Patient FAQ: Insurance & Access at The Pediatric Orthopedic Center (TPOC)
Effective July 1, 2025
As we enter this exciting new chapter as an independent pediatric orthopedic specialty practice, we want to make it easy for families to understand how care at TPOC will continue—and how we’re working to make it accessible to everyone, no matter their insurance.
Will TPOC still work with my insurance?
Yes! We work with all insurance carriers. If we find any issues with your coverage, we will contact you prior to your appointment. Our new model allows us to work directly with each family to make care as affordable and accessible as possible.
What will I be responsible for paying?
Our team will work with you to ensure the best possible payment arrangements based on your coverage. You are responsible for any co-payments, deductibles, and coinsurance at the time of service, in accordance with your insurance plan and the services provided.
Please note: Payment structures may differ for surgeries or procedures. Our team is here to help you understand those differences and ensure you have the information needed to plan ahead.
If you would like more information or to learn more about your options, please call us at 973-538-7700.
Why is TPOC making this change?
This new approach provides us with the flexibility to offer greater access to care for all children in our community, regardless of their insurance, while continuing to deliver the highest-quality, subspecialty pediatric orthopedic care. It enables us to provide a personalized experience for each family.
Can I still see the same doctor?
Yes! You’ll continue to see the same trusted team of board-certified pediatric orthopedic specialists in the same convenient locations.
Will my upcoming appointment be affected?
No. If you already have an appointment scheduled after July 1, it will remain as planned. If you have any concerns about your insurance or payment, please don’t hesitate to reach out—we’re happy to walk you through everything.
What if I need help understanding my benefits?
We’re here to support you. If you’re unsure about your coverage or just want more clarity, our team can:
- Contact your insurance company
- Review your benefits
- Help you understand how your costs are calculated
If you’d like more detailed guidance, we’re happy to connect you with one of our dedicated billing specialists for one-on-one support. We’ll work with you to ensure the best possible payment arrangements based on your coverage.
For more information or to discuss your options, please call us at 973-538-7700.
Where can I get more information?
Visit our Patient Resources page for helpful information or call our office and speak with our front desk—we’re always happy to help. You can also reach out to us anytime through our patient portal to send secure messages and track your appointments.