About the Practice
As a a family-run practice, our aim is to provide a high level of medical care the old-fashioned way, with personal attention in a caring environment. Dr. Rajee K. Joyce, an American Board of Pediatrics certified pediatrician and Fellow of the American Academy of Pediatrics, is the sole practitioner, and her husband Patrick Joyce is the office manager. We aim to provide excellent care for your child, and believe that parents are an important part of a successful pediatric health care team.
Since we are a small practice, we do not have the resources that many larger practices have. We do not have regular evening or weekend hours. On weekends, holidays and vacations, we share coverage with several other solo pediatricians in neighboring towns.
We believe firmly in the safety and effectiveness of vaccines, and require all patients to immunize according to the schedules recommended by the American Academy of Pediatrics.
Immunization is important not only for your child’s safety, but for the safety of all patients in the practice. If you decide not to immunize your child according to this schedule, we will ask you to seek a different pediatrician.
For more information, read our Vaccine Policy and find educational resources.
At each routine physical, we will give you a health form that contains your child’s health information and immunization record. This is a standard form and may be used for school, camp and sports.
Please always keep copies of your child’s health form for your own records, in case you should need it again. You can print health forms and immunization records from the Patient Portal.
The office is open from 8:30am to 4:00pm every weekday except Tuesday, when we close at 11am. However, please call before coming, in case we are out of the office temporarily. Visits are by appointment only. The one exception is during the morning walk-in clinic, between 8:30 and 9:00.
The walk-in clinic is for acute sick visits and for established patients only. No advance appointment is needed, but please call ahead and leave us a voicemail so we know to expect you. (Calling ahead will also let you know if the office is closed, in which case a recording will tell you how to reach a covering doctor.)
If you cannot bring your child to the walk-in clinic, call as early in the day as possible for a sick-visit appointment. Dr. Joyce will find time to see your sick child the same day when you call during office hours, but depending on the urgency of the problem, she may decide a call back is sufficient or ask you to come in the following morning.
When you call during regular office hours, you will either reach our office staff or get a recording asking you to leave a voicemail message. We check voicemail frequently and try to return calls promptly if requested.
In order to help us prioritize your call, please let us know if you are calling to: (1) schedule a well-child appointment, (2) schedule a same-day appointment for a medical problem, (3) request a call back from Dr Joyce about a problem or question, or (4) request a referral or prescription.
If you have an urgent medical concern, we will try to return your call within several hours, generally by 1pm if received during the morning and by 5pm if received during the afternoon. If the matter is not urgent, we may return your call the next day.
For urgent matters when the office is closed, call the office number and follow the recorded instructions to leave a voicemail. You will have the option to leave a non-urgent message that we will hear the following business day, or to leave a message regarding an urgent medical problem if you are requesting a call back right away.
On weekdays, Dr. Joyce is on call overnight. The system will alert her and she will return your call as soon as possible, generally within 30 minutes.
For weekends, holidays and vacations, Dr. Joyce shares coverage with a group of solo pediatricians in Arlington and neighboring towns, so there will always be a doctor available for you to speak with.
Calling the office will always give you a recorded message telling you how to reach her or a covering physician. If you feel that your child needs to be seen, please call between 8am and 9am, and the doctor on call will decide if an office visit is necessary.
The office is closed on the following holidays:
New Year’s Day, Martin Luther King’s Birthday, President’s Day, Patriot’s Day, Memorial Day, Independence Day, Labor Day, Columbus Day, Veterans Day, Thanksgiving, and Christmas.
Children older than two should be seen once per year for their routine physical.
At the end of each well visit, we will ask you to schedule next year’s visit. Ordinarily, we schedule well visits no earlier than one year from the current date. However, if you would like to schedule the physical sooner than that, we encourage you to call your insurance carrier to determine whether it will be covered.
If you prefer not to schedule your child’s next physical a year early, you are welcome to call us closer to the date. Please call at least two months in advance in order to find a day and time that fit your schedule. You may also request appointments using our Patient Portal.
Children who are two and younger need more frequent well visits, according to the following schedule: 3-4 days after birth, 2 weeks, 4 weeks, 2 months, 4 months, 6 months, 9 months, 12 months, 15 months, 18 months, 2 years.
We can assist you in finding specialists for your child when necessary. If possible, we will coordinate visits for multiple specialists and/or diagnostic tests during one trip, although more complex issues may not be able to be accommodated.
If your insurance requires that you obtain a referral authorization to see a specialist, please call us in advance of the visit and provide us with the following information: the specialist’s name, the date of the first appointment, the number of visits required, and the specialist’s contact information. You may also request referrals using our Patient Portal. It is your responsibility to follow up with any specialists to make sure they receive our referral authorizations.
Dr. Joyce does not diagnose ADHD and does not prescribe ADHD or psychiatric medications. She will refer patients to trained specialists in behavioral health.
Prescription refills should be called in during regular office hours. If you are leave a voicemail be sure to give us the name and location of your pharmacy. You may also request refills using our Patient Portal. Please allow 48 hours for all refills when possible.
Insurance copays are due at the time of service. We accept cash, checks, and credit & debit cards (MasterCard, Visa, Discover, American Express). If your insurance does not cover the full cost of visits, you are responsible for any co-insurance, deductibles or non-covered services. Insurance plans vary widely even within carriers and it is your responsibility to understand the benefits and coverages of your particular plan.
You will receive a statement from us (sent by a third-party billing service) detailing the amount your insurance has paid and the amount you owe. Balances are due 30 days from your receipt of the first statement, and you will continue to receive statements monthly until balances are paid. You may pay online securely at our web site or mail us a check. Overdue balances may be sent to a collection agency. If at any time you are unable to pay in full, please contact us so we can arrange a payment plan. If you do not have insurance, the full amount is due at the time of the visit. Help for those seeking coverage is available at the state’s Commonwealth Connector web site.
We accept the following insurances:
AllWays Health Partners
Blue Cross Blue Shield (but not HMO Blue Select plans)
Fallon Community Health Plan (but not Direct Care or Qualified Health plans, and certain other plans — ask us)
Harvard Pilgrim Health Care (but not these plans: Atrius Health Preferred HMO, BIDMC Select HMO, ElevateHealth for Dartmouth Hitchcock and NEAH, ElevateHealth for HPI, ElevateHealth HMO, ElevateHealth HMO for Individuals, ElevateHealth HMO HSA, ElevateHealth HMO with Preferred PCP, HP Lahey Health Preferred HMO, NH limited network plans)
Health Plans Inc.
MassHealth (through Dec. 31, 2019: PCC Plan only. Starting Jan. 1, 2020: Steward Health Choice ACO )
Tufts Health Plan
If you have an HMO, always check with your insurance (even those listed above) to make sure Dr. Joyce is in-network for your plan.
For families with limited English proficiency, we can access phone translation services if given advance notice. We can also help to identify resources for families without health insurance.