We’re the first pediatric practice of our kind in Chicago. Of course you have questions! Please feel free to call or email us to discuss. We’re here to help.
Do you take insurance?
Donohoe Pediatrics is an out-of-network provider and does not participate in any insurance plans. However, upon request we can generate a billing receipt that you can submit to your insurer for covered services such as well-child visits and sick visits. Reimbursement for out-of-network providers varies significantly from plan to plan. Please consult with a representative from your insurance company for your policy's details.
When and how do I pay the membership fee?
Membership fees are charged monthly to your bank account, credit or debit card. There is a 5% discount if you pay upfront annually.
What is not covered by the membership fee?
The following services are not covered by the membership fee:
- Vaccinations: As of January 2018 we have partnered with a vaccine solution company called VaxCare. This partnership allow us to bill your insurance directly for all routine pediatric vaccinations. You will be responsible for any copay or deductibe required by your insurance plan (just as in any other pediatric practice).
- Specialty visits, hospital stays, etc: Any medical services from other medical providers will be billed to your insurance by those providers.
- Out-of-office procedures or labs: These, too, can be billed to your insurance by the office administering the labs.
Do I still need to have insurance?
Yes. Donohoe Pediatrics is not a substitute for health insurance. If you choose to come to our practice you may find it advantageous to choose a different insurance plan. You should consult with a financial advisor or a representative from your insurance company to guide your plan choice.
Will I be reimbursed for things like scans and lab tests?
Most plans cover at least some the costs of scans and lab tests just as they would if ordered by an in-network physician. Please consult with a representative from your insurance company for your policy's details.
Do you offer house calls?
Yes. Schedule permitting we are willing to see your child at your home for an additional charge. Note that for newborns the first 3 visits are done in your home for no additional charge.
Is there a geographic limit for house calls?
Yes. Home visits are typically limited to the following area: Touhy Ave on the north, Central Ave. on the west, Roosevelt Rd. on the south and the lake on the east. If you are outside these boundaries and you would like me to visit your home give us a call and we’ll try to work something out.
What about expectant parents?
Call our office to set up a complimentary meet and greet with me to discuss the upcoming arrival of your newest family member. After your baby is born we will see you at Prentice Women’s Hospital and will conduct the first 3 newborn visits (at 3-5 days, at 2 weeks and at 1 month) in the comfort of your own home.
At which hospitals do you have privileges?
Dr. Donohoe has privileges at Lurie Children’s Hospital and at Prentice Women’s Hospital.
If my child gets admitted to the hospital will you care for him/her there?
Yes and no. Children admitted to Lurie are under the direct care of Lurie hospitalists. We will work closely with the doctors there to optimize your child’s care, we will see your child in the hospital if/when appropriate and we will provide seamless follow-up upon discharge.
Are you willing to provide ‘virtual’ medical visits?
Yes. Practice members, when appropriate, can use photos, phone calls and video calls to communicate with us. In many cases questions can be answered and diagnoses can be made (or ruled out) without an office visit. This saves families time and money and it is covered by your membership fee.
What if my child gets sick when we are out of town?
Given the small size of our practice, your doctor will have the benefit of knowing your family well and of knowing your child and his/her medical history. So we will do as much as we safely can via phone, text and video. This long-distance care may include calling in a prescription to a local pharmacy or helping you find a local urgent care or ER should further evaluation or testing be required.
What is your position on vaccines?
We are advocates of vaccines and we feel strongly that administering them based on the American Academy of Pediatrics (AAP) recommended schedule is one of the most important preventative care measures that any physician can offer. Immunizations have saved more lives than any other medical advance.
Are you willing to see patients outside of your practice on a fee-for-service basis?
We are willing to see sick patients who are not members on a fee-for-service basis if our schedule permits. Well-child care is limited to patients who are members of Donohoe Pediatrics. Contact our office to check availability and pricing.
What if I decide to leave the practice?
If you decide to leave Donohoe Pediatrics for any reason there is absolutely no fee or penalty. If you have prepaid your membership fee for the year you will be reimbursed for the unused months.
What if I really want to join the practice but I cannot afford the membership fee?
We will provide membership to a limited number of patients at a reduced rate (or free of charge). In most cases these will be medically complicated patients who require significant care. Please contact our office if this situation applies to you.
What happens when my doctor goes on vacation?
When your doctor is on vacation we will provide coverage from another trusted medical provider.