Julie Tomberlin, M.D., P.A.

Pediatrics, Adolescent Medicine

Proudly Part of Privia Health

Insurance & Fees | Mansfield Pediatrician

At Julie Tomberlin MD PA, we strive to make insurance and billing as clear and straightforward as possible for our families.

Insurance Plans We Accept 

We accept many major commercial insurance plans, including: 

  • Blue CrossBlue Shield (all states)
  • United Healthcare
  • Aetna
  • Cigna
  • Baylor Scott & White
  • Galaxy
  • HealthSmart
  • Humana
  • MultiPlan
  • Sana 

HMO Plans:

We only accept Blue Cross Blue Shield HMO plans. 

If you have an HMO plan through another insurance company, we are not in network. 

Important: 

Insurance plans vary, and we are not in network with every plan under these companies. We strongly recommend contacting your insurance company so they can help you determine if we are in network with your specific plan.

Payment Policy

  • Payment is required prior to being seen for your visit
  • This includes copays, deductibles, or self-pay balances

Deductible Plans: 

For patients with deductible plans, we require a $125 upfront payment at the time of the visit. After your insurance processes the claim, additional balance may be owed depending on your specific plan benefits. 

We accept: 

  • Credit cards (Visa, Mastercard, American Express, Discover)
  • HSA/FSA cards
  • Apple Pay
  • Google Pay 

Please note: 

We do not accept cash or checks

Card-on-File Policy

To simplify billing and reduce paperwork, we require a card on file. 

At check-in: 

Your preferred card (including HSA/FSA) will be securely stored 

After your insurance processes your claim: 

  • You will receive notification of any balance owed
  • The balance will be charged to your card on file
  • A receipt will be emailed to you 

Your card information is securely stored through our payment processor and is not kept on our office systems, in accordance with PCI-DSS security standards.

Fees

Missed Appointments & Cancellations 

  • Missed sick visit: $50
  • Missed well visit or behavioral visit: $100
  • Late cancellation (<24 hours): $25 

Patients may be dismissed after repeated missed appointments or late cancellations.

Self-Pay Patients 

For families who are not using insurance: 

  • Payment is required prior to the visit
  • We offer a self-pay discount 

Please contact our office for current self-pay rates and details.

Insurance & Billing FAQs

Insurance plans vary, even within the same company. We recommend calling your insurance company or contacting our office, and we are happy to help you determine your coverage.

Collecting payment at the time of visit allows us to keep billing simple, reduce unexpected balances, and provide a more efficient experience for our families.

If your plan has a deductible, we collect $125 upfront toward your visit. Once your insurance processes the claim, your final responsibility may be higher or lower depending on your benefits.

Possibly. After your insurance processes your claim, any remaining balance will be charged to your card on file and you will receive a receipt.

This helps streamline billing, reduces paperwork, and allows us to focus more on your child’s care rather than administrative processes.

No, we do not accept Medicaid, CHIP, or Tricare.

No, we do not accept cash or checks. We accept cards, HSA/FSA, Apple Pay, and Google Pay.

Additional Resources 

If you have any questions about your insurance coverage or payment responsibilities, please contact our office. Our team is happy to help you understand your options before your visit.