Insurance & Billing
Below is a list of our contracted insurance networks. Specific plan acceptance may vary. If you have an insurance you do not see listed here, please call our office and your insurance company to verify eligibility. Due to the overwhelming number of insurance plans, our office may not be able to provide details of your specific insurance coverage.
Aetna Better Health (KanCare)
Blue Cross Blue Shield PPOs
Blue Cross Blue Shield of Kansas PPOs/EPOs/HMOs
Health Net Federal Services - TRICARE West Region ONLY
UnitedHealthcare Community Plan (KanCare)
updated October 24, 2019
Please be advised that Lawrence Pediatrics is not contracted with the following area networks and/or companies:
Blue Cross Blue Shield of Kansas City HMO
Freedom Life Insurance Company of America
Sunflower State (KanCare & Ambetter)
USHealth Group, Inc
We cannot accept Medicaid/CHIP plans from other states.
STATEMENT ON NON-ACA-COMPLIANT PLANS: We will request payment in full at time of service if your plan is a short-term medical plan, also known as a gap plan, regardless of network. Please be advised these plans do not cover many essential health benefits, including preventative care. In Kansas, some of these plans are sold by the following companies: Farm Bureau, Freedom Life, Golden Rule, Independence American, National General, and USHealth Group. Non-ACA-compliant plans also include "health sharing" plans, such as Medi-Share and Solidarity Health-Share. Health sharing plans are not health insurance.
KANCARE: Lawrence Pediatrics only accepts UnitedHealthcare Community Plan and Aetna Better Health. If you are enrolling or re-enrolling, we recommend choosing UnitedHealthcare Community Plan.
MARKETPLACE 2020 UPDATE: Lawrence Pediatrics will be in-network with one company only - Blue Cross Blue Shield of Kansas. We will NOT be in-network with plans sold on the Marketplace/individual market by Medica, Ambetter, Cigna, or Oscar. Please view the link below for more information on the Marketplace and KanCare.
*Newborns are required to be added to a policy by one month of age.
*If your insurance plan is an HMO, a Lawrence Pediatrics provider is required to be listed as your child's primary care physician.
*If your child is covered under more than one insurance plan, both insurances companies must be aware of one another (coordination of benefits). This includes KanCare. Both ID cards must be presented at every visit. Failure to coordinate benefits will result in claims denials.
*If you have an insurance plan that is not accepted, our office will provide you with a copy of the office visit and statement of charges so you may submit the visit to your insurance company for reimbursement.
*For safety and security, office policy dictates that patients are required to show evidence of insurance coverage at every visit. If an insurance card is not provided and/or your insurance coverage has terminated, your appointment may be canceled or you may be required to pay for the visit in full before being seen by a provider. Repeated failure to present a valid insurance card at time of service may result in dismissal from the practice.