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 invoice 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 invoice. More details about your invoice can be found in your MyHealth account. For more information, view our Billing & Financial Policies.
3 Ways to Pay Your Bill
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
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
- BlueCross BlueShield
- Coventry Health Care
- First Choice Health
- Health Net
- Managed HealthCare Northwest
- Moda Health
- Oregon Health Plan (OHP)
- Providence Health Assurance
- DMAP (Open Card)
- Providence Health Plans
- Regence (except Regence OHSU network & Regence Beacon)
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 one (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.
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.
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.
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.
I thought well-child visits were covered at 100%. Why am I getting a bill?
At Metropolitan Pediatrics, we do our best to address your child’s health needs during every visit, including regularly scheduled well exams. Most insurance plans cover important preventive care discussions and screenings as part of the exam. When we address an illness or problem (like an ear infection or rash) or help manage a previously diagnosed health problem (like asthma or ADHD), it is not considered preventive care and insurance companies may not include that in preventive coverage. If this happens, you might have extra costs added on as in an additional office visit for illness.
Tests, procedures, or discussions to diagnose or treat health problems are not considered preventive care at a well exam, so you may get a bill later. Here are some examples of non-preventive care you could receive during a well visit that may have an additional cost:
- Discussing new symptoms
- Discussing illness or conditions
- Unplanned procedures
- Treatment or testing for new/existing conditions
- Medication management (e.g., ADHD, asthma)
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.