Insurance Information

We accept most PPO insurances and the followings HMO's:

  • Alta Bates Medical Group/Brown & Toland
  • Hill Physicians
  • John Muir Medical Group

Please call our business office to confirm that we accept your insurance. If you have an HMO, please make sure that one of our providers are listed as your primary care provider.  We do not accept any Medi-Cal plans. 

Please have your insurance 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 the visit. If we are not a provider for your insurance or if you are not insured, you are responsible for the entire charge at the time of service.


Patients with Blue Cross Insurance
As we are all aware, there have been many changes in the health insurance industry this year.  One of the changes has been that Blue Cross has discontinued some of their existing insurance plans and have created new plans in response to the Affordable Care Act.  We are not contracted providers with some of these new plans, specifically the Blue Cross Pathways plans.  It has been a confusing and difficult process for all of us.
 
At the present time, it is not possible in every case for us to verify that we take your Blue Cross insurance plan.  Blue Cross is able to tell us if a patient has active Blue Cross insurance, but they are not able to tell us if we are covered providers for individual patients.  In certain cases it has taken hours of phone time on hold to attempt to find this information.
 
We are reaching out to Blue Cross to try to negotiate a contract to be providers for the new plans, but this process may take many months.
 
In the meantime, we ask all of our Blue Cross patients to call Blue Cross or utilize online resources before your appointment to verify that we are covered providers under your plan.  Understanding your insurance benefits and coverage is your responsibility, and we apologize that we are not able to verify this information for you.
 
We value your trust in Lamorinda Pediatrics and we hope that in the near future we can resolve this difficult issue.
 
For any questions please contact our business office at 925-284-1800