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Insurance Plans

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Health care coverage is more than insurance, it's a major investment in your health, and the health of your family. At Cook Children's, we believe that every child should have access to excellent care, and we are working hard every day to ensure that happens.

As of November 2, 2107, Cook Children's Medical Center and Cook Children's Physician Network have contracts with the following health care insurance companies, and we are committed to growing this list. We want to be sure that every family and child in our community has the coverage they need to get and stay healthy.

Please note that not all of the plans listed here are accepted by all affiliated companies of Cook Children's Health Care System. If you have questions about coverage for Cook Children's Home Health, Cook Children's Northeast Hospital, or Cook Children's Pediatric Surgery Center, we recommend that you review their specific insurance plans or contact your health insurance carrier/employee benefits administrator to verify coverage and for information regarding your health insurance plan.

Please be advised Cook Children's DOES NOT ACCEPT ANY Christian Healthcare Sharing Ministry Plans or Physician Only Products regardless of Plan name- these are SELF PAY.

Physicians may have an existing only or closed panel status with some plans please make sure you are aware of your physician's panel status.

2018 exchange plans

We recommend that you contact your health insurance carrier to verify coverage for your specific benefit plan: please note that not all products are contracted for the listed plans.

  • FirstCare

Commercial plans

We recommend that you contact your health insurance carrier to verify coverage for your specific benefit plan; please note that not all products are contracted for the listed plans.

  • Aetna
  • Beech Street
  • Blue Cross Blue Shield of Texas HMO Blue Essentials
  • Blue Cross Blue Shield of Texas PAR - Cook Children's Medical Center Only
  • Blue Cross Blue Shield of Texas PPO
  • Blue Cross Blue Shield of Texas Premier
  • Cigna Healthcare of Texas
  • First Health Network
  • FirstCare
  • Scott and White Health Plan (excluding individual products)
  • Galaxy Healthcare Network
  • HealthSmart Payors Organization
  • HealthSmart
  • Humana
  • MultiPlan Inc/PHCS*
  • Oscar Health Plan
  • Providence Health Alliance
  • United Healthcare
  • USA Managed Care Organizations

*Does NOT include Physician Only Plans or Christian Healthcare Sharing Ministry Plans

Behavioral health plans

We recommend that you contact your health insurance carrier to verify coverage for your specific benefit plan; please note that not all products are contracted for the listed plans.

  • Aetna
  • Amerigroup
  • Aetna Better Health
  • Beacon (Cook Children's Health Plan & Children's Medical Center Health Plan members Only)
  • Beech Street
  • Blue Cross Blue Shield of Texas PPO
  • First Health Network
  • Galaxy Healthcare Network
  • MultiPlan Inc/PHCS
  • TMHP
  • USA Managed Care Organizations

Transplant networks

We recommend that you contact your health insurance carrier to verify coverage for your specific benefit plan; please note that not all products are contracted for the listed plans.

  • Blue Distinction Centers for Transplant (BMT)
  • Cigna LifeSource Network (BMT)
  • Humana Transplant Network (BMT)
  • OptumHealth Care Solutions Complex Medical Conditions (BMT, Neonatology)

Medicaid

We recommend that you contact your health insurance carrier to verify coverage for your specific benefit plan; please note that not all products are contracted for the listed plans.

Managed Medicaid - STAR

  • Aetna Better Health
  • Amerigroup
  • Cook Children's Health Plan
  • El Paso First
  • Superior Health Plan
  • Superior STAR Health (Foster Care)
  • Texas Children's Health Plan

Managed Medicaid - StarKids

  • Aetna Better Health
  • Amerigroup
  • Cook Children's Health Plan
  • Children's Medical Center Health Plan
  • Superior
  • Texas Children's Health Plan
  • UnitedHealthcare Community Plan – STAR Kids

Children's Health Insurance Program (CHIP/CHIP Perinate)

  • Aetna Better Health
  • Amerigroup
  • Cook Children's Health Plan
  • El Paso First
  • Superior Health Plan
  • Texas Children's Health Plan

Managed Medicaid - Medicaid Rural Service Area (MRSA)

  • Amerigroup CHIP RSA
  • Amerigroup STAR RSA
  • FirstCare STAR RSA
  • Superior CHIP RSA
  • Right Care (Scott and White)

Traditional Medicaid

  • Texas Medicaid & Healthcare Partnership (TMHP)
  • OKHCA- CCMC, Transport and Many Physicians