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New Patients Frequently Used Staying Healthy Vaccine Screening VIS
USCIS What is included? What is an immigration physical?
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Patients Forms New Patients Frequently Used Staying Healthy Vaccine Screening VIS USCIS USCIS What is included? What is an immigration physical? Chat
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Featured
CDC: Protect Yourself :60 | Coronavirus Response | Ad Council
CDC: Protect Yourself :60 | Coronavirus Response | Ad Council
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CDC: What You Need To Know About Handwashing
YouTube
YouTube, Handwashing
CDC: What You Need To Know About Handwashing
YouTube
YouTube, Handwashing

Why should I use soap and water to wash my hands? Germs can get onto your hands and items you touch throughout the day. When your hands may be dirty, it’s best to wash with soap and water to remove whatever germs and chemicals may be on them. Warm or cold water? Either is fine, as long as it’s clean. Bar soap or liquid? Either is fine. Does the soap have to be antibacterial to work? No. Plain …

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YouTube
YouTube, Handwashing
What's co-insurance?
FAQ, Billing, Medical Billing
PPO Plans, Co-insurance, Financial Responsibility
What's co-insurance?
FAQ, Billing, Medical Billing
PPO Plans, Co-insurance, Financial Responsibility

Co-insurances are a kind of financial responsibility. This is the kind of scenario and setup that is typical of PPO plans. 

Co-insurance shares are typically a percentage of the fees charged. So if a doctor's fees end up being $100 for the day, and your co-insurance share is said to be 20%, your financial responsibility would be—? You guessed it: $20. 

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FAQ, Billing, Medical Billing
PPO Plans, Co-insurance, Financial Responsibility
What's the difference between health insurance and a health plan?
Billing, FAQ, Medical Billing
Medi-Cal, Health Insurance, Health Plan, Health Plan of San Mateo, The difference between health plans and health insurance., Car Insurance
What's the difference between health insurance and a health plan?
Billing, FAQ, Medical Billing
Medi-Cal, Health Insurance, Health Plan, Health Plan of San Mateo, The difference between health plans and health insurance., Car Insurance

It's seem to be a pure matter of nuanced semantics, but it's quite a fundamental difference. it's best to understand it as we understand insurance in a more traditional scenario: for cars. 

We don't want to get into accidents. And more often than not, we are rather attached to personal, fashionable belongings such as our cars—we name them; we spend a bunch of time in them; etc. Point is, we try to avoid using the car insurance that protects us from financial ruin when we [knock on wood] get into a car accident. 

We don't want to use our car insurance. 

Same is the case for health insurance—somewhat. It's supposed to work like this. It's there to protect us from financial ruin in case we get gravely ill. We're not supposed to want to exercise on those benefits, and yet, soon as we get us some good ol' company sponsored health insurance: we're like kids in a candy store, and the first thing we try to do is max out our benefits: seeing all kinds of doctors, seeing if we can get whatever tests done that we can get ordered. 

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Billing, FAQ, Medical Billing
Medi-Cal, Health Insurance, Health Plan, Health Plan of San Mateo, The difference between health plans and health insurance., Car Insurance
I got a msg about a bill. What should I do next?
Bills, Medical Bills, Popular Searches
I got a msg about a bill. What should I do next?
Bills, Medical Bills, Popular Searches

Best thing to do would be to contact a healthcare advisor by sending us a msg in turn. There are too many nuanced details that, to build a form to accommodate for this scenario would make for an egregious task to complete on your end— and we know that you don't have time for that. So, send us a msg, and we'll get this all sorted out ASAP. 

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Bills, Medical Bills, Popular Searches
Who maintains PediaHealthMedicalGroup.com and its content?
SBCPH, Healthcare Business Services, PediaHealthMedicalGroup.com, Email Support, Patient Support
Who maintains PediaHealthMedicalGroup.com and its content?
SBCPH, Healthcare Business Services, PediaHealthMedicalGroup.com, Email Support, Patient Support

PediaHealth Medical Group, its physicians and other personnel, and its partners have contracted the content and web development out to a company called SBCPH, Inc. — a healthcare business services company headquartered in the San Francisco Bay Area. 

They've been taking care of our social media, patient support services like email responses, etc. for years. They keep us "current" and young. :) 

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SBCPH, Healthcare Business Services, PediaHealthMedicalGroup.com, Email Support, Patient Support
Why don't most health insurance HMO plans charge co-pays for preventative care benefits?
FAQ, Billing, Medical Billing, PediaHealth
Health Insurance, Health Plans, Co-pay, Co-payments, Co-payment, Financial Responsibility, Medical Bills, Bills, Health Insurance Companies, Sick Visits, Visit Types
Why don't most health insurance HMO plans charge co-pays for preventative care benefits?
FAQ, Billing, Medical Billing, PediaHealth
Health Insurance, Health Plans, Co-pay, Co-payments, Co-payment, Financial Responsibility, Medical Bills, Bills, Health Insurance Companies, Sick Visits, Visit Types

First off— Do you know what the difference is between health insurance and a health plan? There's a fundamental difference, and if you're not totally aware of it, read this. 

So, being aware of that difference, you know that there's an incentive for insurance companies to not have their subscribers utilize their benefits. It's like car insurance— You're not really incentivized to use it; i.e. you don't really want to get into an accident and have to utilize your car insurance benefits. 

Same with health insurance— You don't really want to get sick: But it does happen. When it does, and you come in for a "sick visit," you have to pay a co-pay (your financial responsibility as a subscriber). 

But— When you go in for an annual physical, or if you go in to see the doc for shots or something preventative: Now, that's a different story. That helps insurance companies. That helps them because that helps you stay healthy for a longer period— i.e. you won't have to "cash in" (utilize) those health insurance benefits (i.e. sick visits / visits to the doctor for when you present with a clinical symptom). 

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FAQ, Billing, Medical Billing, PediaHealth
Health Insurance, Health Plans, Co-pay, Co-payments, Co-payment, Financial Responsibility, Medical Bills, Bills, Health Insurance Companies, Sick Visits, Visit Types
I got a bill for a co-pay, what does this mean?
Medical Billing, FAQ, Billing
Co-pay, Co-payment, Co-pays, Medical Bills, Bills
I got a bill for a co-pay, what does this mean?
Medical Billing, FAQ, Billing
Co-pay, Co-payment, Co-pays, Medical Bills, Bills

A co-pay is a kind of financial responsibility. Most health insurances and even supplemental and government sponsored health plans obligate the member or patient to some kind or some degree of financial responsibility. Co-pay requirements will vary depending on the type of benefit that the health insurance is currently called to cover— for example, many health insurance HMO products do not charge a patient a co-pay when the insurance subscriber utilizes a kind of preventative care benefit— such as seeing the doctor for an annual physical.

Want to know why? See: "Why health insurances don't usually charge co-pays for preventative care."

See also:

What is a co-pay? 

What is a share-of-cost? 

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Medical Billing, FAQ, Billing
Co-pay, Co-payment, Co-pays, Medical Bills, Bills
Can I register a new patient online?
Registration, New Patients
Can I register a new patient online?
Registration, New Patients

Yep, you sure can. The best way to do this is by sending us a msg. From there, we'll ask all the necessary questions. Different data will be needed depending on the patient's age, health insurance, etc. 

You know what else you can do online? 

  • Request refills. 
  • Schedule / reschedule appointments. 
  • Speak to a physician. 
  • Consult with a physician using Medifi. 

Resources

  • Learn more about Patient Fusion. 
  • Learn more about using our Facebook page as a resource.
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Registration, New Patients
What shots are my kids due for?
Vaccines, Shots, Immunizations
What shots are my kids due for?
Vaccines, Shots, Immunizations

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Vaccines, Shots, Immunizations
 
PediaHealth Medical Group
6760 Mission Street,
Daly City, CA, 94014,
United States
(650) 994-3000 support@pedia.health
Hours
Mon 9am - 6pm
Tue 9am - 6pm
Wed 9am - 6pm
Thu 9am - 6pm
Fri 9am - 6pm
Sat Closed
Sun Closed
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