1800 English Road, Suite 10
Rochester, New York 14616

for appointments
call 585.225.2525
English Road Pediatrics

INSURANCE AND BILLING

Schedule Appointment Patient Portal

We understand that insurance and billing information and forms can be frustrating for our patients and we want to make the process as easy as possible. You should call your insurance ahead of time for well-child visit benefits. In addition, patients and their parents and/or guardians are responsible for checking with insurance for laboratory and procedure benefits. We accept most major insurances.
Please check with your plan manager.

WHAT YOU CAN DO

– Because co-pays and deductible payments are due at the time of your visit, please call your insurance prior to your visit if you are unsure of the terms of your plan.

– Read our Financial Policy prior to treatment.

– Please let us know of any changes to your insurance, address, or phone number.

– Make sure that your child’s pediatrician is listed as their primary care physician with their insurance.

– Patients and their parents and/or guardians are responsible for checking with insurance for laboratory and procedure benefits.

INSURANCE COMPANIES

WE ARE PARTICIPATING MEMBERS OF AHP.

If your child does not have health insurance, they may be eligible for Medicaid. Medicaid offers free to low-cost health coverage for those who need financial assistance.

HOW TO APPLY FOR MEDICAID

You can apply by phone, by mail or in person through Monroe DSS or by contacting a facilitated enroller (FE). Monroe DSS is located at:

Monroe County DSS 111 Westfall Road
Rochester, New York 14620
585.753.2740
Fax: (585) 225-2626

• Other local departments of social services can be found here.
• You can access an application here.
• You can obtain applications and assistance by calling New York Health Options at (585) 693-6765 A facilitated enroller (FE) is a community agency trained to assist with Medicaid applications – you may use an FE to apply, they are available to provide application assistance.

FACILITATED ENROLLERS IN MONROE COUNTY:

Please call our office or refer to
https://nystateofhealth.ny.gov/
for information on enrollers.

After you apply for Medicaid, local districts must determine if you are eligible. They will send you a letter within 45 days of the date of your application notifying you if your application has been accepted of denied. If you are pregnant or applying on behalf of children, the local district has 30 days from the date of your application to determine if you are eligible for Medicaid. Since the application process can take up to 45 days, it is recommended that you apply for Medicaid before your baby is born.

If you are experiencing

A MEDICAL EMERGENCY,
CALL 911