Mindful Pediatrics Financial Policy
Here are some commonly asked questions regarding Mindful Pediatrics office fees, insurance, and billing. Feel free to reach out to our office if you have any additional questions.
We look forward to partnering with you to take a mindful approach to your child’s care.
Commonly Asked Questions
Do you accept insurance?
To provide the highest quality of service and care, Mindful Pediatrics operates on a fee-for-service model. This means that we do not accept any insurance for office visits and our patients pay in full at the time of their service.
Our office provides you with a superbill to submit to your insurance company for reimbursement based on your out of network coverage. Because Dr. Roy is a Board Certified Medical Doctor, most of our patients receive significant reimbursement. Your insurance company will be able to provide you with more specific information regarding coverage.
Distance educational consultations (for those residing outside of Colorado) are not considered a medical service, therefore, no superbill is provided.
ARE REFERRALS, IMAGING, AND LABS BILLED TO INSURANCE?
Services conducted outside our office, such as referrals to specialists, imaging such as x-rays, prescriptions, or laboratory testing are generally covered by your insurance policy because these facilities bill your insurance directly.
DOES FEE-FOR-SERVICE MEAN THAT IT COSTS MORE?
Many families discover that paying out-of-pocket at Mindful Pediatrics is often more cost effective than going through insurance.
Given the prevalence of high deductible insurance plans, families often learn that even when utilizing practices that accept their insurance, they still incur out-of-pocket expenses until these high deductibles are fulfilled (typically ranging from $3000 to $6000 or more per individual).
Furthermore, when charged through insurance, these healthcare expenses are often billed at significantly higher rates.
WHAT ABOUT HEALTH SAVINGS AND HEALTH SHARES?
Families commonly leverage flexible spending accounts (FSA), health savings accounts (HSA), health reimbursement accounts (HRA) and Health Share Plans at Mindful Pediatrics. Please consult your policy about the details of your specific account or plan.
DO YOU ACCEPT MEDICAID?
While Medicaid patients are welcome at Mindful Pediatrics, it’s important to understand that you will not receive reimbursement for our office visit fees. However, prescriptions, lab work, imaging, and referrals to other providers are generally covered when approved Medicaid facilities are utilized.
WHAT DO VISITS COST?
New Client Appointments:
- 60 minutes $525
- 80 minutes $700
Existing Client Appointments:
- 20 minutes $240
- 40 minutes $360
- 60 minutes $525
New Client Booking Policy
New client appointments are charged in full at the time of booking to reserve your appointment time.
If you need to cancel, you must provide at least 48 hours (two business days, M–F) notice to receive a full refund. If you wish to reschedule, you must provide at least 48 hours (two business days, M–F) notice. Your payment may be applied to a new appointment time, subject to availability.
To cancel or reschedule, please message Dr. Roy directly through your client portal account.
Appointments canceled or rescheduled with less than 48 business hours notice, as well as missed appointments (“no-shows”), are not eligible for a refund.
By scheduling your appointment, you acknowledge that you have read and agree to this policy.
What is Your Cancellation, Rescheduling & Missed Appointment Policy?
Your scheduled time is reserved just for you. To respect all our clients’ time, we require at least 48 business hours’ notice (two business days, M-F) for any appointment changes or cancellations.
Policy Details:
- Changes or cancellations with less than 48 hours’ notice will incur a charge for the full appointment fee.
- For example, an appointment scheduled for 11:00 am Thursday must be changed or canceled by 11:00 am Tuesday to avoid charges. Appointments scheduled for Mondays or Tuesdays must be canceled by the prior Thursday or Friday, respectively.
We care about our clients and believe this policy fosters mutual respect, allowing us to serve as many clients as possible and accommodate those on our waitlist.
Although most cancellations and appointment changes result from scheduling conflicts or shifting priorities rather than true emergencies, we recognize that unexpected situations can occur. In such cases, we’ll do our best to consider these on a case-by-case basis.
To help you avoid cancellation fees, we offer an appointment reminder system. However, please remember that tracking your appointment is ultimately your responsibility.
Thank you for your understanding and cooperation.
HOW DO I CANCEL OR RESCHEDULE MY APPOINTMENT?
If you need to make any changes to your appointment, please message Dr. Roy through the client portal or call 303.318.4102. Our office has a 48-hr (2 business day) cancellation policy. Any cancellations or scheduling changes made with less than the required notice will be charged the full appointment fee.