Insurance

Insurance

Children’s Orthopaedics of Atlanta (COA) is contracted with most insurance providers and managed care plans. As a convenience for families, COA will electronically file all insurance claims, primary and supplementary.

Co-payments

Most managed care plans require their members to pay a co-pay at the time of the visit. The practice is required by contract with the managed care plan to collect the fee established by the insurance company. Failure to collect the co-pay will result in COA being prohibited from seeing patients covered by that plan.

Referrals & Authorization

An increasing number of managed care plans require that you get an insurance referral from your primary care physician before being permitted to visit COA. This process can take seven days or more complete. Patient families risk being 100% responsible for the cost of the visit, if they do not have prior authorization from their plan.

Being insured under managed care creates the responsibility of obtaining authorization from the insurance company before surgery or hospitalization. COA will assist you in obtaining authorization. In some cases, the managed care company requires the opinion of a second physician before surgery is authorized. Obtaining authorization, or arranging a second opinion, may create delays in treatment in non-emergency situations.