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 the 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. Some plans require an insurance referral for services that are out-of-network.

Alaska Medicaid

Alaska Medicaid is accepted.

Allegiance

Accepted for Seattle Children’s Pediatric Cardiology of Montana location. Services outside of Montana require insurance approval and referral.

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.

Blue Cross Blue Shield of Montana 

Accepted for Seattle Children’s Pediatric Cardiology of Montana location. Services outside of Montana require insurance approval and referral.

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. Some plans require an insurance referral for services that are out-of-network.

Community Health Plan of Washington

Washington Apple Health 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.

E

Envolve (formerly OptiCare)

Accepted for eye services. 

EyeQuest

Accepted for eye services.

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

See Kaiser Health Foundation Plan of Washington.

H

Health Net Federal Services (TriCare)

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

HMSO (Highline Medical Services Organization)

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

I

Idaho Medicaid

Idaho Medicaid is accepted.

Intercommunity Health Network

Accepted for services referred from Oregon.

Interlink Transplant Services

Seattle Children’s is contracted for select transplant services.

K

Kaiser Health Foundation Plan of Washington (formerly Group Health Cooperative)

Kaiser Health Foundation Plan of Washington plans are accepted. Kaiser Health Foundation Plan of Washington requires an authorization before scheduling services. Call for a pre-authorization number, then then call us to schedule.

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

MCNA Dental

Accepted for Washington and Idaho Medicaid members.

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 Health Cooperative

Accepted for Seattle Children’s Pediatric Cardiology of Montana location only.

Montana Medicaid

Montana Medicaid is accepted.

Multiplan/PHCS

All products are accepted, except Medicare. Some plans require an insurance referral for services that are out-of-network.

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.

PacMed US Family Health Plan (USFHP)

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

Premera Blue Cross

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

Principal Dental

All plans are accepted.

Provider Network of America (PNOA)

All plans are accepted.

R

Regence BlueShield

All plans are accepted, except Medicare and MultiCare Accountable Health Network. Some plans require an insurance referral for services that are out-of-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.

UnitedHealthcare

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

UnitedHealthcare Community & State

Washington Apple Health plans are accepted.

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.

Willamette Valley Community Health

Accepted for services referred from Oregon.