Insurance

We Accept Most Insurance Plans

We accept most insurance including HMOs, PPOs, and Medi-Cal. If you are a new patient and would like to verify if we accept your insurance, please email our new patient liaison: customerservice@ktdoctor.com

If your insurance card does not list one of our office addresses or our physicians, no problem! Our experienced Insurance Team will assist you in changing your Dr. the same day and getting your child the care they need. We Welcome all Commercial and Medi-Cal HMO members with Regal, Lakeside, Health Care Partners and Eastland Members at Kids and Teens

Check Eligibility

STEP 01 - Choose Your Insurance Type

I Have Commercial HMO/IPA/Covered California

  • ✔ Aetna
  • ✔ Anthem Blue Cross and POS
  • ✔ Blue Shield and POS
  • ✔ California-Care
  • ✔ Cigna
  • ✔ Cigna- Disney Employees
  • ✔ Health Net and POS
  • ✔ LA Care
  • ✔ Lakeside Medical Group
  • ✔ Molina
  • ✔ OPTUM
  • ✔ Pacific-Care
  • ✔ Regal Medical Group
  • ✔ Serendib Healthways
  • ✔ United Health Care
  • ✔ Preferred IPA*
  • ✔ Global Care*
  • ✔ Allied Pacific*
  • ✔ Community Family Care*
  • ✔ Easy Care*

*May require transfer

If you belong to another HMO/IPA or have another office listed; you can still come into our office and have it all changed to one of our office and physicians. Or contact us on 626-517-5766 and have it changed over the phone.

I Have PPO/POS insurance

  • ✔ Aetna PPO/POS and Managed Choice
  • ✔ Ameriben
  • ✔ Anthem Blue Cross of CA
  • ✔ Blue Shield Of CA
  • ✔ BlueCard Plans/POS
  • ✔ Cigna PPO, Open Access Plus,Disney and International Global
  • ✔ Directors Guild
  • ✔ Great West Life
  • ✔ Humana
  • ✔ HMA
  • ✔ Health Net PPO/POS
  • ✔ Keenan-Prime HealthCare
  • ✔ Motion Picture/ MPI
  • ✔ Screen Actors Guild/SAG
  • ✔ Tricare Prime/ChampVA
  • ✔ Writers Guild
  • ✔ United Healthcare PPO/POS

Ask us about our Commercial Group Discount Plan! Call us on (818) 361-5437

If you belong to another HMO/IPA or have another office listed; you can still come into our office and have it all changed to one of our office and physicians. Or contact us on 626-517-5766 and have it changed over the phone.

A Message to Our Commercial HMO and PPO patients

Kids & Teens Medical Group recognizes the expectations our Commercial HMO and PPO patients have. To meet those needs Kids & Teens Medical Group has put together a core group of experienced highly trained staff that will transform your patient experience. All of our Commercial Group Team members are trained to handle the unique needs of your Commerical HMO or PPO insurance plan. From understanding your benefits, help in choosing the medical group ID's, to the ease of scheduling appointments, our Commerical Team will provide you with fast and courteous assistance in navigating your insurance process. You can contact our experienced Commercial Team by phone or text message 7 days a week at 626-517-5766 If your insurance card does not list one of our office addresses or our physicians, no problem! Our experienced Insurance Team will assist you in changing your Dr. the same day and getting your child the care they need. We Welcome all Commercial and Medi-Cal HMO members with Regal, Lakeside, Health Care Partners and Eastland Members at Kids and Teens

I Have Medi-cal HMO/IPA

  • ✔ Serendib-Molina IPA + our physicians (Preferred)

If you belong to another HMO/IPA or have another office listed; you can still come into our office and have it all changed to one of our office and physicians. Or contact us on 626-517-5766 and have it changed over the phone.

I Have Regal, Lakeside & Healthcare partners

We Welcome all Commercial and Medi-cal HMO Members with Regal, Lakeside, Health Care Partners and Eastland Members at Kids and Teens.

If you belong to another HMO/IPA or have another office listed; you can still come into our office and have it all changed to one of our office and physicians. Or contact us on 626-517-5766 and have it changed over the phone.

I'm Not Sure

We accept most insurance, including PPO, HMO, MediCal and CHDP. So, if you’re not sure what type of insurance you have, or didn’t see your health plan in our list of options, chances are we can still help.

If you belong to another HMO/IPA or have another office listed; you can still come into our office and have it all changed to one of our office and physicians. Or contact us on 626-517-5766 and have it changed over the phone.

Billing Policy

Our billing policy has recently changed. Please review prior to your appointment.

Under the Affordable Care Act, families are having their insurance changed to new insurance products, as mandated by federal law. As a result, traditional insurance products utilizing legacy PPO networks are no longer accessible for many of our patients, though some who obtain their insurance through unions or government agencies may still have access. The state of California has not adopted the federal extension allowing individuals and families to keep their plans for an additional two years, so in most cases families do not have the choice to keep their legacy networks or the doctors who are in them.

While our contracts with insurers have not changed.The policies insurers offer has. Insurers have manufactured new, “narrow” networks that have arbitrarily excluded Rose City Pediatrics. Insurers admit that these new, narrow (usually EPO) networks are designed to fulfill insurance companies’ needs for a minimum number of “providers or prescribers” and to fulfill the needs of the insurance companies’ members at the lowest cost to the insurance company. Confusingly, many of these new network plans are marketed and advertised as PPOs, which we believe they are not. We have only ascertained the truth after families accessed our services.

As a result of the Affordable Care Act, and because of diminished access from new limited assurance networks, and although our existing relationships with insurers has not changed, we have been forced to implement new billing policies to remain viable. If we cannot quickly determine if we will get paid we will charge you $125.00 deposit at the time of service and we will refund when if we get paid. We appreciate that our families value the traditional and high quality services they have come to expect, and that we expect from ourselves. With apologies for any inconvenience this may cause, bat assuring you of our best attention at all times, it is our intention to continue to provide the caliber of care our patients have enjoyed over the years.