IPHC is contracted with most major insurance companies, this DOES NOT mean we are in-network with your particular plan within that company. Please find out if we are in-network with your insurance. IPHC cannot do this for you.

1. You must log on or call your insurance company or log-on to their portal and ask if we are in-network. You can search by Provider Mary Enzman Hines or Jennifer Gaughan or by the practice name Integrative Pediatric Health Care, confirm we are at the Poplar St. The company may have our previous address (Girard or Clarkson St) and that should be fine.
2. If they cannot find us, have them conference call the office to give additional info.
3. Regardless of what you are told, you are still responsible if insurance doesn’t pay. If you plan to self-pay ask our staff about rates and implications of cost for vaccines.

We are out of Network with the Following:

• Denver Health Medicaid–if you have Colorado Medicaid please make sure you do not have Denver Health Medicaid
• Kaiser
• Cigna Local Plus and certain HMO Networks with United, Aetna, and Anthem
• United Health Care “Doctor’s Plan”

Self employed folks going through Connect For Health Colorado: To our knowledge we are only only the Anthem HMO pathway plans.

Please have your card at the time of service; co-pays are expected at time of visit. If we are not in-network, if you are not insured, or your insurance is inactive, payment is due at the time of service. We can coordinate payment plans when needed.

Health Shares are treated as Self Pay and it is the client’s responsibility to self-submit claims.

Some “insurances” like Freedom Life and US Health Groups are “underinsurance” and may not cover wellness visits, vaccines etc. The client is responsible to know the level of coverage.