Richmond Pediatrics is part of Seattle Children's Primary Care Group, which is separate from Seattle Children's Hospital. While we all work together to deliver high-quality care, please review the following information to see how this may impact you so you know what to expect.
- If your child sees a pediatrician at Richmond Pediatrics, be sure your insurance company contracts with these providers. Insurance plan contracts may be different between Seattle Children's Primary Care Group and Seattle Children's Hospital.
- Seattle Children's Primary Care Group and Seattle Children's Hospital have different financial assistance programs, including eligibility requirements.
- If your child also receives care at Seattle Children's Hospital, you will receive separate bills for those services.
Billing office hours are Monday through Friday, 8 a.m. to 4:30 p.m.
Billing staff can be reached through a MyChart message, by calling 206-884-4848 or by emailing SCPrimaryCareGroupBilling@seattlechildrens.org.
Patient Billing
- Bring all current insurance information to your appointment.
- All copays are due the time of service. Your insurance card should have information about your copay.
- You are financially responsible for any outstanding balances after insurance payments.
- We will bill both your primary and secondary insurance plans.
- Payment for outstanding balances will be requested at check-in.
- Financial assistance is available to those who qualify.
Online bill pay
Online bill pay is available on our patient portal or by using the pay as a guest option. Call the office to get access if you are not already enrolled in MyChart, the patient portal.
Insurance tips
- Coverage for newborns – We request you add your newborn baby to your insurance plan within the first week of the baby’s birth to make sure claims are not denied.
- Well-child checks – Please keep in mind that different insurance plans have different criteria for covering patient physicals. Some plans cover 1 per calendar year, while others cover 1 per benefit year, which doesn't always coincide with a typical calendar year. We recommend that you contact your insurance company to find out more about your specific benefit.
Insurance Plans That Include Richmond Pediatrics
Richmond Pediatrics is part of Seattle Children’s Primary Care Group, which is contracted with the insurance companies listed below. Insurance companies offer multiple different plans, and it is possible that your specific plan is not included in the contract.
This list is updated as changes occur and may not reflect the current status of your plan.
Coverage and authorization requirements can vary between different plans offered by the same insurance company. Please review your specific insurance plan benefits, network status, copays, annual deductible (both in-network and out-of-network), and coinsurance to understand your cost. See also Consumer Rights Under the Balance Billing Protection Act (PDF).
Commercial
- Aetna
- Please note: Many Aetna plans do not cover hearing tests as part of a well-child checkup. We strongly urge you to contact your specific plan to verify your child’s preventive benefits. (Reference CPT Code 92552)
- Asuris (Regence BlueShield Affiliate)
- Cigna Healthcare
- First Choice
- First Health (Aetna Affiliate)
- HealthNet Federal Services (Tricare)
- Kaiser Foundation Health Plan of Washington (Access PPO and Summit PPO Plans Only)
- Please note: We are out-of-network for Kaiser Core or other HMO plans. You must receive services at a Kaiser clinic to access your benefits.
- United Healthcare (Commercial Plans)
- PHCS/Multiplan
- Premera Blue Cross
- Regence BlueShield
Medicaid
- Apple Health (Washington Medicaid)
- Coordinated Care
- Molina
- United Healthcare (Medicaid Plan)
Please note that while we do accept the above Washington Medicaid plans, we do not accept Community Health Plan of Washington or Wellpoint (formerly Amerigroup) at this time.
Exchange plans
We accept the following plans from the Washington Health Exchange:
- Ambetter (Coordinated Care)
- Molina
- United Healthcare
Questions?
- Please call us at 206-884-4848 for billing questions.
- Please contact your insurance company directly with questions about specific plan coverage.