Does CHOP Take My Insurance?
The Children's Hospital of Philadelphia, its affiliated physician groups and its Home Care department have agreements with the list of insurance plans provided in the alphabetical list on this page. Each of these agreements is different, covering varying levels of healthcare services provided by the Hospital and the following CHOP entities. You will see these seven entities mentioned in the list of insurance plans.
- The Children's Hospital of Philadelphia (CHOP)
- Children's Surgical Associates, Ltd. (CSA)
- Radiology Associates of The Children's Hospital of Philadelphia (RACH)
- Children's Health Care Associates, Ltd. (CHCA)
- Children's Anesthesiology Associates, Ltd. (CAA)
- Children's Hospital Home Care (CHHC)
- Malvern Service Organization (MSO - CHOP Care Network)
- Dept. of Child & Adolescent Psychiatry and Behavioral Science (DCAPBS)
Some of the insurance plans listed below cover the full scope of services provided by the Hospital, its affiliated physician groups and its Home Care department. Others cover a smaller selection of services. If you are not sure if the healthcare services provided to your child will be covered by your insurance plan, please contact your insurance provider to find out what is covered or call our Pre-Visit Financial Counseling Hotline at 1-800-664-7855 for additional information.
Insurance plans participating with CHOP
A | B | C | D | E | F | H | I | K | L | M | N | O | P | Q | T | U | V |
Please know that plans may be added or deleted at times, and that health plan acceptance may vary by provider. If you don't see your plan here or you want to check participation status, please call your insurance company to find out whether or not it considers CHOP and its providers to be in-network. CHOP and its affiliated providers work with many health insurance plans located outside of the Philadelphia area, including Medical Assistance Plans, to arrange for coverage on an individual basis.
A
- Access Plus
- Aetna, all plans (Choice POS, Choice POS II, Elect Choice, Elect Choice, Open Access, Health Fund, Health Network, Health Network Option, HMO, Managed Choice, Open Choice PPO, QPOS, Select, Open Access Aetna Select, US Access, Traditional Choice, Chickering Group, Signature Administrators)
- Aetna Behavioral Health
- Aetna Better Health for Kids
- Aetna Better Health
- AmeriHealth (PA, NJ and DE HMO; PA, NJ and DE POS; PA, NJ and DE PPO)
- AmeriHealth 65
- AmeriHealth Administrators
- AmeriHealth Mercy
- AtlantiCare
B
- Blue Cross Blue Shield (not including Independence Blue Cross, Highmark Blue Shield and Horizon Blue Cross). Some out of the area Blue Cross Blue Shield plans may participate with CHOP and its affiliated providers. This varies greatly by CHOP provider and the type of plan coverage. Contact your BCBS plan to find out if your plan considers the specific CHOP provider to be in-network.
C
- Carelink Health Plans (W. Virginia)
- CareNet Health Plans (Virginia)
- CHAMP Va
- Cigna (HMO, PPO, POS)
- Cigna Behavioral Health
- CoventryCares (Pennsylvania, Kentucky, Nebraska)
- Coventry Healthcare (HMO, HMO Open Access, PPO, POS). For plans outside of PA and DE, check with Coventry to find about about authorization requirements and whether CHOP is considered in-network.
- Coventry Transplant
D
- Devon Health Services
- Diamond Plan (Maryland)
E
- Employers Health Network
F
- First Health
H
- HealthAmerica of PA, all plans
- HealthCare USA (Missouri)
- HealthNet Federal (Tricare North)
- HealthPartners of Minnesota
- H.E.R.E.I.U. Welfare Fund
- Highmark Blue Shield, indemnity programs
- Highmark Premier Blue (CHCA, CSA, RACH, CAA and Care Network practices in PA)
- Horizon Blue Cross Blue Shield, all commercial plans including Horizon NJ Plus
- Humana ChoiceCare, all plans
- Humana Military Services (Tricare South)
I
- Independence Blue Cross, all plans
- Independence Administrators
- InterGroup
K
- Keystone Health Plan East (HMO, POS, PPO)
- Keystone Mercy Health Plan
L
- LifeTrac Transplant Networks
M
- Mail Handlers Benefit Plan
- MAMSI Life and Health
- Medical Assistance of DE
- Medical Assistance of Mississippi
- Medical Assistance of NJ
- Medical Assistance of PA
- Medical Assistance of VA
- Medicare Part A (Hospital services and CHOP Home Care)
- Medicare Part B (CHCA, CSA, CAA, RACH)
- Multi-Plan (CHCA, CSA, RACH, the Hospital services and CHOP Home Care)
N
- NJ Carpenter Fund
O
- OmniCare Health Plan (Michigan)
- OneNet (Alliance)
- Optum Health Networks (Transplant, CHD, Neonatology, Cancer)
- Oxford
P
- Personal Choice
- Preferred Care
- Preferred Healthcare/Pennsylvania’s Preferred Health Networks (PPHN)
- Private Health Care Systems or PHCS (Hospital services, RACH, CAA, CHHC, and Care Network)
Q
- QualCare (some plans, please call QualCare to check the benefit level based on the employer’s plan)
T
- Tricare North (HealthNet Federal)
- Tricare South (Humana Military Services)
- Three Rivers Provider Network
- TriWest (Tricare West)
U
- United Behavioral Health
- United Healthcare, all plans
- United Healthcare Community Plan, Pennsylvania
- United Healthcare Community Plan for Kids in Pennsylvania
- United Healthcare Community Plan, New Jersey
- US Family Services
V
- Valley Preferred
Contact Us
Reach the Pre-Visit Financial Counseling Hotline at
1-800-664-7855
For answers to your Hospital bill questions, please call
1-800-283-3055
For answers to your Physician bill questions, please call
1-877-724-2467
For answers to your Home Care bill questions, please call
1-800-866-1242