Accepted Insurance Plans

Health Insurance Plan information applies to the following locations:

Texas Children’s Hospital Locations

  • Texas Children’s Hospital
  • Texas Children’s Pavilion for Women
  • Texas Children’s Hospital – West Campus
  • Texas Children’s Hospital – The Woodlands

Texas Children's Health Center Locations

  • Texas Children's Health Center - Sugar Land
  • Texas Children's Health Center - Cy-Fair
  • Texas Children's Health Center - Clear Lake
  • Texas Children's Specialty Care - Upper Kirby
  • Texas Children's Specialty Care - Kingwood Glen
  • Texas Children's Pavilion for Women – Pearland

Community Maternal Fetal Medicine Clinic Locations

  • Community Maternal Fetal Medicine Clinic - The Woodlands
  • Community Maternal Fetal Medicine Clinic - Northwest Houston
  • Community Maternal Fetal Medicine Clinic - West Houston
  • Community Maternal Fetal Medicine Clinic - Sugar Land
  • Community Maternal Fetal Medicine Clinic - Baytown
  • Community Maternal Fetal Medicine Clinic – The Methodist Hospital

Below is a list of payers who are contracted with Texas Children’s Hospital, Texas Children’s Physician Service Organization, and Texas Children’s Anesthesiology. Please confirm Texas Children’s participation with your health plan as some benefit plans utilize narrow networks which may exclude Texas Children’s.

Facility-based physicians bill and collect independently for their services, and may not participate in the same insurance plans as Texas Children’s Hospital.  You may receive a bill from a facility-based physician for the amount unpaid by your insurance plan.

Please confirm network participation directly with your health plan.  Some Employer Group Plans may exclude Texas Children’s Hospital from their network. 

Aetna

  • POS
  • PPO
  • EPO
  • HMO
  • Aetna National Medical Excellence Unite (NME)

Alianza Mounte Sanai

AXA Assistance USA

Banco CentroAmericano de Integracion Economic

Blue Cross and Blue Shield of Texas

  • HMO Blue/Blue Essentials
  • PPO
  • POS
  • Traditional
  • Blue Distinctions Centers for Transplants
  • Excluded: Health Insurance Marketplace plans

Cigna

  • HMO/POS
  • PPO
  • CIGNA LIFESOURCE including Exchange Local Plus
  • Excluded: Health Insurance Marketplace plans

Community Health Choice

  • Medicaid Star
  • CHIP
  • CHIP Perinate
  • Health Insurance Marketplace w. Kelsey-Seybold Network
    • Kelsey-Seybold Marketplace network only – Texas Children’s will only be in network if you select a Kelsey-Seybold PCP.  You must request a referral and authorization to access a Texas Children’s Physician Service Organization (TCPSO) Physician. 
  • Excluded: Health Insurance Marketplace – Community Network

Entrust

Evolutions Healthcare Systems

  • PPO

First Care Health Plans

  • PPO
  • HMO
  • STAR
  • CHIP

First Health (seeing Coventry members)

  • PPO

Galaxy Health Network

  • PPO

Generali Medico Compana de Seguros, S.A.

Green Tree Administrators

  • PPO

HealthSmart Preferred Care, Inc.

  • PPO
  • Accel/AP-3 Product
  • HealthSmart Payors Organization

Humana

  • HMO
  • PPO
  • ChoiceCare PPO
  • Humana National Transplant Network
  • Excluded: Health Insurance Marketplace plans

Imagine Health (Smart Care Network)

Independent Medical System, LTD

  • PPO

INTERLINK Health Services

  • Transplant

Kelsey Seybold Medical Group

  • KelseyCare administered by Boon-Chapman
  • Medicare Advantage

LifeTrac

  • Transplant

MedCorp Southwest

Texas Medicaid

Medicus International

MedSave USA

Molina Healthcare of Texas (ending 11/15/2017)

  • Medicaid STAR
  • CHIP
  • CHIP Perinate
  • STAR Plus
  • Excluded: Health Insurance Marketplace plans

Multiplan

  • PPO

National Health Care Solutions

Optum Healthcare (formerly United Resource Network)

Point Comfort Underwriters (ORR Program)

Private Healthcare Systems, Inc. (PHCS)

  • PPO
  • Savility PPO

Provider Networks of America

Quality Health Management

RightCare from Scott & White Health Plan

  • Medicaid STAR

Scott & White Health Plan

Seguros Atlas

Seguros Inbursa, S.A.

Superior Health Plan

  • STAR Health (Foster Care)
  • Medicaid STAR
  • CHIP

Texas Children's Health Plans

  • Medicaid STAR
  • CHIP
  • STAR Kids

United Healthcare

  • PPO
  • POS
  • HMO
  • STAR Kids
  • Excluded: Health Insurance Marketplace plans

United Healthcare Community

  • Medicaid STAR
  • STAR Plus
  • CHIP

Market Place Plans Accepted
(Individual plans through www.Healthcare.gov)

Plan Year 2017

Community Health Choice HMO Copay*

* Kelsey-Seybold Marketplace network only – Texas Children’s will only be in network if you select a Kelsey-Seybold PCP.  You must request a referral and authorization to access a TCPSO Physician. 


Transplant Centers of Excellence

The Transplant Program at Texas Children’s Hospital is dedicated to providing the highest quality of care to children needing heart, lung, liver or kidney transplantation through evidenced based practices, research and education.