Insurance
Western Wake Pediatrics, PA participates with the following carriers:
- Aetna - including the Aetna CVS Marketplace plan
- BCBS and BCBC Blue Home – We do not accept Healthy Blue Medicaid, or Blue High Performance Network
- Cigna Healthcare - We do not accept Cigna Connect
- Humana
- Medcost
- Medicaid Direct
- Tricare – to include Prime and Select – excluding Tricare Prime Remote
- United Healthcare/ UMR – We do not accept UHC Medicaid.
- Wellcare Medicaid
Western Wake Pediatrics does not participate or file insurance for Medishare, Libertyshare, or any PHCS plans. Patients with these share plans are considered self-pay patients.
Please have your card with you at the time of your visit. If we file your claim, you are responsible for only the co-pay at the time of visit. If we are not a provider for your insurance, if you are not insured or we do not file with your insurance company, you may be responsible for the entire charge at the time of service.
Billing
Who do I contact if I have questions?
BILLING DEPARTMENT: BILLING@WWPEDS.COM, 919-859-9991 OPTION 6
Why am I being charged for a well child check?
Accidental only insurance plans do not cover well checks. They only cover sick visits. If you have an insurance plan that covers routine well child checkups and have recieved a bill for services on the day of your child's checkup, it is likely that our provider addressed medical problems (new or ongoing) in addition to the routine preventive care covered in a checkup; read more about that here.
Why were hearing and vision screening not covered by my insurance?
Certain insurance plans do not cover hearing and vision after a certain age. Please check with your insurance carrier before coming in for a well check to make sure that hearing and vision screenings are covered.
