Wholesome Care for Kids

Phone: 845-249-2510

Fax: 845-249-2505

Insurance Plans  Accepted 

Aetna
Great West
MVP Medicaid
Care Connect
Health Net
National Health
CDPHP
Health Quest
Oxford Freedom Liberty
CIGNA
Local 825, 456
Pomco
Empire BC/BS
Local 1199
Tricare
Empire Plan
Magnacare
United Health Care
Fidelis
MultiPLan/PHCS
Wellcare
GHI/Emblem
MVP Healthcare


Insurance & Fees

Bambini Pediatrics PC

As you know, many of these health plans offer a variety of product lines.  We may not participate in some of these.   Moreover, there are many smaller plans that we do accept that are not listed above.  If in doubt, please touch base with us.   We also accept indemnity, select, and medical sharing plans such as Medishare.  Our current membership fee for Liberty Direct premier patients is $50 per month, and includes annual physical, phone calls, emails, forms, and refills.


Office Visit Fees:

  • $75 for brief appointment (earaches, sore throats, rashes...)
  • $150 for standard visit  (check up on healthy child, headache, fatigue, and other complex concerns)
  • $300 for a 40 min appt  For self-pay patients with complex issues that are traveling from a distance.  Longer appointments may also be arranged.  A credit card deposit is required to secure these extended visits. 

Payment is expected at the time of service.  These fees do not include office labs (rapid strep, urine analysis), office tests (vision, hearing screens), vaccines, or billing fees.  We accept Visa, Mastercard, Discover credit cards, check, and cash payment along with HSA and FSA cards. 

We recognize that increasing numbers of families either have no health insurance, or are moving toward high-deductible health plans (HDHPs).  Note that effective January 2015, a $75 deposit will be required at the time of visit for patients being seen with HDHPs.


Premium Services:

As you may know, insurance companies do not cover a number of services that pediatric practices provide.  These include:

  • Phone consultations with the MD or PNP during or after business hours
  • Email consultation with the MD or PNP during or after business hours
  • House calls (including travel time)
  • Travel research; researching specific concerns; letters / phone calls to consultants
  • Managed care negotiations (phone calls to medical director)
  • Prior authorizations for imaging and non-formulary drugs
  • Referral to specialist without an appointment
  • Medication (other than controlled substances) refill


We currently bill the above uncovered services at $300 per hour for clinician time We also offer the following menu of uncovered services:

  • Ear Piercing  (by PNP) -- $75
  • Application of EMLA before injections and vaccines -- $10 per site
  • Forms – school, camp, daycare, disability, special services -- $10 per page


Pay Your Balance

As a convenience for our patients, you may now care for an unpaid balance with our practice portal.  For families with high-deductible health plans, the portal also allows for secure storage of credit card information.