Secure Payment Page for the
Saugatuck Pediatrics Annual Administrative Fee

Total Amount Due:

Family Last Name

Child's Name 1

Child's Name 2

Child's Name 3

Child's Name 4

Child's Name 5

Annual Administrative Fee

-Children younger than 5 as of January 1st, 2025 - $325/each

-Children 5 to 17 years as of January 1st, 2025 - $275/each

-Patients 18+ years as of January 1st, 2025 - $225/ea

There is a FAMILY CAP of $850 per family

Early bird discount of *$20 PER FAMILY if paid by January 15th, 2025.

*Please discount $20 from the total manually within the payment portal.

**If you are on a Husky insurance plan, you are exempt from 2025 Added Benefits.

More Information about the Annual Administrative Fee can be found at Saugatuck Pediatrics Admin Fee Information

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Expiration Date

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Last Name

Address 1

Address 2

City

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Phone #