By contracting with these companies, Raleigh Pediatric Associates has agreed to file insurance for patients who participate in these plans. In order to do so, we must see your child’s insurance card at each visit and if you participate in a managed care program, one of our physicians’ names must appear on the card. If you do not have the necessary information and we are unable to verify your coverage, we must ask for payment at the time of the visit.

We collect all co-payments at the time services are rendered and file insurance on a daily basis. A monthly statement will be sent to you detailing unpaid charges. If you have questions regarding items that have not been paid by your insurance, we ask that you contact your insurance company or employer as benefits packages vary by employer. (Updated 11/19/2020)


SELF-PAY — If you have insurance with which Raleigh Pediatric Associates does NOT contract, your account will be considered self-pay. You must pay in full at the time of service and file your own insurance. No insurance adjustments will be made to these accounts. (Updated 1/1/2021)


NEW 2021 ACA EXCHANGE PLANS

Raleigh Pediatric Associates will participate with the following insurance carriers effective January 1, 2021:

  • BRIGHT HEALTH
  • CIGNA CONNECT
  • UHC COMPASS

CONTRACTED INSURANCES

  • Aetna
  • Blue Cross & Blue Shield of North Carolina
    • Including:
      • BCBS NC State Employees Health Plan
      • BCBS Federal Employees Health Plan
  • Cigna Healthcare
    • CIGNA EXCEPTION: Raleigh Pediatrics does NOT participate with Cigna Indemnity plans.
  • MedCost PPO
  • United Healthcare
  • New WakeMed Employee Plan via Contigo Health
  • Medicaid  / Carolina Access / NC Healthchoice*
    • Only accepting Patients who meet the following qualifications
      • New patients TWO months of age and  younger
      • *Established patients and **their siblings
    • As of 7/1/2021 Raleigh Pediatrics will participate with the following Medicaid (DHHS) health plans
      • Wellcare of North Carolina
      • United Healthcare Community Plan
      • Medicaid and NC Healthchoice for those patients that qualify

*A patient is considered established only if they have been seen by one of our physicians in the last 3 years and have not transferred out of the practice.

**Siblings include adopted, foster and legal guardianship

Please check the financial policy for the exceptions and additional insurance information.

Make a payment here.


Routine Screening Tools

The physicians of Raleigh Pediatric Associates perform comprehensive well exams on their patients following the Bright Futures (American Academy of Pediatrics) recommendations. These recommendations include timing of the exams along with appropriate testing, screening and lab work. It is possible that some portion of the exam may not be covered or may be applied to a deductible by your insurance company and then would be your responsibility. While we are sensitive to costs, we believe all of these screenings are necessary to provide the best care for your children.

Examples of routine screening tools used at well visits include

  • General Screenings: Vision, Hearing, TB screen, Lead Screen
  • Developmental Screening Tools
    • M-Chat: Autism screening tool (routinely done at 18 months and 2 years)
    • PEDS Response: Parent Evaluation of Development Status (at intervals between 6 months – 5 years)
  • Behavioral and Psychosocial Screening Tools
    • EPDS: Edinburgh Postpartum Depression Screening (routinely done at 1 month, 2 months, 4 months and 6 months well exam)
    • RAAPS: Rapid Adolescent Assessment for Preventative Services done annually 11 years through 22 years

Office Locations

Raleigh office

1921 Falls Valley Drive Raleigh, NC 27615
phone: (919) 872-0250

fax: (919) 848-3054

Office Hours

Mon-Fri*: 8:00am–5:00pm

Closed from 12:45–1:45pm for lunch.

Sat & Sun: 8:00am–11:00am

urgent matters by appt only

*Wednesdays, we begin seeing patients at 9:30am.

Request appt.

Garner office

1405 Timber Drive East Garner, NC 27529
phone: (919) 779-6423

fax: (919) 662-2021

Office Hours

Mon-Fri*: 8:00am–5:00pm

Closed from 12:45–1:45pm for lunch.

Sat & Sun: 8:00am–11:00am

urgent matters by appt only

*Wednesdays, we begin seeing patients at 9:30am.

Request appt.