Insurance We Accept

Nemours accepts various insurance plans and HMOs that differ depending on the location your child receives care, and the medical services provided. This means it's possible that services performed by the same physician at a Nemours clinic and hospital may not be covered by your insurance at both locations.

Please refer to the lists of accepted insurance organized by our service areas below. Because this changes regularly, we recommend that you check with your insurance provider for the most accurate and up-to-date information regarding your coverage of services and physicians at Nemours.

You can also call Nemours Customer Service at (866) 390-3610.

For information or help with your financial obligations:

Health Insurance We Accept in Delaware

NOTE: Nemours physicians and medical staff members may not participate in (or be "enrolled" in) all of our accepted insurance plans. To determine whether a physician or other health care provider at Nemours is credentialed and enrolled with one of the plans listed below, please call Nemours Customer Service at: (866) 390-3610.

Aetna

Aetna Better Health

Aetna Better Health CHIP

Aetna Transplant Network

AmeriHealth of Delaware

Amerihealth Caritas

American Psych Systems HMO

Atlanticare

Benefit Concepts

Cigna/Great West Health Care

Cigna Transplant Network

Coventry Healthcare of Delaware
  • Coventry Healthcare PPO/HMO
  • Health America HMO
  • Health Assurance
Coventry Transplant Network

Delaware Traditional Medicaid

Delta Dental

Devon Healthcare

Evolutions Healthcare

First Health PPO

Gateway Medicaid

Geisinger Health Plan Commercial

Geisinger Medicaid

HealthNet (commercial products)

HealthPartners

HealthPartners KidzPartners

Highmark of Delaware
Horizon Blue Cross
Blue Shield of New Jersey

Independence Blue Cross
  • Not participating in this plan:
    Amerihealth Value Network
Insurance Administrators of America

Integrated Health Plan PPO

Intergroup PPO

Interlink Transplant Network

Keystone First Health Plan

LifeTrac Transplant Network

Maryland Traditional Medicaid

MHNet Behavioral Health

Multiplan PPO

National Transplant Network

New Jersey Traditional Medicaid

OptumTransplant Network

Pennsylvania Traditional Medicaid

PHCS Private Healthcare Hospital Systems

Plan Vista Solutions
(aka National Preferred
Provider Network)

Preferred Healthcare PPO
 
Qualcare
 
Tricare/Health Net Federal Services
 
US Family Health Plan

*Effective Jan. 1, 2015, Delaware Physician's Care, Inc. (DPCI) will no longer be participating in the Delaware Medicaid program.

Health Insurance We Accept in Florida

NOTE: Nemours physicians and medical staff members may not participate in (or be "enrolled" in) all of our accepted insurance plans. To determine whether a physician or other health care provider at Nemours is credentialed and enrolled with one of the plans listed below, please call Nemours Customer Service at: (866) 390-3610.

 
Jacksonville Area
Accountable Health Plan

Aetna

Avmed

Beech Street

Blue Cross/Blue Shield
*excludes Blue Select

Capital Health Plan

Children’s Medical Services (CMS)

Cigna/Great West

Evolutions Healthcare Systems

First Health

Florida Health Care Plan

Florida Medicaid

Florida Medicare

Georgia Amerigroup

Georgia Medicaid/Peachcare

Georgia Wellcare

HealthEase (Wellcare)

Healthy Kids (excluding
Amerigroup and Simply)

 

Humana, Inc.

Humana Medicaid

Molina Health Care

Magellan Complete Care

Multiplan

Ped-I-Care
Title 19 and Title 21

Simply Health Care

Smart Health — St. Vincent's

Staywell (Wellcare)

Sunshine Health Plan

Three Rivers
Provider Network

Tricare/Humana
Military Health Services

UnitedHealthcare, Inc.

UnitedHealthcare Community Plan

Vista Healthplan/Coventry
Healthcare of Florida

Volusia Health Network
 
 
Orlando Area

Nemours Children's Hospital & Specialty Care Locations

Nemours participates with the following insurance companies for inpatient, outpatient, surgical, rehabilitation and diagnostic services:

Aetna

Amerigroup Medicaid, Healthy Kids

Avmed

Blue Cross Blue Shield Florida (Florida Blue)

Children’s Medical Services (CMS) Medicaid

Cigna/Great West

Florida Medicaid

Florida Health Care Plan HMO, Healthy Kids

Healthease, Healthy Kids

Humana Medicaid
Magellan Complete Care
 
Molina Medicaid

MultiPlan PPO

Ped-I-Care Medicaid HMO

Prestige Health Choice Medicaid

Simply Medicaid

Sunshine Health Medicaid

Sunshine Healthy Kids

Staywell Medicaid, Healthy Kids

Tricare All Products

UnitedHealthcare Commercial

UnitedHealthcare Community Plan

Additional insurance plans accepted for Specialty Care physician services:

Accountable Health PPO

Beechstreet PPO

Coventry/First Health PPO

Evolutions HealthCare

Florida Medicare

Healthchoice
Health First Health Plans
 
Humana Commercial HMO, POS, PPO

Three Rivers

Vista Healthplan HMO, PPO, Healthy Kids/Coventry Health Plan of Florida

Volusia Health Network PPO, EPO
Behavioral Health in Central Florida

Behavioral health has exclusions and only participates with the following plans:

  • Aetna (all plans)
  • Amerigroup Medicaid, Healthy Kids
  • Blue Cross Blue Shield PPO
  • Florida Health Care (includes Healthy Kids)
  • Healthchoice
  • Prestige Medicaid
  • Sunshine Health Medicaid

Parents should refer to their insurance benefit plan, contact their insurance company, or speak with their employer's benefits administrator to help understand their current insurance coverage at Nemours.

 
Pensacola Area
Accountable Health Plan

Aetna

Alabama Medicaid/
Patient First

Beech Street

Blue Cross/Blue Shield
*excludes Blue Select

Capital Health Plan

Children’s Medical
Services (CMS)

Cigna/Great West

Evolutions Healthcare Systems

First Health

Florida Health Care Plan

Florida Medicaid

Florida Medicare

Healthy Kids (excluding
Amerigroup and Simply)

 

HealthEase (Wellcare)

Humana, Inc.

Humana Medicaid

Magellan Complete Care


Molina Medicaid

Multiplan

Pedicare Title 19 and Title 21

Prestige Health Choice

Smart Health — Sacred Heart

Sunshine Health Plan

Three Rivers
Provider Network

Tricare/Humana
Military Health Services

UnitedHealthcare, Inc.

UnitedHealthcare
Community Plan

Vista Healthplan/Coventry
Healthcare of Florida

Health Insurance We Accept in Maryland

NOTE: Nemours physicians and medical staff members may not participate in (or be "enrolled" in) all of our accepted insurance plans. To determine whether a physician or other health care provider at Nemours is credentialed and enrolled with one of the plans listed below, please call Nemours Customer Service at: (866) 390-3610.

AmeriHealth of Delaware

Benefit Concepts

Cigna/Great West Health Care

Coventry Healthcare of Delaware
  • Coventry Healthcare PPO/HMO
  • Health America HMO
  • Health Assurance
Devon Healthcare

Evolutions Healthcare

First Health PPO

HealthNet (commercial products)

Highmark of Delaware

Horizon Blue Cross
Blue Shield of New Jersey
 
Independence Blue Cross
  • Not participating in this plan:
    Amerihealth Value Network
Insurance Administrators of America

Integrated Health Plan PPO

Intergroup PPO

Interlink Transplant Network

LifeTrac Transplant Network

Maryland Traditional Medicaid

Multiplan PPO

National Transplant Network

Plan Vista Solutions
(aka National Preferred
Provider Network)

Preferred Healthcare PPO

Tricare/Health Net Federal Services

Health Insurance We Accept in New Jersey

NOTE: Nemours physicians and medical staff members may not participate in (or be "enrolled" in) all of our accepted insurance plans. To determine whether a physician or other health care provider at Nemours is credentialed and enrolled with one of the plans listed below, please call Nemours Customer Service at: (866) 390-3610.

Aetna

Benefit Concepts

Cigna/Great West Health Care

Coventry Health Care of Delaware
  • Health America
  • Health Assurance
Devon Healthcare

Evolutions Healthcare System

First Health

Geisinger Health Plan Commercial

HealthNet
(commercial products)

Horizon Blue Cross Blue Shield of New Jersey

 

Independence Blue Cross
  • Amerihealth
  • Keystone Healthplan East
  • Personal Choice
  • Not participating in this plan:
    Amerihealth Value Network
Intergroup PPO

New Jersey Traditional Medicaid

Multiplan

Plan Vista Solutions
(aka National Preferred
Provider Network)

Qualcare
 
Tricare/Health Net Federal Services
 
US Family Health Plan

Health Insurance We Accept in Pennsylvania

NOTE: Nemours physicians and medical staff members may not participate in (or be "enrolled" in) all of our accepted insurance plans. To determine whether a physician or other health care provider at Nemours is credentialed and enrolled with one of the plans listed below, please call Nemours Customer Service at: (866) 390-3610.

Aetna*

Aetna Better Health

Aetna Better Health CHIP

Amerihealth Caritas

Benefit Concepts

Cigna/Great West Health Care

Coventry Healthcare of Delaware
  • Health America
  • Health Assurance
Delta Dental

Devon Healthcare

Evolutions Healthcare

First Health

Geisinger Health Plan Commercial

Geisinger Medicaid

Health Partners*

KidzPartners CHIP

Highmark of Delaware
 
Horizon BCBS
 

 

Independence Blue Cross
  • Amerihealth
  • Keystone Healthplan East
  • Personal Choice
  • Not participating in this plan:
    Amerihealth Value Network
  • Insurance Administrators
    of America

    Intergroup PPO

    Interlink Transplant

    Keystone First Health Plan

    LifeTrac Transplant

    Multiplan PPO

    National Transplant Network

    Pennsylvania Traditional Medicaid

    Plan Vista Solutions
    (aka National Preferred
    Provider Network)

    Preferred Healthcare PPO
     
    Qualcare
     
    Stratos

    Tricare/Health Net Federal Services
     
    US Family Health Plan

*We are participating with Aetna for our Bryn Mawr Surgery Center (effective Feb. 1, 2016). Therapy and Medical Imaging services at Bryn Mawr are out of network.

* Health Partners is available for specialty care only

Contact Us

Nemours Customer Service

Toll Free: (866) 390-3610
Hours: Monday–Friday, 8 a.m. to 4:30 p.m.

Learn More About Nemours Financial Counseling »