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ChilisWife
God Bless America
Member since 5/05 3572 total posts
Name:
A.K.
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PM Pediatrics no longer taking insurance - did anyone else get this letter?
I am SO upset - we got a letter stating that they will no longer accept our insurance - which is really good insurance (Cigna Open Access) so I can't imagine why they are dropping it. I LOVED that place - they had x-ray facilities there and were open after work - ugh this STINKS! This basically means that there is really no more urgent pediatric care except for a hospital! Did anyone else get this letter?
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Posted 5/22/14 7:19 PM  |
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Lillykat
going along for the ride...
Member since 5/05 16253 total posts
Name:
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Re: PM Pediatrics no longer taking insurance - did anyone else get this letter?
We have open access plus. So I was curious. I checked their website and it is listed. I called the new one by me in Carle place and asked and they said they take all cigna plans. Which location did the letter come from? I did not get a letter. It isn't one of the govn't plans is it?
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| Posted 5/22/14 8:43 PM |
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LadyBug1209
Mommy to FOUR little men!
Member since 8/08 9655 total posts
Name:
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Re: PM Pediatrics no longer taking insurance - did anyone else get this letter?
I got the same letter today and we have Cigna as well. I'm so upset bc they just opened a PM Peds right near my house.
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| Posted 5/22/14 9:00 PM |
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alli3131
Peanut is here!!!!!!
Member since 5/09 18388 total posts
Name:
Allison
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PM Pediatrics no longer taking insurance - did anyone else get this letter?
There are plenty of wall in places around and any have pediatric extended hrs so I would look around. My ped said go anywhere but on peds because they have been mid diagnosing things a lot over the. Last year or so.
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| Posted 5/22/14 9:11 PM |
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Re: PM Pediatrics no longer taking insurance - did anyone else get this letter?
That stinks. A lot of Stat Health facilities are equipped for peds, but not all of them.
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| Posted 5/22/14 9:45 PM |
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Lillykat
going along for the ride...
Member since 5/05 16253 total posts
Name:
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Re: PM Pediatrics no longer taking insurance - did anyone else get this letter?
Posted by alli3131
There are plenty of wall in places around and any have pediatric extended hrs so I would look around. My ped said go anywhere but on peds because they have been mid diagnosing things a lot over the. Last year or so.
Sorry IMO the urgent places are not the same. Pm peds is open 12-12 weekdays and 10-12 weeks and holidays. The urgent places by me close around the same time my ped office does and only open from 9-5 weekends (my own peds office is open sat 9-2). If you think pm peds misdiagnosis don't ask about the regular places. I know one ped made that comment bc they pushed their after hours clinic which a) doesn't take my insurance and b) refused to strep my child 2 years ago leaving her very sick until we saw our ped on Monday saying her had a sinus infection.
Most urgent care places do treat kids but are not fully equipped for kids. Drs are often family drs (treats adults and kids) vs ped ER drs. To me, I use it for weekends when my ped is closed and I need a strep test, urine culture, or ear infection check. If I fear something serious I go to a good hospital. Pm peds also gives Iv fluids. I do not believe the other places do. So now I am pretty much stuck with a $200 copay bc my urgent care place is basically open when my peds office is. I would never choose an urgent when my peds office is open. Now if it is nighttime I can only go to the ER, bc my only other night choice has been removed. (I didn't get the letter but based on info here....it sounds like that might be the case). They also just opened one up the road from me.
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| Posted 5/22/14 9:52 PM |
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ElizaRags35
My 2 Girls
Member since 2/09 20494 total posts
Name:
Me
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Re: PM Pediatrics no longer taking insurance - did anyone else get this letter?
Posted by alli3131
There are plenty of wall in places around and any have pediatric extended hrs so I would look around. My ped said go anywhere but on peds because they have been mid diagnosing things a lot over the. Last year or so.
No experience with PM Peds but I'm wary about urgent care centers, especially after they told me to go to the ER b/c they thought I had a possible tumor and it was really a swollen gland from an ear infection, which they (the "doctor" at urgent care) said I did not have. 
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| Posted 5/22/14 10:37 PM |
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Lillykat
going along for the ride...
Member since 5/05 16253 total posts
Name:
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Re: PM Pediatrics no longer taking insurance - did anyone else get this letter?
Posted by ElizaRags35
Posted by alli3131
There are plenty of wall in places around and any have pediatric extended hrs so I would look around. My ped said go anywhere but on peds because they have been mid diagnosing things a lot over the. Last year or so.
No experience with PM Peds but I'm wary about urgent care centers, especially after they told me to go to the ER b/c they thought I had a possible tumor and it was really a swollen gland from an ear infection, which they (the "doctor" at urgent care) said I did not have.
Honestly none of them are great, but they are there to fill in when you can't see your own doctor. So for something like a strep test, other culture, any place should be ok. Something more complicated you will be better with your regular dr. Btw ERs are notorious for miss diagnosing things too.
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| Posted 5/22/14 10:46 PM |
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prunepie
LIF Adult
Member since 7/06 4357 total posts
Name:
jennifer
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Re: PM Pediatrics no longer taking insurance - did anyone else get this letter?
Are they taking NO insurance now or just cigna?
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| Posted 5/22/14 11:12 PM |
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ChilisWife
God Bless America
Member since 5/05 3572 total posts
Name:
A.K.
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Re: PM Pediatrics no longer taking insurance - did anyone else get this letter?
Posted by Lillykat
We have open access plus. So I was curious. I checked their website and it is listed. I called the new one by me in Carle place and asked and they said they take all cigna plans. Which location did the letter come from? I did not get a letter. It isn't one of the govn't plans is it?
We have open access plus too, not a gov't plan. Their site still says they take it but I don't know when they are going to stop - I don't think it's location based, they will probably all stop taking it.
The other walk-in clinics are not the same. They aren't open as late or on holidays, and the doctors aren't used to child patients. PM Ped was great, and at this point I'd rather make my child wait a day or two to go to my regular pediatrician rather than to to an ER. My experiences with ERs are aaawwwfffuuullll.
I'm going to call tomorrow and ask why they are dropping it. I don't expect the customer service/desk person to really know but I'm going to try anyway.
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| Posted 5/22/14 11:18 PM |
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Alli06
Baby #3 coming this June
Member since 8/05 6721 total posts
Name:
A
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Re: PM Pediatrics no longer taking insurance - did anyone else get this letter?
Posted by prunepie
Are they taking NO insurance now or just cigna?
Yeah I'm confused too. It seems like everyone is saying just cigna but you said in your post no insurance is taken. I didn't get a letter. I always use them when doctors office is closed. Guess I should call. I don't have Cigna.
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| Posted 5/23/14 1:07 AM |
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alli3131
Peanut is here!!!!!!
Member since 5/09 18388 total posts
Name:
Allison
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Re: PM Pediatrics no longer taking insurance - did anyone else get this letter?
Posted by Lillykat
Posted by alli3131
There are plenty of wall in places around and any have pediatric extended hrs so I would look around. My ped said go anywhere but on peds because they have been mid diagnosing things a lot over the. Last year or so.
Sorry IMO the urgent places are not the same. Pm peds is open 12-12 weekdays and 10-12 weeks and holidays. The urgent places by me close around the same time my ped office does and only open from 9-5 weekends (my own peds office is open sat 9-2). If you think pm peds misdiagnosis don't ask about the regular places. I know one ped made that comment bc they pushed their after hours clinic which a) doesn't take my insurance and b) refused to strep my child 2 years ago leaving her very sick until we saw our ped on Monday saying her had a sinus infection.
Most urgent care places do treat kids but are not fully equipped for kids. Drs are often family drs (treats adults and kids) vs ped ER drs. To me, I use it for weekends when my ped is closed and I need a strep test, urine culture, or ear infection check. If I fear something serious I go to a good hospital. Pm peds also gives Iv fluids. I do not believe the other places do. So now I am pretty much stuck with a $200 copay bc my urgent care place is basically open when my peds office is. I would never choose an urgent when my peds office is open. Now if it is nighttime I can only go to the ER, bc my only other night choice has been removed. (I didn't get the letter but based on info here....it sounds like that might be the case). They also just opened one up the road from me.
Ok you don't have to jump down my throat just trying to give options. There are a few late night urgent not cares near me that have a ped on late hours and that's all I was saying. You don't want to use them no problem. They have been great for me the few times I have used them.
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| Posted 5/23/14 7:08 AM |
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Snoopy36
LIF Adolescent
Member since 12/13 665 total posts
Name:
Caille
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Re: PM Pediatrics no longer taking insurance - did anyone else get this letter?
Posted by Lillykat
Btw ERs are notorious for miss diagnosing things too.
SO TRUE! my son was discharged with a clean xray of his leg... i took him to an orthopedist the next day and it was fractured. my husband was also discharged a few months ago with a shoulder that was "fine". turned out he tore a very serious tendon
ETA: this was the same ER
Message edited 5/23/2014 7:25:25 AM.
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| Posted 5/23/14 7:24 AM |
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JenandMikey
life is good =)
Member since 5/07 4216 total posts
Name:
We're so blessed!
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Re: PM Pediatrics no longer taking insurance - did anyone else get this letter?
Posted by Alli06
Posted by prunepie
Are they taking NO insurance now or just cigna?
Yeah I'm confused too. It seems like everyone is saying just cigna but you said in your post no insurance is taken. I didn't get a letter. I always use them when doctors office is closed. Guess I should call. I don't have Cigna.
Ditto didn't get a letter either but also don't have Cigna
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| Posted 5/23/14 8:27 AM |
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Mrs213
????????
Member since 2/09 18986 total posts
Name:
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Re: PM Pediatrics no longer taking insurance - did anyone else get this letter?
Posted by Alli06
Posted by prunepie
Are they taking NO insurance now or just cigna?
Yeah I'm confused too. It seems like everyone is saying just cigna but you said in your post no insurance is taken. I didn't get a letter. I always use them when doctors office is closed. Guess I should call. I don't have Cigna.
I read it as they are no longer taking HER insurance (Cigna)
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| Posted 5/23/14 8:29 AM |
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JenandMikey
life is good =)
Member since 5/07 4216 total posts
Name:
We're so blessed!
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Re: PM Pediatrics no longer taking insurance - did anyone else get this letter?
Posted by Mrs213
Posted by Alli06
Posted by prunepie
Are they taking NO insurance now or just cigna?
Yeah I'm confused too. It seems like everyone is saying just cigna but you said in your post no insurance is taken. I didn't get a letter. I always use them when doctors office is closed. Guess I should call. I don't have Cigna.
I read it as they are no longer taking HER insurance (Cigna)
Oh ok
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| Posted 5/23/14 8:37 AM |
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ChilisWife
God Bless America
Member since 5/05 3572 total posts
Name:
A.K.
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Re: PM Pediatrics no longer taking insurance - did anyone else get this letter?
Posted by prunepie
Are they taking NO insurance now or just cigna?
Sorry, I just meant MY insurance was dropped. I dont know about others but of course they will still take some insurance plans.
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| Posted 5/23/14 9:16 AM |
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NoStressMom
My Heart and Soul
Member since 5/05 11122 total posts
Name:
D
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Re: PM Pediatrics no longer taking insurance - did anyone else get this letter?
wonderful and my company is switching to cigna
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| Posted 5/23/14 9:24 AM |
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MrsBurgos09
LIF Adult
Member since 9/09 915 total posts
Name:
Erica
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Re: PM Pediatrics no longer taking insurance - did anyone else get this letter?
very interesting as I had a bill that I needed to pay so I called to make my payment and took advantage and asked them about this Cigna issue. The supervisor told me they are trying to work with Cigna and resolve the issues and then a send a follow up letter to everyone. Don't know if that's true - but... that's what corporate said
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| Posted 5/23/14 10:17 AM |
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maymama
my little loves
Member since 8/08 18453 total posts
Name:
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Re: PM Pediatrics no longer taking insurance - did anyone else get this letter?
yup, us too! Cigna as well! 
BTW its as of June 19th
Message edited 5/23/2014 10:36:17 AM.
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| Posted 5/23/14 10:34 AM |
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blue11
LIF Adult
Member since 2/11 1706 total posts
Name:
kat
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PM Pediatrics no longer taking insurance - did anyone else get this letter?
It sounds like their contract was up with Cigna and they are probably renegotiating rates. They probably aren't getting what they want in terms of increases and are telling Cigna they won't accept their insurance.....I'm sure they will eventually come to an agreement and accept the insurance.
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| Posted 5/23/14 10:39 AM |
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Re: PM Pediatrics no longer taking insurance - did anyone else get this letter?
Posted by prunepie
Are they taking NO insurance now or just cigna?
I was just there on Saturday, I have GHI and had no issues, normal office co-pay.
It was my first time there and I can't say enough good things about them! (Selden office).
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| Posted 5/23/14 11:26 AM |
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Re: PM Pediatrics no longer taking insurance - did anyone else get this letter?
Posted by NoStressMom
wonderful and my company is switching to cigna
Me too
Hope it's just one of those contract things and they work it out. I like PM Peds better than the actual doctor.
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| Posted 5/23/14 12:32 PM |
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maymama
my little loves
Member since 8/08 18453 total posts
Name:
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Re: PM Pediatrics no longer taking insurance - did anyone else get this letter?
Just wanted to say, for those switching to Cigna (open access) it has been wonderful 
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| Posted 5/23/14 12:41 PM |
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steph7308
Mommy of 2!!!
Member since 5/08 2083 total posts
Name:
Stephanie
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Re: PM Pediatrics no longer taking insurance - did anyone else get this letter?
Posted by MrsDamonSalv7319
Posted by prunepie
Are they taking NO insurance now or just cigna?
I was just there on Saturday, I have GHI and had no issues, normal office co-pay.
It was my first time there and I can't say enough good things about them! (Selden office).
We were there Sat for the first time also, wonder if we crossed paths! I throught they didn't take my insurance so I was glad to find out they did when dd was screaming with an ear ache. I was very impressed with them, dd wants them to be her Dr now lol
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| Posted 5/23/14 12:55 PM |
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