We’re Happy to Help with Billing Questions
Thank you for choosing Metro Pediatrics as your care provider. We appreciate your timely payment, and we’re happy to help you with any questions you have about your billing statement. Contact our friendly billing team at 503-466-1668 if you have any questions about your statement details and insurance information. It’s important to contact us if you are not able to make your payment by the due date on the statement. More details about your statement can be found in your MyHealth account. For more information, view our Billing & Financial Policies.
3 Ways to Pay Your Bill
Pay Online
You can make a payment online in your MyHealth Portal. Don’t have an account? You can also pay as a guest.
Give Us a Call
Talk to our friendly billing team to make a payment over the phone today. They can be reached at 503-466-1668.
Mail a Check
Make a payment by check. Mail a check to the PO Box below. Make sure to include your account number and last name.
PO Box 3096
Portland, OR 97208-3096
Insurance
We accept most major health plans, including Oregon Health Plan. Call our friendly team at 503-466-1668 to check if we’re in-network with your particular plan.
In-Network Health Plans
- Aetna
- Cigna
- Coventry Health Care
- EBMS
- First Choice Health
- FirstHealth
- Health Net
- LifeWise
- Managed HealthCare Northwest
- Moda Health
- MultiPlan
- Oregon Health Plan (OHP)
- CareOregon
- Providence Health Assurance
- DMAP (Open Card)
- PacificSource
- Providence Health Plans
- Regence BCBS (except Regence OHSU & Regence Beacon)
- TriCare
- TriWest
- UnitedHealthcare
- UMR
Good Faith Estimates
Patients who don’t have insurance or who are not using insurance have the right to receive a “Good Faith Estimate” of how much their medical care will cost.
Your Rights Under the No Surprises Act
- You have the right to receive a Good Faith Estimate for the total expected cost of your visit. This includes any known related costs, such as routine immunizations, screenings, and labs. Estimates do not include unknown or unexpected costs. Charges for unforeseen services, such as labs, tests, x-rays, or same-day procedures will be added to your final bill.
- Healthcare providers are required to provide a Good Faith Estimate in writing at least 1 business day before your scheduled appointment. You can also ask us or any healthcare provider for a Good Faith Estimate before you schedule an item or service.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- Make sure to save a copy of your Good Faith Estimate.
For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises.
Financial Assistance
Need help paying your bill? Please complete our Financial Assistance Application to see if you qualify for reduced monthly payments or discounts. If you are experiencing job loss, divorce, or other extenuating circumstances, please share that on the application. Families that qualify for financial assistance may receive a reduction on past balances as well as discounts on future services for a 6-month period.
Newborns
In order for newborns to receive health insurance coverage for medical services, they need to be added to an insurance plan within the first 30 days of birth. Please contact your insurance provider for more details and assistance as soon as your child is born. If we can help you in any way, please contact us.
Billing FAQs
With insurance and billing you may have lots of questions. Below, you’ll find answers to some of the most common questions we hear from patients.
Why did I get a bill for a well-child visit?
It can be a surprise to get a bill when you expect a checkup to be fully covered. At Metropolitan Pediatrics, we want to be as helpful as possible in explaining how insurance billing works.
Most plans cover “preventive” care (like growth checks and vaccines) at 100%. However, if we also address a specific health problem during the same visit, insurance companies see that as a separate service.
Understanding the Difference
If we spend time during a checkup to treat a new illness or manage a long-term condition, it is no longer just a “well visit.” Because we are providing extra care, insurance may apply a copay or an additional charge.
Examples of things that may lead to a bill:
- New concerns: Talking about a new cough, rash, or ear pain.
- Managing conditions: Adjusting medications or checking in on things like asthma or ADHD.
- Extra tests: Running tests or performing procedures for a specific problem.
Our priority is always your child’s health. We address these concerns during your visit so you don’t have to make a second trip back to the clinic. If you have questions about your specific costs, your insurance provider is the best resource to help you understand your plan’s details.
What care is included in a well-child visit?
We follow the American Academy of Pediatrics’ Bright Futures guidelines for pediatric preventive care. These recommendations include:
- A physical exam to check your child’s overall health and development.
- Developmental screening to assess your child’s progress in reaching important milestones.
- A hearing screen to check for any hearing problems.
- A vision screen to check for any vision problems.
- Immunizations to protect your child from preventable diseases.
- Fluoride varnish to help prevent cavities.
- A lead level test to check for lead exposure.
- A hemoglobin test to check for anemia.
- A lipid panel screen to check for high cholesterol or other heart disease risk factors.
- An STD/HIV screen for adolescent patients.
These services are not always provided at each visit, but rather on a standard visit schedule based on your child’s age.
Some health plans do not cover all the recommended screenings, even though they are the national standard of care. Please call your insurance company to check your benefits.