Practice Policies

We ask that all new families read our policies before the first visit. It contains descriptions of our appointment, insurance, financial, and referral, form, and prescription re-fill policies.

Late Policy

Compassion Pediatrics strongly enforces our 10 Minute Rule. If you arrive 10 minutes or more late for your Well Child Appointment you will be rescheduled. The reason for this rule is to keep as close to the schedule as possible. Please be courteous to those who are scheduled after your visit by arriving on time. 

Cancellations need to be made as soon as possible. If the cancellations is not at least 24 hours prior to the appointment it is considered a no show.

Click here/wp-content/uploads/2022/03/No-Show-Policy-Compassion-Services.pdf for the cancellation policy agreement form.

Vaccine Policy

Our current vaccine policy allows parents to have the flexibility to alter the schedule they would prefer, but yet requires that all the children be vaccinated by 5 years of age.

Click here for Immunization Schedule

 

Insurance Information

Co-pays

We request that an insurance card is presented at each visit. All co-payments and past due balances are due at time of check-in unless previous arrangements have been made with a billing coordinator. We accept cash, credit cards. 

Accepted In-Network Insurance

​PRIVATE:
Aetna Commercial
Aetna Better Health Healthy Kids
Anthem Commercial
Cigna
Humana Commercial
Multiplan-PHCS
Tricare East
United Healthcare Commercial
Virginia Premier
Alliance Coal Health Plan
CareSource – D-SNP, Medicare Advantage, and Marketplace

MEDICAID HMO:
KY Medicaid
​Aetna Better Health Medicaid
Anthem Medicaid
Humana Medicaid
Wellcare Medicaid
Passport Health Plan by Molina
United Healthcare Medicaid

Out of Network WV Medicaid in process

For patients who do not yet have insurance, we will require payment up front and then give a reimbursement or we will accept reference number from activated insurance.

Medical Record Copies

Please sign a medical release to have your child's records sent to your new pediatric practice. If you would like a copy for yourself, it is $1/page - once over $25, it is $0.50/page.

Forms

On this page you can find downloads for all the important forms you’ll need for school, camp, and more.

1

New Patients

We have compiled a hard copy of Compassion Pediatrics’s policies. We ask that all new families read this and sign it at the first visit. It contains descriptions of our appointment, insurance, financial, referral forms and prescription re-fill policies. Click here to download this form.

Click here for the appointment authorization form.

And click here for the privacy policy notice.

2

Transferring Patients

Compassion Pediatrics requires that you have a full copy of your child’s medical records including any lab work done and all vaccines given. We will not register your child without the records. We suggest you contact your current pediatrician and have him send them to you and you then bring them to us. In that way, you will personally know the status of the chart. Click here to download the transfer form.

3

School & Sports Forms

Physical exams for school or camp forms are valid for one year. If your child has not had a physical within one year, please schedule one as soon as possible. Note that from April through September we get busy with camp and school physical appointments, so try to schedule an appointment as soon as possible, particularly if your child is behind on his/her well child visit. 

Physical forms and shot records are given at the time off the well visit, except new patients may not receive an updated vaccination form at the time of visit - the pin number will be emailed within 48 hours. If additional forms are requested, they are $5/piece and requested by emailing info@compassionpeds.com.

Sport forms not completed at the time of physical are $10. Forms dropped off have a 72 hours turn around.