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In Touch Pediatrics and Lactation, PLLC

In Touch Pediatrics and Lactation, PLLC

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FAQs

SHOULD I SIGN UP FOR A BREASTFEEDING MEDICINE CONSULT OR A 4TH TRIMESTER PACKAGE? WHAT IS THE DIFFERENCE?  

 

Breastfeeding Medicine Consults are for people experiencing specific lactation challenges that require the evaluation and management of a Breastfeeding Medicine specialist. These can also include stand-alone prenatal consults if you are at risk of having challenges or simply want to be better prepared.

4th Trimester Packages are more comprehensive and include a prenatal preparation visit and 6 weeks of pediatric and lactation care in your home with Dr. Rubin. These packages provide convenient postpartum support, newborn care, and breast- or bottle-feeding assistance and help guide families through those first weeks after coming home after delivery so that they get off to a smooth start.

All of these packages are considered physician services and a Superbill will be provided that you can submit to your insurance for out-of-network reimbursement.

WHAT IS BREASTFEEDING MEDICINE?

Breastfeeding is not always easy.  In fact, most parents encounter some problems along their breastfeeding journeys.  Breastfeeding Medicine is a niche within medicine that addresses all sorts of breastfeeding issues, from latching to low supply, and even inducing lactation.  General lactation assistance is included in any In Touch Pediatrics general membership, but can also be provided a la carte as Lactation Consults.  Please see “Lactation Consults and Breastfeeding Medicine” for more information.

AT WHAT HOSPITALS DOES DR. RUBIN MAINTAIN PRIVILEGES?

Dr. Rubin is not on staff at any hospitals, but from her years of practice has relationships with neighboring physicians and hospitals.  If your child needs to be hospitalized, Dr. Rubin will keep in touch with your care team and her ability to provide close follow-up may help get your child discharged earlier than typical.    

MY CHILD IS HEALTHY.  DOES IT MAKE SENSE FOR ME TO ENROLL IN THE PRACTICE?

 

 

Of course!  Dr. Rubin will help keep your child healthy!  One of the most rewarding parts of being a pediatrician is preventing illness and disease and educating parents and children throughout the different stages of development.  Dr. Rubin will have more time to spend with you and your child during well-checks, and you will have the peace of mind to know that you can reach Dr. Rubin directly if there are any unexpected health concerns.  If your child does get sick, Dr. Rubin, who knows you and your family, will be the one caring for them and will do what she can to keep them out of the ER or the hospital.  

WHAT HAPPENS IF DR. RUBIN GOES ON VACATION OR HAS A FAMILY EMERGENCY?  WHO WILL TAKE CARE OF MY CHILD IF WE HAVE AN URGENT HEALTH ISSUE?  

 

Dr. Rubin will make every effort to communicate any planned vacations or time out of the office at least 1 month in advance.  At these times, care will be arranged with a covering physician, included in your membership (though this may not be a home visit).  Alternatively, she may ask you to visit a local urgent care. 

 

For any pre-enrolled baby born when Dr. Rubin plans to be out of the office, she will arrange a plan for care for your baby to be seen by another local physician (and lactation consultant if needed) for that first hospital follow-up.  If the baby arrives unexpectedly, Dr. Rubin or the physician covering will be reachable to come up with a care plan. 

IS IN TOUCH PEDIATRICS 24/7 ACCESS TO MY DOCTOR?

As a member of In Touch Pediatrics, you will have direct access to Dr. Rubin.  She will be easily reachable for non-urgent matters during business hours via text, e-mail, or phone (generally between 9am-4pm Monday through Thursday).  She is also available for urgent matters after hours and can help determine whether your child should go to the Emergency Room any time of day or night.  She does have a family and is a one-woman show, though, so she may not address non-urgent questions or requests until the next business day. 

WHAT HAPPENS IF MY CHILD HAS AN EMERGENCY?  WILL DR. RUBIN BE ABLE TO CARE FOR MY CHILD?

When you join In Touch Pediatrics, you will have direct access to Dr. Rubin for urgencies and some emergencies, including strep tests, simple suturing, and wound care.  There may be times, though, when Dr. Rubin feels your child will be safest in an emergency room or hospital and she will refer you there. 

 

Sometimes, of course, you may not know whether you need to take your child to the Emergency Room.  If you’re not sure, please call.  Dr. Rubin can triage the situation, possibly even seeing your kiddo via video in the middle of the night, and can help to decide how quickly your child needs to be seen.  Since she does have a family of her own, she will not be able to come to your house in the middle of the night. 

 

In a life-threatening situation when you believe your child’s health is in imminent danger, please call 911 or go straight to your nearest emergency room. 

MY CHILDREN ARE COVERED UNDER ILLINOIS MEDICAID.  CAN THEY STILL JOIN THE PRACTICE?

Absolutely!  Dr. Rubin is a referring, ordering and prescribing physician for Illinois Medicaid.  While she is not part of any specific Medicaid plan or HMO and patients cannot be assigned to her as their PCP, she is still able to see them as paying members of her practice (not covered), and she is able to order medications, labwork, and imaging that can be covered by Medicaid, and refer you to specialists if needed.  Medicaid patients can pay cash for vaccines with In Touch Pediatrics, or have the option to get their vaccines at their local health department. 

DO I HAVE TO HAVE INSURANCE IF I JOIN IN TOUCH PEDIATRICS?

It is highly recommended that you maintain health insurance for your child in addition to your membership.  Your insurance will help cover the costs of care received outside of In Touch Pediatrics - Emergency Room visits, hospitalization, or specialist referrals.  It will likely help to cover the cost of vaccines, labs, and radiology imaging.

 

Talk to your insurance agent about whether a less expensive, higher deductible or catastrophic insurance plan would be appropriate for your family, since In Touch Pediatrics will help you avoid many of the usual copays, coinsurance, and deductibles that would be required if you receive your care at a traditional insurance-based practice.   

 

In Touch Pediatrics will be considered an out-of-network provider, and will not send claims to your insurance, but we can provide you with a Superbill in some situations if requested.   You are free to submit these directly to your insurance company, but we cannot guarantee reimbursement.    We have partnered with Reimbursify for you to easily submit your claims for out-of-network health insurance reimbursement from your smartphone. Download the app and get your first claim free.

HOW DO I PAY THE MEMBERSHIP FEE?  DOES IN TOUCH PEDIATRICS TAKE MY HSA/FSA CARD?

In Touch Pediatrics will charge you using Stripe via our Electronic Medical Record, AeroDPC. Via Stripe, you can do bank transfer or credit card (bank transfer is preferred as it carries a smaller fee). You may also pay by cash or check if preferred.  You can receive a discount for paying for the year in full at sign-up.  Dr. Rubin will accept payment with an HSA/FSA card, but cannot guarantee that the membership fees will be covered through your health savings account.  We recommend you contact your FSA and HSA prior to using your card. 

IS IN TOUCH PEDIATRICS IN-NETWORK FOR MY INSURANCE?

Dr. Rubin is not a member of any insurance plan.  That is good news - it means she can see your child no matter what insurance you carry! She can provide a Superbill or invoice for specific services that you can submit to your insurance, and she would be considered out-of-network for these.  Generally, insurance companies will not reimburse the monthly fees, but many will reimburse specific services at out-of-network rates. 


We have partnered with Reimbursify for you to easily submit your claims for out-of-network health insurance reimbursement from your smartphone. Download the app and get your first claim free.

IS THIS A CONCIERGE MEDICAL PRACTICE?

We get asked this question often. “Concierge” medicine is probably the closest thing that many people have heard of, but it’s not exactly the same the way our practice is set up. Dr. Rubin has thought long and hard about the care she wants to provide and how she can do it best. She has worked to come up with a payment model that is not out-of-reach for many families, and may actually be less expensive at the end of the year than obtaining primary care within the traditional insurance model when all is said and done. At the same time, she had to find a price point that allows her practice to remain sustainable as a physician, parent, and business-owner. Our practice offers many concierge-style services - direct access, home visits, personalized care - without the typical high concierge price tag. Some people have referred to Direct Primary Care as “concierge medicine for the everyman,” which sounds about right.

I ALREADY PAY A LOT FOR MY INSURANCE.  WHY WOULD I PAY A MEMBERSHIP FEE ALSO IN ORDER TO SEE MY PEDIATRICIAN?  

 

The membership model allows Dr. Rubin to keep her practice small. By doing this, she is able to provide extremely personalized care for your child. She will have the time to get to know your child and family well and provide the care that you deserve. In addition, you will have direct access to Dr. Rubin, allowing you the reassurance that your pediatrician is only a phone call or text away and Dr. Rubin will always be there for you.

WHAT IS A MEMBERSHIP-BASED PRACTICE?

A membership-based practice by definition does not accept insurance.  It instead charges a simple monthly membership fee that covers all physician services.  It is a great way to know your costs up front, and not have to worry about copays, deductibles, in-network vs. out-of-network, etc. See “Direct Primary Care” and “General Pediatrics” for more detailed information. 

In Touch Pediatrics and Lactation, PLLC information on Health Beyond Insurance (HBI) platform is intended for consumers to connect with In Touch Pediatrics and Lactation, PLLC, and to provide helpful information to consumers regarding providers' products and services. HBI does not endorse, guarantee, or warrant the products or services of In Touch Pediatrics and Lactation, PLLC, and HBI is not an agent, or representative of, or otherwise responsible for or on behalf of, In Touch Pediatrics and Lactation, PLLC. HBI never makes any medical decisions for you or on your behalf, nor does HBI ever take any medical action in response to information transmitted or received by the In Touch Pediatrics and Lactation, PLLC. HBI does not take part in any medical diagnoses, procedures, or recommendations, or in any medical, prescription, service.

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