YOUR VISIT
Insurance
We accept most major insurance providers
Please make sure you bring your insurance card to your appointment. In the event that it is not yet issued to you, please bring the policy details.
AdventHealth – Employee Plan, AMPS, Centivo, Disney Cast Care
Advantage Health Network - Tenet Employee Plan
Aetna – HMO, PPO, EPO, POS, First Health Network
AvMed - (All products except Non-Par for Flex)
Baptist Physician Partners - Employee Plan
Baycare Exclusive Network - Employee Plan
BCBS Florida - HMO, PPO, PPS/PHS, PPC
Cigna – HMO, PPO, POS, EPO
Claritev [Multiplan] - (Beech Street, PHCS, ++)
Community Care Plan (CCP) – Employee Plan
Curative
Dimension Health - PPO
Employers Health Network
Florida Health Care Plan
Imagine Health
Jupiter Medical Center Collaborative Care Network
Larkin Community Hospital Palm Springs Network
Memorial Health Network – Employee Plan
Orlando Health Network
Parrish Health Network –Employee Plan
Partners Direct Health
Point Comfort Underwriters/Vision Quest - (Office of Refugee Resettlement Unaccompanied Children)
Tricare East (Humana Military)
United HealthCare – HMO, PPO, Choice
AdventHealth (Health First Health Plan)
Ambetter
Amerihealth Caritas - (Next)
AvMed - (Entrust)
BCBS Florida – HMO & PPO
Cigna - (Cigna Connect)
CCP – (22 Health)
Molina Marketplace
Oscar Health
Simply Florida Essential
Aetna Better Health
Simply Healthcare Plan
Community Care Plan (CCP)
Aetna Better Health
Community Care Plan (CCP)
Florida Community Care (FCC)
Humana Healthy Horizons
Molina Healthcare
Simply Healthcare Plan
Sunshine Health
Sunshine CMS Title XIX & XXI
United HealthCare Community Plan
Insurance FAQs
We accept most insurance and Medicaid plans.
Most services are covered, but we do recommend you contact your insurance company to verify your plan benefits. Below are a few suggested questions to ask:
Does your health plan require an assigned PCP (for example, an HMO)? If yes, verify that a Pediatric Associates provider is your assigned PCP. Generally, this will populate on your Member ID Card.
Are there any limits on preventative care I need to know about? How is that different than my coverage for a sick visit?
Do I have a co-pay or deductible?
Is there additional patient responsibility if the services are provided after hours?
Call our Billing Department at 954-967-6400 ext 7422 and we will be glad to assist you with that process.
Sliding fee discount program
At Pediatric Associates, no patient will be denied medical services due to inability to pay. We offer a sliding fee discount program to those who qualify.
Determining your eligibility for the sliding fee discount requires verification of your income. This information must be updated frequently to continue your participation in the program. The information is only used to calculate your discount and is kept completely confidential.
If you wish to apply, please click on the button below to fill out an application prior to scheduling an appointment or returning to your location. You may also submit the application directly to SFSAPPS@pediatricassociates.com.
Sliding fee discount schedule
| Poverty level | 100% | 110% | 120% | 130% | 140% | 150% | 160% | 170% | 180% | 190% | 200% | >200% |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Family size | Discount 100% | Discount 90% | Discount 80% | Discount 70% | Discount 60% | Discount 50% | Discount 40% | Discount 30% | Discount 20% | Discount 15% | Discount 10% | Discount 0% |
| 1 | $15,650 | $17,215 | $18,780 | $20,345 | $21,910 | $23,475 | $25,040 | $26,605 | $28,170 | $29,735 | $31,300 | >$31,300 |
| 2 | $21,150 | $23,265 | $25,380 | $27,495 | $29,610 | $31,725 | $33,840 | $35,955 | $38,070 | $40,185 | $42,300 | >$42,300 |
| 3 | $26,650 | $29,315 | $31,980 | $34,645 | $37,310 | $39,975 | $42,640 | $45,305 | $47,970 | $50,635 | $53,300 | >$53,300 |
| 4 | $32,150 | $35,365 | $38,580 | $41,795 | $45,010 | $48,225 | $51,440 | $54,655 | $57,870 | $61,085 | $64,300 | >$64,300 |
| 5 | $37,650 | $41,415 | $45,180 | $48,945 | $52,710 | $56,475 | $60,240 | $64,005 | $67,770 | $71,535 | $75,300 | >$75,300 |
| 6 | $43,150 | $47,465 | $51,780 | $56,095 | $60,410 | $64,725 | $69,040 | $73,355 | $77,670 | $81,985 | $86,300 | >$86,300 |
| 7 | $48,650 | $53,515 | $58,380 | $63,245 | $68,110 | $72,975 | $77,840 | $82,705 | $87,570 | $92,435 | $97,300 | >$97,300 |
| 8 | $54,150 | $59,565 | $64,980 | $70,395 | $75,810 | $81,225 | $86,640 | $92,055 | $97,470 | $102,885 | $108,300 | >$108,300 |
| For each additional person | $5,500 | $6,050 | $6,600 | $7,150 | $7,700 | $8,250 | $8,800 | $9,350 | $9,900 | $10,450 | $11,000 | >$11,000 |
*Based on the 2025 Federal Poverty Guidelines for the 48 contiguous states and the District of Columbia. Please note that there are separate guidelines for Alaska and Hawaii, and that the thresholds would differ for sites in those two states. Sites in Puerto Rico and other outlying jurisdictions would use the above guidelines
Pediatric Associate Group has adopted the following policies on charges for health care services: We will charge persons receiving health services at the usual and customary rate prevailing in the area. Persons will be charged for services to the extent that payment will be made by a third party authorized or under legal obligation to pay the charges. Health services will be provided at no charge, or at a discounted charge, to persons unable to pay for care. We will not discriminate against any person receiving health services because of his or her inability to pay for services, or because payment for health services will be made under Part A or B of Title XVIII (Medicare) or Title XIX (Medicaid) or Title XXI (Health Wave, the state children’s health insurance) of the Social Security Act.