Is Seattle Children’s covered by your health insurance plan?

Below is a list of plans that include Seattle Children’s for medical care. For mental health services coverage, see mental health coverage. Make sure you understand your insurance coverage before coming for care.

Check current status of your plan

This list is updated yearly and may not reflect the current status of your plan. Coverage and authorization requirements can change yearly. Many plans increased cost-sharing requirements for their members.

Check your plan benefits

Review your insurance plan benefits, network status, specialty care copays, annual deductible, (both in-network and out-of- network) and coinsurance to understand your cost.

A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

A

Aetna

All plans are accepted, except Medicare.

Alaska Medicaid

Alaska Medicaid is accepted.

Amerigroup

Washington Apple Health plans are accepted.

Apple Health (Medicaid)

Washington Apple Health plans are accepted.

Asuris

All plans are accepted, except Medicare. (Regence Blue Shield affiliate)

B

BDCT Transplant Services

Seattle Children’s is contracted for select transplant services.

BridgeSpan Health

All plans sold on the Washington Health Benefit Exchange are accepted, except Legacy Health and MultiCare Accountable Health Network. (Regence Blue Shield affiliate)

C

Careington Dental

All plans are accepted.

Cigna

All plans are accepted.

Community Health Plan of Washington

Washington Apple Health and Community Essentials plans are accepted.

Coordinated Care

Washington Apple Health and AmBetter plans are accepted.

Coventry/First Health

All plans are accepted, except Medicare.

D

Delta Dental

All plans are accepted.

F

First Choice Health Network

All plans are accepted, except Medicare.

First Health

See Coventry/First Health.

G

Great West Healthcare

See Cigna.

Group Health Cooperative

Group Health plans are accepted. Group Health requires an authorization before scheduling services. Call Group Health for a pre-authorization number, then call us to schedule.

H

HMSO (Highline Medical Services Organization)

Washington Apple Health plans are accepted. HMSO requires authorization before scheduling services.

I

Idaho Medicaid

Idaho Medicaid is accepted.

Interlink Transplant Services

Seattle Children’s is contracted for select transplant services.

K

Koan Risk Solutions

Seattle Children’s is contracted for select transplant services.

L

LifeSource Transplant Services

Seattle Children’s is contracted for select transplant services.

LifeTrac Transplant Services

Seattle Children’s is contracted for select transplant services.

LifeWise Health Plan of Washington

All plans are accepted, except Medicare. Seattle Children’s accepts LifeWise plans sold on the Washington Health Benefit Exchange. (Premera Blue Cross affiliate)

M

Medicare

Seattle Children’s is enrolled in the federal Medicare program and accepts assignment.

MetLife Dental

All plans are accepted.

Molina Healthcare

Washington Apple Health and Molina Marketplace plans are accepted.

Montana Medicaid

Montana Medicaid is accepted.

Multiplan/PHCS

All products are accepted, except Medicare.

N

NPN

Washington Apple Health plans are accepted. NPN requires authorization before scheduling services.

O

OptumHealth Transplant Services

Seattle Children’s is contracted for select transplant services.

Oregon Health Plan Transplant Services Program

Seattle Children’s is contracted for select transplant services.

P

PacifiCare

See United Healthcare.

Premera Blue Cross

All plans are accepted, except Medicare. Seattle Children’s accepts Premera’s plans sold on the Washington Health Benefit Exchange. For MultiCare Connected Care and EvergreenHealth Partners PersonalCare plans, a provider referral is required before scheduling services.

Principle Dental

All plans are accepted.

R

Regence BlueShield

All plans are accepted, except Medicare and MultiCare Accountable Health Network.

T

TriCare

All plans are accepted. Approved referrals and authorization are required from the patient’s primary care physician. Call TriCare for a pre-authorization number, then call us to schedule.

U

Uniform Medical Plan

All plans are accepted.

United Community Plan (Medicaid)

Washington Apple Health plans are accepted.

United Healthcare

All plans are accepted, except Secure Horizons (Medicare).

United Military & Veterans

TriCare Prime and Standard plans are accepted. Approved referrals and authorizations are required from the patient’s primary care provider.

UW Medicine Accountable Care Network (Boeing Employees)

Seattle Children’s participates in the UW Medicine Accountable Care Network offered to Boeing employees and their covered dependents.

W

Washington Medicaid (Apple Health)

Washington Apple Health plans are accepted.