Travel Encounter Policy

Insurance companies often deny payment for visits associated with travel and instead require CCP to pass the charges on to the patient, typically well over $200. Alternatively, they suggest we refer families to travel clinics, where services are provided for an even higher charge.

Center City Pediatrics now has a more convenient and affordable alternative — a Travel Encounter. The CCP Travel Encounter includes an exam, travel medication advice, and prescriptions. The charge for this service is $100, payable at the time of check-in. This type of encounter is considered a “fee for service” visit and will not be billed to your insurance.

Any shots administered or procedures conducted during a Travel Encounter will be billed to your insurance separately. If your insurance company deems the vaccines are not covered due to the timing of the vaccine schedule, you may receive a bill from our office to cover the unpaid vaccine balance.

If during your travel encounter in our office, we determine that your child needs vaccines that we do not stock at Center City Pediatrics, you will be referred to the Health Department or a designated travel clinic for an appointment, in addition to the CCP travel encounter. You will be billed from that site separately. In this case, we will only charge you a $50 fee and will subsequently refund you $50.

If during the travel encounter the provider finds an incidental or clinical finding that needs to be addressed, the encounter may be converted to a traditional office visit and billed to your insurance company. Any deductible, co-pay or co-insurance will be deducted from the initial travel encounter fee.

Please note that travel consultative services are not part of routine “well visit” care. If you are seeking travel encounter advice during a routine well visit, the additional “travel encounter” fee will be added to the “well visit” charge. As a courtesy to you, we will only charge one Travel Encounter fee per family per trip, regardless of the number of children traveling.

Please sign and date this form below signifying your understanding and acceptance of this charge.

Thank you

Center City Pediatrics

Please Print Child’s Name: ______________________________

Parent signature: _________________________________

Today’s Date: __________________