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501 E 770 N, Orem View Location
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Insurance

What Insurance Does Mountain Peaks Clinic Take? 

We accept most major insurance and most of the small companies as well.  We do not take Select Value.  If you are unsure about your insurance, please call your insurance company to verify that you can be seen at Mountain Peaks Clinic.

Processing Claims: If you are insured, Mountain Peaks Clinic will try in every way we can to make the processing of insurance claims as simple as possible. In order to do this, we ask that you please come to your child’s appointment with your current insurance card to ensure we have the most correct information for claim submission. We also ask that you are prepared to pay any patient portion that you may owe or that is required of you to pay.

Cash Pay:  If your children are not insured, payment is expected at the time of service.  We offer a discount to cash pay patients.

I have insurance but still owe money, why? 

Insurance companies do not always pay for all medical services, even those that might be helpful to the patient. It is very important for you to know and understand your insurance benefits. There are many policies and plans for each person or employer group, and we are unable to determine what your policy benefits are for each visit based on the information on your insurance card.

Get to know your insurance plan

Insurance plans change frequently and sometimes you may not be aware of these changes until you get a bill. Don’t let this happen to you. Review your handbook sent to you by your insurance company so you are familiar with your plan. Review what is covered or what may be applied to your deductible. Call your employer or human resource department and ask them questions or set up an appointment to learn more about your plan.

We encourage you to ask your insurance plan important questions regarding your benefits such as:

  • Do I have well child or preventative care for my child?
  • Is there a limit or maximum benefit to the well child or preventative care?
  • Are the vaccines covered by my insurance?
  • Are there vaccine coverage limitations? Mountain Peaks follows the current immunization guidelines established by the American Academy of Pediatrics (AAP) and the Center for Disease Control’s Advisory committee on Immunization Practices (ACIP).
  • If my child is having an office procedure done, such as wart removal, mole removal, fracture care, laceration repair etc.; what will I be responsible to pay?
  • Does my plan have a deductible that will need to be paid each year and how much is my deductible?
  • How much is my copayment?
  • Coinsurance is a percentage of the charges that may be your responsibility and is not part of the copayment.
  • Is the physician or physician assistant participating with your insurance plan?

Most important

Don’t be afraid to ask questions…

As always, we will send you to contracted facilities and providers so that your bills will be processed in network, howeverplease know that this does not mean your services will be covered 100%. You still may receive bills especially if you have a deductible plan.

So Again… Ask questions

We encourage you to contact your insurance company to find out what your deductible or share of cost may be before you have any tests or lab work done. Before you have any services done outside of the clinic find out what your portion will be.

Do you have a high deductible insurance plan?

Due to the increase of high deductible insurance plans, we will collect a $50.00 payment toward your visit at the time of service. After your insurance processes your claim we will send you a statement for any balance due.

These are just a few of the health plans and insurance companies we take. Please feel free to contact us if you do not find one you are looking for:

Aetna | Altius | Arches | Blue Cross | Bridgespan | Cigna | EMI | Group Benefits | Administrators | Humana | Intermountain Ironworker | Health & Welfare Trust Fund | MBA | Medicaid* | Meritain Health | PEHP | SelectHealth** | Tall Tree | UMR | United Health Care | Utah Sheet Metal Welfare Trust

*please call to verify which HMO

**All but Select Value & Select Health Advantage

Our providers at Mountain Peaks Family Practice truly care about your well-being.

Thank you for choosing us.