Phone: 845-249-2510

available 24/7

Fax: 845-249-2505

Wholesome Care for Kids

Bambini Pediatrics PC

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


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. 


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 after business hours (these are typically covered during office hours)
  • Email consultation with the MD or PNP during or after business hours
  • House calls (including travel time)
  • Extensive research regarding specific concerns; extensive letters / phone calls to consultants
  • Managed care negotiations (phone calls to medical director)
  • Prior authorizations for imaging and non-formulary drugs (these can be covered if done during a visit)
  • Referral to specialist without an appointment or recent visit.
  • Medication refill outside a visit or recent appt.  Click here for details.


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
  • Cold Laser.  Unlike some other practices in area, we do not charge extra for this service.  Click here for brochure.    


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. 

Insurance Plans  Accepted 

Insurance & Fees