Families With Delaware Physician's Care Medicaid

If you intend to use another plan within the Delaware Medicaid program and have questions about transitioning your child’s care, call (302) 651-4200.

For all other questions, including info about switching plans, call the Delaware Medicaid program health benefits manager at
(800) 996-9969.

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 DE

Amerihealth Caritas

American Psych Systems HMO

Atlanticare

Benefit Concepts

Cigna/Great West Health Care

Cigna Transplant Network

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

Delaware Medicaid/Diamond State Partners*

Delta Dental

Devon Healthcare

Evolutions Healthcare

First Health PPO

HealthNet (commercial products)

HealthPartners

HealthPartners KidzPartners
Highmark of DE

Horizon Blue Cross
Blue Shield of New Jersey

Independence Blue Cross

Insurance Administrators of America

Integrated Health Plan PPO

Intergroup PPO

Interlink Transplant Network

Keystone First Health Plan

LifeTrac Transplant Network

Maryland Medicaid

MHNet Behavioral Health

Multiplan PPO

National Transplant Network

New Jersey Medicaid

OptumTransplant Network

Pennsylvania Medicaid

PHCS Private Healthcare Hospital Systems

Plan Vista Solutions
(aka National Preferred
Provider Network)

Preferred Healthcare PPO

Tricare/Health Net Federal Services

*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

Capital Health Plan

Children’s Medical Services (CMS)

Cigna/Great West

Evolutions Healthcare Systems

First Coast Advantage

First Health

Florida Health Care Plan

Florida Medicaid/Medipass

Florida Medicare

Florida True Health

Georgia Medicaid/Georgia
Better Health/Peachcare

HealthEase (Wellcare)

Healthy Kids (excluding
Amerigroup and Simply)

 

Humana, Inc.

Humana Medicaid

Molina Health Care

Multiplan

Ped-I-Care
Title 19 and Title 21

Simply Health Care

Smart Health - St. Vincent's

Staywell (Wellcare)

Sunshine State 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

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 Medicaid, Healthy Kids

Humana Medicaid

Molina Medicaid

MultiPlan PPO

Ped-I-Care Medicaid HMO

Prestige Health Choice Medicaid

Simply Medicaid

Sunshine Health Medicaid

Staywell Medicaid, Healthy Kids

Tricare All Products

UnitedHealthcare, Inc.

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 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
  • Blue Cross Blue Shield PPO
  • CMS Pedicare Title 21
  • 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

Capital Health Plan

Children’s Medical
Services (CMS)

Cigna/Great West

Evolutions Healthcare Systems

First Health

Florida Health Care Plan

Florida Medicaid/Medipass

Florida Medicare


HealthEase (Wellcare)

Healthy Kids (excluding
Amerigroup and Simply)
Humana, Inc.

Multiplan

Prestige Health Choice

Smart Health - Sacred Heart

Sunshine State 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 DE

Benefit Concepts

Cigna/Great West Health Care

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

Evolutions Healthcare

First Health PPO

HealthNet (commercial products)

Highmark of DE

Horizon Blue Cross
Blue Shield of New Jersey
 
Independence Blue Cross

Insurance Administrators of America

Integrated Health Plan PPO

Intergroup PPO

Interlink Transplant Network

LifeTrac Transplant Network

Maryland 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 DE
  • Health America
  • Health Assurance
Devon Healthcare

Evolutions Healthcare System

First Health

HealthNet
(commercial products)

Horizon Blue Cross Blue Shield of New Jersey

 

Independence Blue Cross
  • Amerihealth
  • Keystone Healthplan East
  • Personal Choice
Intergroup PPO

New Jersey Medicaid

Multiplan

Plan Vista Solutions
(aka National Preferred
Provider Network)

Tricare/Health Net Federal Services

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 DE
  • Health America
  • Health Assurance
Delta Dental

Devon Healthcare

Evolutions Healthcare

First Health

Healthpartners

Health Partners Kidzhealth

Highmark of DE

 

Independence Blue Cross
  • Amerihealth
  • Keystone Healthplan East
  • Personal Choice
Insurance Administrators
of America

Intergroup PPO

Interlink Transplant

Keystone First Health Plan

LifeTrac Transplant

Multiplan PPO

National Transplant Network

Pennsylvania Medicaid

Plan Vista Solutions
(aka National Preferred
Provider Network)

Preferred Healthcare PPO

Tricare/Health Net Federal Services

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 »