Insurance Plans
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 June 11, 2024, Cook Children's Medical Center; Cook Children's Medical Center-Prosper 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.
IMPORTANT:
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, or Cook Children's Pediatric Surgery Centers, 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 Healthcare Sharing Ministry Plans, Physician/Practiutioner Only Products, Physician and Ancillary Only products or Cost Plus/Referenced based pricing plans regardless of Plan name or logo 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.
2024 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.
- Out of network with Exchange Plans
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**
- 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
- Blue Cross Blue Shield TX HealthSelect of Texas
- Cigna Healthcare of Texas**
- EHN- Employers Health Network
- First Health Network*
- Fort Worth Firefighters 440
- Galaxy Healthcare Network
- HealthScope*
- HealthSmart Payors Organization/HealthSmart*
- Humana Choice Care & Concentric Network
- Imagine Health
- MultiPlan Inc/PHCS*
- Providence Health Alliance
- Scott and White Health Plan **
- United Healthcare PPO/EPO**
- USA Managed Care Organizations
* Does NOT include Physician Only Plans or Christian Healthcare Sharing Ministry Plans
** Excluding exchange products
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
- Aetna Better Health
- Blue Cross Blue Shield of Texas PPO & some HMO products
- Cook Children's Health Plan CHIP and STAR
- EHN- Employers Heath Network
- First Health Network
- FirstCare Commercial
- FirstCare STAR
- Fort Worth Firefighters 440
- Galaxy Healthcare Network
- HealthScope
- HealthSmart
- HealthSmart Payors Organization
- Imagine Health Plan
- MultiPlan Inc./PHCS*
- Texas Children's Health Plan CHIP and STAR
- TMHP
- USA Managed Care Organizations
- Wellpoint
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.
- Aetna Institutes of Excellence (BMT, Kidney)
- 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.
It's time to apply, renew, review!
Visit YourTexasBenefits.com to apply, renew, check status, manage your case, report changes, upload documents, view your Lone Star Card balance, or print a Medicaid card.
Don't wait. Respond and update your information today at YourTexasBenefits.com or call 2-1-1 and select option 2.
Managed Medicaid - STAR
- Aetna Better Health
- Blue Cross Blue Shield Medicaid (excluding Cook Children's Medical Center- Prosper)
- Cook Children's Health Plan
- El Paso Health
- Molina Healthcare
- Superior Health Plan
- Superior STAR Health (Foster Care)
- Texas Children's Health Plan
- Wellpoint
Managed Medicaid - StarKids
- Aetna Better Health
- Blue Cross Blue Shield Medicaid (excluding Cook Children's Medical Center- Prosper)
- Cook Children's Health Plan
- Superior
- Texas Children's Health Plan
- UnitedHealthcare Community Plan
- Wellpoint
Children's Health Insurance Program (CHIP/CHIP Perinate)
- Aetna Better Health
- Blue Cross Blue Shield Medicaid (excluding Cook Children's Medical Center- Prosper)
- Cook Children's Health Plan
- El Paso Health
- Molina Healthcare
- Superior Health Plan
- Texas Children's Health Plan
- Wellpoint
Managed Medicaid - Medicaid Rural Service Area (MRSA)
- FirstCare STAR RSA
- Molina Healthcare CHIP RSA
- Superior CHIP RSA
- Right Care (Scott and White)
- Wellpoint CHIP RSA
- Wellpoint STAR RSA
Traditional Medicaid
- Texas Medicaid & Healthcare Partnership (TMHP)