Information regarding Ambetter and Kaiser HMO 5 years ago

As you know, several insurance plans chose to drop out of the Healthcare Exchange before Open Enrollment for 2018. This left many of our patients with two options, Ambetter and Kaiser HMO.

Kaiser HMO restricts their members to Kaiser facilities only, so we cannot see those members.  We ARE contracted with Kaiser Added Choice POS.

Ambetter has capped the number of pediatricians they will contract with.  And they are not part of the Children’s Healthcare of Atlanta network, which means that the pediatric specialists and children’s hospitals are not in their network.  As members of Kids Health First, a metro Atlanta Pediatrics Alliance, we are hoping to work out a contracting agreement sometime in the future that will give our patients access to the pediatric specialists we have relied on for years.

We understand how frustrating and disappointing this is to our families.  We love and want to keep all of our patients in our East Cobb Peds family.  In an effort to help our patients with insurance plans we  cannot  accept, we are happy to offer discounted fees through our  self pay plan .

If you are interested in viewing our agreement and rates , you may do so by clicking the following link-

Self Pay Policy Self Pay Rates

Posted: 5 years ago
By: Sophia