Does CHOP Take My Insurance?

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 entities mentioned in the list of insurance plans.

  1. Children’s Surgical Associates, Ltd (CSA PA)
  2. Children’s Surgical Associates of New Jersey, Inc. (CSA NJ)
  3. Care Network NJ
  4. Care Network PA
  5. Children’s Anesthesiology Associates, Ltd. (CAA PA)
  6. Children’s Anesthesiology Associates of New Jersey, Inc. (CAA NJ)
  7. Children’s Health Care Associates, Inc. (CHCA PA)
  8. Children’s Health Care Associates of New Jersey (CHCA NJ)
  9. Radiology Associates of Children’s Hospital, Inc. (RACH PA)
  10. Children’s Radiology Associates of New Jersey, PC (RACH NJ)

See the separate behavioral health insurance list (for the Department of Child & Adolescent Psychiatry and Behavioral Science)

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.

Bills for services provided at CHOP

There are three bills you may receive for services provided by The Children's Hospital of Philadelphia. These include a Hospital bill (green), a Physician bill (blue) and a Home Care bill (white). Laboratory, radiology services and other non-physician provider services (e.g., physical therapy and speech therapy) are typically billed on a Hospital bill. 

Physician services are billed separately from Hospital charges and are not included in Hospital charges. CHOP physicians who provide services at CHOP locations, including Ambulatory Surgical Centers, generally participate with the same insurance plans as the Hospital. Learn more about your child's bill.

Insurance plans participating with CHOP

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.

See international plans here.

A | B | C | D | E | F | G | H | I | K | L | M | N | O | P | Q | T | U |

A

  • Aetna
    • Choice POS, Choice POS II, 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
    • CHOP Preferred Plan - CHOP Employee Plan (POS & CDHP)
    • Savings Plus Managed Choice - Pennsylvania Locations Only
    • Saving Plus Managed Choice - New Jersey Locations Only
  • Aetna Better Health Kids - PA member at PA sites and providers only
  • Aetna Better Health - PA members at PA sites and providers only
  • America’s Choice Network
  • AmeriHealth (HMO, POS and PPO for PA, NJ and DE members)
  • AmeriHealth HMO (CHOP Employee Plan)
  • AmeriHealth 65
  • AmeriHealth Administrators
  • AmeriHealth Caritas - PA members at PA sites and providers only
  • AmeriHealth Caritas Northeast - PA members at PA sites and providers only and excludes CHOP Primary Care and CHOP Home Care
  • AtlantiCare - CHOP Home Care does not participate

B

  • Blue Cross Blue Shield
    • Some Blue Cross Blue Shield plans with Blue Card access may participate with CHOP and its affiliated providers. Contact your BCBS plan to find out if your plan considers the specific CHOP provider to be in-network.
  • Blue Cross of California - for Crozer Keystone Health System Employee Plan

C

  • CHAMP Va - CHOP Home Care does not participate
  • Cigna (HMO, PPO, POS)
  • CignaLifesource Transplant Network (pediatric liver program, pediatric heart program, pediatric blood and marrow transplant program)
  • Coventry (HMO, HMO Open Access, PPO, POS) - PA, NJ and DE
  • CoreSource — Lancaster General Employee Plan
  • Crozer Keystone Health System Plan - Blue Cross of California

D

  • Devon Health Services

E

  • Employers Health Network

F

  • First Health

G

  • Gateway Health Plan - PA members at PA sites and providers only
  • Geisinger Health Plans, except St. Luke’s Hospital Employee Priority Care Plus Plan
  • Geisinger Family Plans (Medicaid & CHIP) - Excludes CHOP Home Care, and PA members at PA sites and providers only
  • Golden Rule

H

  • HealthAmerica
  • HealthPartners of Minnesota
  • H.E.R.E.I.U. Welfare Fund - CHOP Home Care does not participate
  • Highmark Blue Shield (please note - CHOP Home Care does not participate with any Highmark Plan)
    • HMO (Keystone Health Plan West) - Care Network Primary Care PA only
    • PPO/POS Pennsylvania - Care Network Primary Care PA only
    • PPO/POS New Jersey - For all CHOP providers and sites in NJ, Blue Card access only
  • Highmark Health Options (DE Medicaid)
  • Horizon Blue Cross Blue Shield - all commercial plans
    • CHOP Home Care does not participate with any Horizon Blue Cross Blue Shield plan
  • Humana ChoiceCare
  • Humana Military Services (TRICARE East) - CHOP Home Care does not participate

I

  • Independence Blue Cross, all plans
    • Care Network Primary Care, Harborview requires Blue Card access
  • Independence Administrators
    • Care Network Primary Care, Harborview requires Blue Card access
  • InterGroup

K

  • Keystone First Health Plan - PA members at PA sites and providers only
  • Keystone Health Plan East (HMO and POS) - Care Network Primary Care, Harborview requires Blue Card access
  • Keystone Health Plan East – PA Kids - PA members at PA sites and providers only

L

  • LifeTrac Networks

M

  • Mail Handlers Benefit Plan
  • MAMSI Life and Health
  • Medical Assistance of NJ
    • CHOP Home Care does not participate
    • Care Network Primary Care PA sites do not participate
  • Medical Assistance of PA
  • Medicare Part A - only Hospital services and CHOP Home Care
  • Medicare Part B - only CHCA, CSA, CAA, RACH
  • Multi-Plan - CHOP Care Network does not participate

N

  • NJ Carpenter Fund

O

  • OneNet (Alliance)
  • Optum Health Networks (Transplant, CHD, Neonatology, Cancer)
  • Oxford (Liberty and Freedom networks participate)

P

  • PennCare - Personal Choice
  • Personal Choice
    • Care Network Primary Care, Harborview requires Blue Card access
  • Populytics
    • Lehigh Valley Health Network Plan (Hospital/Facility services only)
    • Valley Preferred
  • Preferred Care
  • Preferred Healthcare/Pennsylvania’s Preferred Health Networks (PPHN)
  • Premier Network (by Devon Health Services)
  • Private Health Care Systems or PHCS
    • Does not participate with CSA and CHCA
    • Not participating with the following Care Network locations: Chadds Ford, Chestnut Hill, Cobbs Creek, Karabots, Kennett Square, South Philadelphia

Q

  • QualCare

T

  • TRICARE East (Humana Military Services) - CHOP Home Care does not participate
  • Three Rivers Provider Network

U

  • United Healthcare
    • Empire - CHOP Home Care does not participate with this plan
  • United Healthcare Community Plan, Pennsylvania - PA members at PA sites and providers only
  • United Healthcare Community Plan for Kids in Pennsylvania - PA members at PA sites and providers only
  • United Healthcare Community Plan, New Jersey - CHOP Home Care does not participate
  • UPMC, all commercial plans
  • UPMC - UPMC for You, UPMC for Kids - PA members at PA sites and providers only
  • US Family Services (Saint Vincent’s Catholic Medical Center) - CHOP Home Care does not participate

International Plans

  • Aetna- all international plans, including Aetna Global
  • Best Doctors (United Healthcare international plan)
  • Canadian Medical Network
  • Cigna - all international plans, including Vanbreda
  • EuroCare
  • First Health Global
  • First Health International
  • Global Medical Management (GMMI)
  • La Colonial
  • Olympus
  • Pennfield Care Management
  • Plotkin Consulting
  • Private Health Advisory Group (PHAGroup)
  • Quality Health Management
  • United Healthcare - all international plans offered by United, including Best Doctors
  • Vanbreda (Cigna international plan)


Next Steps
Pre-Visit Financial Counseling Hotline
Questions About Your Bill