Resources - Policies


HIPAA Policy

A current copy of our HIPAA Policy can be found here: HPA HIPAA Policy

Financial Policy

To serve our patients in the most efficient manner possible, we must keep our accounts current. For this reason, we ask that all patients pay office charges at the time of service. We accept cash, personal checks, debit cards, MasterCard, Visa, and Discover. A payment plan can be arranged if necessary. We will bill participating insurance companies and Medicaid for you. If you pay your entire charge (this does not apply to co-payments) at the time of service we will give you a 20% discount. We are happy to provide you with an itemized receipt which you can submit to your insurance company. A current copy of our financial policy can be found below:

Financial Policy – English
Financial Policy – Spanish

If you have any questions about our financial policy or specific fees, please call a billing specialist Monday – Thursday 8 a.m. – 4 p.m. or Friday 8 a.m. – Noon at 616.393.9598.

Insurance Policy

Your health insurance is a contract between you and your insurance company. We participate with many insurance companies and we are not able to interpret each policy holder’s requirements. It is your responsibility to check with your insurance plan to see if a specific physician participates with that insurance plan.

Please be aware of your carrier’s rules, regulations and payment policies. If your health insurance states that you are responsible to pay a co-pay, Holland Pediatrics must collect at the time of service. If co-payment is not made at the time of service, your child may be refused to be seen at that time.

Some services are not covered benefits and if not covered by your insurance company, you will be required to pay for those services. You are responsible for the timely payment of your account in the event that your insurance does not make payment within 30 days.

We participate with the following insurance companies:

Ameraplan, Inc.
Blue Care Network
Blue Cross Blue Shield
Blue Cross Blue Shield MI Child
Champ VA
First Health
Golden Rule/UHC
Great West Healthcare
Meridian Health Plan of Michigan
Priority Health
Priority Health Medicaid
Priority Health MI Child
Sisco/Holland Hospital
United Healthcare

Please bring your current insurance card to each visit so that we can bill the proper insurance company. For those patients who are personally responsible for our charges, we offer a 20% discount (this does not apply to co-payments) if your charges are paid in full at the time of service.

If your account has a personal balance due, you will receive a statement after each visit and then monthly if there is a past due balance.

If you have any questions about billing or our insurance policies, please call a billing specialist Monday – Thursday 8 a.m. – 4 p.m. or Friday 8 a.m. – Noon at 616.393.9598.

No Show Policy

Our physicians and staff respect the time that you take to come to your appointment as well as the arrangements that may be necessary in order for you to be here. We do our best to run as close to your scheduled appointment time as possible.

We understand that unexpected things may come up that could prevent you for keeping your appointment with us. However, every time a patient does not notify us that they will be unable to keep an appointment it prohibits another patient from being able to see one of our providers.

If you need to cancel or reschedule an appointment, please call at least two hours in advance. Calling early allows us to serve all our patients who need to be seen. If you do not call our office to cancel your appointment within two hours your account will be assessed with a “no show”. Three “no shows” PER FAMILY in a rolling calendar year will result in your family being discharged from our practice.

Late Policy

All patients should arrive 10 minutes prior to their scheduled appointment time in order to ensure that all required paperwork is completed. If you arrive after your scheduled appointment time, it is up to the discretion of the provider if they are still able to see you. If the provider is unable to see you, we will make every effort to reschedule you for the same day. You may be offered a different time or provider for that day but ultimately the decision is yours. If you decide to not take the alternate appointment offered, you will be assessed a “no show” for that day.