controlled substances)
• Extended evening hours which save you an urgent care/ER copay
• Sending medical records to specialists
• Providing copies of records upon request, should you relocate or leave the practice for any reason
• Maintaining a web-based secure patient portal to allow access to your records at any time, and make payments online
• Insurance claims appeals and re-filing
• Account resolution up to and including speaking with human resources and insurance companies if needed on a case by case basis
• Billing summaries for FSA/tax purposes

Realizing that growing families may have limited budgets, we have set our annual Non-Covered Services Fee at $80 per child, with a maximum of $210 per family (3 or more children). Please note that this is far less expensive than paying for each service as you request it. We look forward to continuing to provide you these services upon request. If you have any questions, please contact our Fairfax, VA Office Line 1 (703) 356-7882 / Fairfax, VA Office Line 2 (703) 266-6676

Thank you.