There are many changes coming in healthcare in the next several months. On October 1, 2013 the government is mandating health insurance exchanges must begin enrollment for coverage beginning January 1, 2014. These plans will be Accountable Care Organizations (ACO), which Estrella Pediatrics will NOT be participating in. The ACO rules set forth in the Affordable Care act are not specifically tailored for pediatric patients and because we don’t know how we will fit into the new system, we are not joining anything until we are sure the care we will be able to provide will be at the same high level it has always been.
It is important that you understand that while the insurance company may be the same, we may be considered an out of network provider. Please know your medical benefits in order to avoid unexpected out of pocket expenses. Please understand our office is not responsible if the benefit description we obtained from your insurance plan is incorrect. It is important you know your benefits.
As always, if you have any questions about your insurance or changes you need to make, call our office at (623)388-3216. We are here to help you in any way we can.
Estrella Pediatrics, P.C.