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How Do Insurance Plans Affect Pediatric Payments?

Insurance plans play a significant role in determining how pediatric services are paid for. Common types of insurance plans include:
- Private insurance: Typically provided through employers or purchased individually, private insurance often covers a wide range of pediatric services but may come with co-pays and deductibles.
- Medicaid: A state and federal program that provides health coverage for low-income families, Medicaid is essential for many pediatric patients. It generally covers a comprehensive range of services but may have lower reimbursement rates for providers.
- CHIP (Children's Health Insurance Program): This program provides low-cost health coverage to children in families that earn too much to qualify for Medicaid but cannot afford private insurance. CHIP coverage is similar to Medicaid.

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