Billing and Insurance

Thank you for choosing UPMC Children’s Community Pediatrics as your child’s primary care medical home. We strive to provide our patients and their families with quality, affordable care and that’s why UPMC CCP accepts all major insurances.

Our billing is centralized through our Administrative office in Wexford, Pa. Should you have specific questions regarding your bill, please call 1-888-857-7646 or email your questions to CCPBilling@chp.edu.

Insurances Accepted

The following providers and services are currently in-network for most major insurance plans, including Highmark. If you have questions, please call 412-692-7600.

Below you will find a list of the most common insurance plans we work with.

Commercial

  • Aetna
  • CHIP plans
  • Cigna Health Care
  • Health America/ Health Assurance
  • Highmark
  • TriCare
  • United Healthcare
  • UPMC Health Plan

Medicaid

  • Aetna Better Health
  • Gateway
  • UHC for Families
  • UPMC for Kids
  • UPMC for You

If your child or teen is uninsured, learn more about the Children’s Health Insurance Program (CHIP).

Should you have any questions regarding our insurance policies, please contact the UPMC CCP Billing Office at 724-933-1100 or 1-888-857-7646.

Non-Covered Services

UPMC CCP provides preventive services in accordance with nationally recognized guidelines established by the American Academy of Pediatrics. As your Primary Care Medical Home, UPMC CCP also provides a variety of specialty services within our offices for your convenience and continuity of care. Individual health insurance plans vary. The following preventative services may result in an additional charge. We recommend contacting your insurance company to verify your coverage before services are provided.

Newborn Visit Months 9 – 11

  • Developmental screening
  • Anemia and lead screening

1-year Visit

  • Anemia and lead screening if not previously completed

15-month Visit

  • Lead screening if not previously completed

18-month Visit

  • Developmental screening
  • Autism screening

2-year Visit

  • Autism screening

30-months Visit

  • Developmental screening

Years 3, 4, 5, 6, and 8

  • Vision screening
  • Lead screening if not previously completed

9-year Visit

  • Dyslipidemia

10- year Visit

  • Hearing screening
  • Vision screening
  • Dyslipidemia if not previously completed

11-year Visit

  • Depression screening 
  • Hearing screening
  • Tobacco, alcohol, and drug assessment
  • Dyslipidemia if not previously completed

Years 12, 13, 14, 15, and 16

  • Depression screening
  • Vision screening
  • Hearing screening if not previously completed
  • Tobacco, alcohol, and drug assessment

Years 17, 18, and 19

  • Depression screening
  • Tobacco, alcohol, and drug assessment
  • Hearing, vision, and/ or Dyslipidemia screening if history indicates

Extended Office Hours Policy

UPMC CCP is dedicated to seeing patients whenever they need us. Often these visits occur 5 p.m. and after on weekdays, all day on weekends and some holidays. To ensure our pediatric providers are available to treat all who need medical care, patients may be required to pay a minimal charge for services provided outside normal office hours. This fee is in addition to your regular office visit copay and is an acceptable billing code by most insurance payors. Our care team remains committed to delivering the highest quality care to patients in a timely, convenient manner.

Insurance Coverage for Newborns

If you are expecting a baby, we recommend consulting your insurance provider about changing the scope of your insurance plan to provide for well and sick child care. As you complete pre-delivery planning, make sure to speak with your insurance company about when to add your new little one to your plan. We recommend adding your baby to your insurance plan as soon as possible after birth.

Pay My Bill

Paying your bill has never been easier. UPMC Children’s Community Pediatrics offers you an easy and secure method for paying bills online for well and sick appointments as well as behavioral health visits.

Pay your bill for well and sick office visits.

Pay your bill for a behavioral health visit.

For questions regarding your billing statement, please call the UPMC CCP Billing Office at 1-888-857-7646 or email CCPBilling@chp.edu.