Novel Pediatric Center

Yes. we recommend that all patients have, at a minimum, a high deductible health plan (HDHP) . The Direct Primary Care Program is NOT a health insurance program. It is very important to maintain insurance (and/or Medicare) to cover expensive, unusual and unpredictable events such as surgery, emergency care and hospitalization – BUT NOT for everyday preventive primary care. Expect your insurance to pay for lab tests, mammograms, x-rays, durable medical equipment (DME), and specialist appointments. The services of the doctor will be covered in the membership fee.The current insurance-based healthcare system actually makes primary care MORE expensive, difficult and less effective, too. Our practice does the opposite. By charging a set fee, the doctor can spend more time with you and focus on your individual health needs to maintain and improve your health. The doctor wants you to see her as often as you need to, because her goal is healthy and happy members!

The fee covers excellent primary care through unlimited office visits with minimal wait times, annual wellness exams, well-child exams, sports physicals and school physicals, basic office procedures, treatment of acute illness or minor injuries, chronic disease management, and 24/7 access to your doctor via email, phone, text. Patients will also have access to wholesale labs not included in the membership fees. See our SERVICES page for details.

The following services are not covered by the membership fee:

Naturally we provide such care – yet another freedom we enjoy together as a result of Novel Pediatric Center’s independence from the restrictions of third-party payment. Because we know you well, we can streamline your care when you’re sick away from home. Many illnesses can be diagnosed and treated with a simple conversation by phone, email, text or webcam. We’ll locate the nearest pharmacy and order the medications most appropriate for your circumstances.

Absolutely! Health care today is comprehensive and focuses on much more than just the physical health of your child. The pediatrician is there for you to address the social, emotional and educational needs of your youngster from birth to college. Because you never know when the unexpected will present itself, you need an ongoing relationship with your pediatrician. As your child reaches adolescence, that relationship needs to transition to the child and their doctor, gradually, as we prepare for the eventual moment when he/she leaves for college. In the DPC model, it is very unlikely that you will only have contact with your doctor once a year. You will have the comfort of knowing that you and your older child can contact your doctor at any time for most any reason because your child is an exclusive member of Novel Pediatrics.

No. Although membership in the Novel Pediatric Center program offers the best value, children can be seen on a Fee for Service model . Please fee the MEMBERSHIP and FEES tab for single- visit pricing.

No. The cost of clinic visits (up to 36 visits per child per year) is included in the membership. You may encounter additional charges for things such as prescription medications, childhood immunizations and certain laboratory tests but you will be informed of any additional charges before the service is provided. You retain the right to decline any services that would result in additional charges.

X-ray studies are not performed in the clinic. We are aware of the expense involved in obtaining radiographic tests so we will only request these studies when they are needed to direct the treatment of your child’s medical condition. When radiologic studies are indicated, we will help you get the lowest price for any test your child may need at an external service provider.

At Novel Pediatric Center, we provide only outpatient acute care and well care services. In order to keep costs low, Dr. Kumar does not maintain admitting privileges at any area hospitals. If your child needs to be treated in the hospital, they will be cared for by the Hospitalist Service at the hospital of your choice. Dr. Kumar will communicate directly with the hospital physician and give them whatever information they need to provide the best medical care for your child. Once your child has been discharged from the hospital, Dr. Kumar will resume responsibility for your child’s medical care.

You may cancel your membership with the practice at any time and for any reason by giving 30-days advance written notice.

No. In order for claims to be covered by Medicaid or Medicare they must be submitted directly to the plan by a participating provider. Dr. Kumar does not participate in any Medicaid health plans and she will be opting out of participation in Medicare. The beneficiary MAY NOT submit any charges directly to Medicaid or Medicare for services provided by this practice.

Yes. Although our restraining capabilities are limited, so older children are preferred.