Accepted Insurance Plans

Below is a list of payers who are contracted with Texas Children’s Hospital Network which includes Texas Children's Specialty Care Austin. Please confirm Texas Children’s participation with your health plan as some benefit plans utilize narrow networks which may exclude Texas Children’s.

Facility-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.

Please confirm network participation directly with your health plan. Some Employer Group Plans may exclude Texas Children’s Hospital from their network.

Insurance Plan Options (If Applicable) Excluded Options
Aetna (Effective 8/1/2022) HMO, POS, PPO
Aetna Better Health of Texas Star-Kids, Medicaid STAR, CHIP
Ameri-Health Carita CHIP, Medicaid STAR, CHIP
Alianza Mounte Sanai
AXA Assistance USA
Banco Centroamericano de Integración Económica
Blue Cross and Blue Shield of Texas HMO Blue/Blue Essentials, PPO, POS, Traditional, Blue Distinctions Center for Transplants Health Insurance Marketplace plans
Blue Cross and Blue Shield of Texas Medicaid CHIP, Medicaid STAR, STAR Kids, STAR Plus
Cigna HMO/POS, PPO, CIGNA LIFESOURCE including Exchange Local Plus, Harris County, Local Plus, Sure Fit Health Insurance Marketplace plans
Community Health Choice Medicaid Star, CHIP, CHIP Perinate, Community Health Choice HMO Copay* Health Insurance Marketplace – Community Network
Evolutions Healthcare Systems PPO
First Care Health Plans PPO, HMO, STAR, CHIP
Friday Health Plan
First Health (seeing Coventry members) PPO
Galaxy Health Network PPO
Generali Medico Compana de Seguros, S.A.
Green Tree Administrators PPO
HealthSmart Preferred Care, Inc. PPO, Accel/AP-3 Product, HealthSmart Payors Organization
Imagine Health PPO
Independent Medical System, LTD PPO
INTERLINK Health Services Transplant
Kelsey Seybold Medical Group KelseyCare administered by Boon-Chapman, Medicare Advantage
LifeTrac Transplant
MedCorp Southwest
Molina Healthcare Star-Kids, Medicaid STAR, CHIP, Star-Plus, CHIP Perinatal, Marketplace – Out of Network
Texas Medicaid Star-Kids, Medicaid STAR, CHIP, CHIP Perinatal (applies to hospital only)
Medicus International
MedSave USA
Multiplan PPO
National Health Care Solutions
Optum Healthcare (formerly United Resource Network)
Point Comfort Underwriters (ORR Program)
Private Healthcare Systems, Inc. (PHCS) PPO, Savility PPO
Provider Networks of America
Quality Health Management
RightCare from Scott & White Health Plan Medicaid STAR
Scott & White Health Plan
Seguros Atlas
Seguros Inbursa, S.A.
Superior Health Plan STAR Health (Foster Care), Medicaid STAR, CHIP, STAR Kids
Texas Children's Health Plans Medicaid STAR, CHIP, STAR Kids
Uniformed Services Family Health Plan (USFHP)
United Healthcare PPO, POS, HMO Health Insurance Marketplace plans
United Healthcare Community Medicaid STAR, STAR Kids, STAR Plus, CHIP

*Kelsey-Seybold Marketplace network only – Texas Children’s will only be in network if you select a Kelsey-Seybold PCP. You must request a referral and authorization to access a Texas Children’s Physician Service Organization (TCPSO) Physician.