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. Out of Network Authorization is require by all market place plans prior to seeking care at Texas Children’s. If you do not have health insurance, we can help you choose a health plan for your child and get insurance. Uniformed Services Family Health Plan (USFHP) We accept Medicaid & most private health plans. CHIP Perinatal (applies to hospital only).Optum Healthcare (formerly United Resource Network) Excluded: Health Insurance Marketplace – Community Network.CIGNA LIFESOURCE including Exchange Local Plus.Excluded: Health Insurance Marketplace plansīlue Cross and Blue Shield of Texas Medicaid.Blue Distinctions Centers for Transplants.PPO PPO HSA EPO EPO HAS POS Plus Amerihealth Advantage Tier 1 Advantage SHE EPO. To learn more how to change your plan to an in network plan ( English / Spanish)īanco CentroAmericano de Integracion Economic Emergency Room Physicians Amerihealth NJ.Aetna National Medical Excellence Unite (NME).Some Employer Group Plans may exclude Texas Children’s Hospital from their network. Aetna Medicare PPO, OA HMO, HMO - Primary & Urgent Care, and Telehealth. Please confirm network participation directly with your health plan. All Plans - Primary & Urgent Care, and Telehealth. Please confirm Texas Children’s participation with your health plan as some benefit plans utilize narrow networks which may exclude Texas Children’s.įacility-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. (2) Limited: Fewer than 100 diagnostic, preventive, and minor restorative procedures recognized by the American Dental Association (ADA) per-person annual expenditure for care is 1,000 or less. Community Maternal Fetal Medicine Clinic – The Methodist Hospitalīelow is a list of payers who are contracted with Texas Children’s Hospital, Texas Children’s Physician Service Organization, and Texas Children’s Anesthesiology. 1 Benefit definitions:(1) Emergency-Only: Relief of pain under defined emergency situations.Community Maternal Fetal Medicine Clinic - Baytown.Community Maternal Fetal Medicine Clinic - Sugar Land.Community Maternal Fetal Medicine Clinic - West Houston.Community Maternal Fetal Medicine Clinic - Northwest Houston.Community Maternal Fetal Medicine Clinic - The Woodlands.Texas Children's Pavilion for Women – PearlandĬommunity Maternal Fetal Medicine Clinic Locations.Texas Children's Specialty Care - Kingwood Glen.Texas Children's Specialty Care - Upper Kirby.Texas Children's Health Center - Clear Lake.Texas Children's Health Center - Cy-Fair.Texas Children's Health Center - Sugar Land.Texas Children’s Hospital – The Woodlands.Texas Children’s Hospital – West Campus.Health Insurance Plan information applies to the following locations:
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