How is my membership billed?

Membership fees are charged monthly to your bank account (preferred) or to your credit/debit card.  Payment is due before or on the date of service.  If your bank account has not been verified and payment made by your first visit, You will be asked to pay via credit or debit card on the day you are seen. Credit card fees will apply.

What is not covered by my membership fee?

  • Medications/Prescriptions
  • Specialty visits(providers outside of our office), hospital stays, ER visits, urgent care visits, etc: Any medical services from other medical providers will be billed to your insurance by those providers.
  • Out-of-office procedures, imaging, or labs.

Is this health insurance?

No. Direct Pediatrics, Inc. does not provide health insurance to your child.

Do I need health insurance?

Yes. We recommend you maintain health insurance coverage in the event your child has a catastrophic event that will need hospital or emergency room care. We suggest a PPO plan that allows us to coordinate your care best and will not need referrals for specialists. Please know that HMO plans may refuse to pay for any services or prescriptions not ordered by an in-network Physician.

Will you bill my insurance for your services?

No. We are not contracted with any third party insurance plans/networks. However, insurance will be billed through a third party for vaccines administered in our office.

Do you take Medicaid?

Unfortunately, Kentucky and Missouri are the only two states in the US that have laws prohibiting medical offices from accepting money from families with Medicaid as their primary insurance. As a result, until this law is amended, we are unable to accept patients with Medicaid.

What is your position on vaccines?

We encourage all our families to vaccinate their children according to the schedule recommended by the AAP and the ACIP. We believe that vaccines are modern medicine’s most important contribution to both the health of individuals and populations. We will agree to see families who intend to get their children vaccinated on an alternate schedule but will continue to recommend the AAP schedule. If you do not plan to vaccinate your children, this practice would probably not be a good fit for your family.

Do you administer vaccines?

Yes. We will administer vaccines and utilize a third party vendor to bill your health insurance for the vaccines and administration fees.

Can I enroll before my child is born?

Yes. All memberships are confirmed by our staff before they become active and you can set a future start date for membership. You may use the name you wish at the time of enrollment and we will confirm it at the time of your child’s birth before activating your membership.

Do you accept credit cards?

Yes. Our enrollment software accepts credit/debit card and bank information. It also allows you to set up automatic payment on the date of your choosing. Credit card fees will apply.

How do I add a child to my membership?

To add a child to your membership, please give us a call at (502) 515-6601 or visit us in the office at 6302 Meeting St, Prospect, KY 40059.

How do I make changes to my membership?

To make changes to your membership, please give us a call at (502) 515-6601 or visit us in the office at 6302 Meeting St, Prospect, KY 40059.

Can I use HSA to pay for my membership?

Each family needs to consult with their financial advisor for how they may or may not use HSA funds.