From a high fever to a routine check-up, your child’s pediatrician is your first call. But did you know there’s a difference between a well visit and a sick visit — and how they’re billed?
Here’s what to know before your next appointment, so you’re never caught off guard.
What Is a Well Visit?
A well visit, also known as a preventive check-up, is all about keeping your child healthy as they grow. These visits are scheduled even when your child isn’t sick and usually happen once a year for kids ages 3 and up — and more often for babies and toddlers.
During a well visit, your provider and their team will:
- Check vital signs and your child’s growth chart
- Monitor developmental milestones
- Talk about sleep, nutrition, behavior, safety and school
- Give age-appropriate vaccines
- Perform preventive screenings like vision or hearing tests
Most insurance plans cover well visits at no cost to you, though some screenings may be billed separately.
Want to know what to expect at well-checks?
Download our guide to Wellness Checks from Newborn to Teenage Years.
What Is a Sick Visit?
When your child isn’t feeling their best — think fever, sore throat, ear pain, or a sudden rash — it’s time for a sick visit. Other types of non-well visits include those to discuss concerns like asthma control, learning problems and mental health.
A sick visit may include:
- A physical exam focused on symptoms
- Diagnosis and treatment plans
- Medication prescriptions or testing
- Ongoing care for chronic conditions
Sick visits often come with a copay or other out-of-pocket costs, depending on your insurance plan.
Can One Visit Count as Both?
Sometimes, yes. If you come in for a well visit and your child also needs treatment for a new issue — say an ear infection or a medication refill — your provider may bill both a well visit and a sick visit.
This means you may be responsible for two types of charges. It’s not double billing. It reflects the extra care your child received beyond the routine check-up.
You’ll get answers, treatment and any necessary prescriptions without needing a separate appointment.
If you’re unsure how something will be billed, just ask at check-in or check-out. Your clinic team is here to help.
A Relationship with Your Pediatrician Can Help
Understanding what’s covered and when to call is part of caring for your child, and we’re here to support you every step of the way. Your pediatrician is your partner in both prevention and care.
Connect with an exceptional pediatrician near you:
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Find a pediatric provider in Baton Rouge.
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Find a pediatric provider in Acadiana.
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Find a pediatric provider in Greater Jackson.
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Find a pediatric provider in Northeast Louisiana.
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Find a pediatric provider in Bogalusa.
